Claw or hammertoe deformity is not only an aesthetic problem that prevents the wearing of open shoes; it is a painful pathology that alters the biomechanics of the footprint, generates calluses (helomas) and can lead to knee and back problems. For decades, the fear of a slow and painful recovery has held back thousands of patients. However, Clínica San Román ‘s Minimal Incision Surgery (MIS) has transformed this paradigm.
Is it really possible to walk out of the operating room on your own feet? The answer is a resounding yes. Below, we break down what the actual recovery process is like and why this technique is the preferred choice for those seeking efficiency and speed.
The “Walk-in, Walk-out” concept: Autonomy from minute one
One of the patient’s biggest concerns is dependency. In traditional open surgery, the use of crutches and absolute rest are usually the norm. In contrast, at Clínica San Román, claw toe surgery is performed on an outpatient basis.
Thanks to the use of controlled local anesthesia, the patient remains awake and conscious at all times, avoiding the risks and grogginess of general anesthesia. At the end of the procedure, which usually lasts only a few minutes per finger, a functional bandage is applied and a special rigid-soled shoe is placed to allow immediate support. This early ambulation is not only a comfort benefit; it is a clinical necessity, as it promotes blood circulation and drastically reduces the risk of thrombosis.
The Science behind Minimal Incision (MIS)
The key to such an accelerated recovery lies in the percutaneous technique. Unlike open surgery, where large cuts are made to expose the bone, the MIS technique allows the surgeon to work through small holes as small as 2 or 3 millimeters.
Direct benefits of the technique in recovery:
- Tissue preservation: No aggressive damage to surrounding ligaments and tendons.
- No K-wires or screws: There is no need to insert metal pins protruding from the finger, eliminating the risk of external infections and the anxiety of later removal.
- Accelerated healing: As these are millimeter incisions, no traditional stitches are required, which reduces the formation of keloids or painful scars.
Recovery schedule: What to expect week by week?
Although the patient leaves walking, it is essential to understand that the body needs a biological healing process. Here we explain the standard process after passing through the expert hands of Clínica San Román:
1. The first 48 hours: Control and comfort
This is the period of greatest inflammation. We recommend keeping the foot up as long as possible when at rest. Pain is usually minimal and is perfectly controlled with mild oral analgesics. The most common sensation is not a sharp pain, but a slight pressure due to the bandage.
2. The first week: Moderate mobility
The patient can perform basic activities at home. Bed rest is not necessary. Avoid getting the bandage wet, as this is vital to maintain the corrected alignment of the toe while the bone begins its healing process.
3. From the second to the fourth week: Consolidation
At follow-up visits, the bandages are changed. The patient begins to notice how the swelling decreases noticeably. Post-surgical footwear is maintained, which is designed to protect the operated area while allowing an almost normal gait.
4. The first month: The return to conventional footwear
After approximately 4 to 5 weeks (depending on individual evolution), the patient can start wearing comfortable and wide sports shoes. This is the moment when the final result is appreciated: an aligned, functional and pain-free toe.

Comparison: Why choose MIS Surgery over Open Surgery?
| Factor | Traditional Open Surgery | MIS Surgery (San Roman) |
| Type of Incision | 3 – 5 cm (stitches required) | 2 – 3 mm (without dots) |
| Osteosynthesis material | External needles or screws | Generally unnecessary |
| Foot support | Deferred (crutches weeks) | Immediate (same day) |
| Work Disenrollment | Prolonged (1-2 months) | Very brief or nonexistent (depending on profession) |
| Pain | Moderate to severe | Slight or nonexistent |
Why trust in Clínica San Román?
With more than 47 years of experience, Clínica San Román not only performs an intervention; it offers a health guarantee based on specialization. Being pioneers in Spain in minimal incision surgery allows us to handle complex cases with an exceptional success rate.
We understand that each patient is unique. Therefore, our postoperative period is not a “standard prescription”, but a personalized follow-up where the medical team is always available to answer questions and ensure that the transition to a pain-free life is quick and safe.
Conclusion: Regain your footing
Walking out of the operating room is not an advertising slogan; it is the reality of state-of-the-art podiatric surgery. If claw toes are limiting your physical activity, your choice of footwear or your daily well-being, the MIS technique is the ultimate solution that respects your time and your body.
The fear of the postoperative period is no longer an excuse. Recovering the health of your feet is the first step to recover your quality of life.



