Bobingen / Schwabmünchen: when the shoe presses | Radio Schwaben

When the shoe pushes, it & APOs; s not always because of the shoe. There are also very painful foot problems. Ballenzehe, hammerzehen and heel spur are common orthopaedic problems on the feet, for example. For prevention, well-fitting, comfortable shoes and frequent barefoot walking are recommended. But what if it doesn & APOs; t help or doesn & APOs; t help anymore?

Homan Rafiee-Tary is a senior physician in accident and orthopaedic surgery at Wertachkliniken and certified foot surgeon. "often, and especially at the beginning, help, for example, insoles, foot pads and gymnastics. But there are also cases where you can & APOs; t get around for surgery, & quot; he says. In principle, acquired and congenital mispositions are distinguished. By correcting an innate malposition, consequential damage may be avoided, so the corresponding diagnosis should be made as early as possible. Acquired malpositions are usually caused by misloads, for example by wearing tight shoes with high heels. However, they can also be due to constitution due to weak connective tissue and / or weak muscles in the feet and calves.

Therefore, it is important for a diagnosis to establish a history, that is to say, the conversation about the history. In addition, imaging studies are essential. An x-ray of the foot under stress, in standing and in several levels, represents the bony structures of the foot skeleton and their relationship to each other. Joint malpositions, bone deformities and ossification of the soft tissue become visible. On the other hand, ligaments, tendons, muscles and cartilage surfaces are better represented with an ultrasound or MRI examination. "in any case, one should be thoroughly examined, because modern medicine provides satisfactory solutions for many foot problems," advises foot specialist Rafiee-Tary.

The lecture scheduled in Bobingen on 9 February, when the shoe presses, unfortunately has to be cancelled because of Corona, and orthopaedic problems are difficult to discuss on the phone. Therefore, the senior senior physician of orthopaedics and trauma surgery of the Wertachkliniken, foot specialist Homan Rafiee-Tary offers until further notice in addition to the usual foot consultation hour on Tuesday from 9.00 to 13.00 o & APOs; clock still another consultation hour on Monday from 13: 30 to 15: 00 o & APOs; clock. Make an appointment by telephone, in the morning on Wednesday and Friday from 10 am to 12.30 pm and in the afternoon on Monday, Tuesday and Wednesday from 1.30 pm to 4.30 pm, at the phone number 08234 81 310.

Info box foot problems: in the hallux valgus, also called bale marriage, the large toe shows from the base joint to the inside, to the other toes. The first symptoms often occur in young women. Surgery is usually performed only when there is no other way to alleviate the ailments.The hallux rigidus is an osteoarthritis, that is, a wear of the large toe base joint. This restricts the rolling of the foot while walking and you often have great pain. Special orthopaedic insoles and shoe finishing usually help. There are also various operating methods, but the benefit and risk should be carefully considered. In the Digitus malleus, the so-called hammer toe, the affected toes are curved and therefore often cause problems in firm shoes. If conservative measures do not help, the joints, ligaments and tendons on the affected toes can be surgically corrected, depending on the stage. The so-called heel spur is an ossification on the heel leg. The surrounding connective tissue is usually painful when it is inflamed. Therapeutic options include extracorporeal shock wave therapy (ESWT), orthopaedic insoles and padded heel cushions in combination with physiotherapy and stretching exercises.

Caption: Homan Rafiee-TaryPicture: Doris Wiedemann