This condition tends to get worse over time, but it does not always require surgery. If not treated in time, your toe joint might become fixed and need surgical correction to straighten it. The more you wear improper shoes, and the longer you ignore the developing hammertoe, the more likely your toe will require surgical intervention to release the tendon. It is extremely important to seek medical assistance promptly if you notice any hammer toe symptoms. Even if you are being treated for this disorder, but you notice that the condition gets worse over time or does not improve, you should talk to your foot specialist.