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Hammer toes a manifestation of dystonia?

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My relative, who had recent dbs surgery for parkinson's, has developed hammer toes on one foot and his other foot is turning in so that it is very difficult for him to walk. He is in increasing pain but only takes tylonol twice a day for it. One doctor recommended botox to relax the muscle and massage the toe joints; his podiatrist says only surgery will straighten toes. What do you think he should do about this debilitating condition?

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I would take him to your PD doc, adjust meds and consider botox before any surgery. Sounds like dystonia and this may not respond favorably to local foot surgery. Needs an in person exam from an experienced neurologist.

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