The arch of the foot consists of a longitudinal and a transverse arch.
The Arch of the foot consists of a Along- and one Transverse vault and denotes the Musclesthat for the correct function of the foot are important and him as Shock absorbers serve.
The Longitudinal vault is through the Sole tendon plate (Plantar aponeurosis or Plantar fascia) and the long tendon ligament held upright and tensed by the continuation of the long big toe flexor, the long toe flexor and the short ankle flexor muscles. The Transverse vault is made up of the Tibialis posterior muscle and the Peroneus longus muscle, also supports the Plantar fascia the maintenance of the vault.
Hammer toe and claw toe (Deformities of the toe bones) Digitus malleus
Plantar warts Verrucae plantares
Hallux valgus - (Deviation of the big toe in the base joint)
Hallux rigidus - (Joint wear of the Metatarsophalangeal joint)
Inflamed nails / nail fungus
Osteoarthritis / arthritis - degenerative change of Joints / inflammation of the joints
You can find an overview of all Dr-Gumpert images at: medical illustrations
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Appointment with ?
I would be happy to advise you!
Who am I? My name is dr. Nicolas Gumpert. I am a specialist in orthopedics and the founder of . Various television programs and print media report regularly about my work. On HR television you can see me every 6 weeks live on "Hallo Hessen". But now enough is indicated ;-)
Athletes (joggers, soccer players, etc.) are particularly often affected by diseases of the foot. In some cases, the cause of the foot discomfort cannot be identified at first. Therefore, the treatment of the foot (e.g. Achilles tendonitis, heel spurs, etc.) requires a lot of experience. I focus on a wide variety of foot diseases. The aim of every treatment is treatment without surgery with a complete recovery of performance.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.
You can find me in:
Lumedis - your orthopedic surgeon Kaiserstrasse 14 60311 Frankfurt am Main
Directly to the online appointment arrangement Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding! Further information about myself can be found at Dr. Nicolas Gumpert
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causes
Falling arch of the foot Come on different Foot deformities before which congenital or acquired could be. Possible variants are the Flat foot, of the Arched feet or splayfoot. But also one too strong expression of the arch of the foot (Arches foot) can cause problems.
hallux valgus (Inclination of the big toe) Also belongs to the Misaligned feetwhich to a Incorrect strain on the ball of the little toe cause pain in the arch of the foot.
Inflammation of the plantar fascia The so-called Plantar fasciitisthat especially at Runners often the cause of arch pain is due to constant overload, wrong footwear, a misaligned foot or an unfavorable one Running style.
Read more about this at: Tendonitis on the sole of the foot
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Heel spur The extreme form of the Plantar tendinitis. If the pain is ignored permanently, it will be due to the persistent inflammation Bone substance formed- a first aid measure for the body. In the long run, this ossification causes more discomfort.
Fatigue fracture (Synonym: march break, stress fracture) Owing to extreme and unusual stress, for example in high-performance sport or when the armed forces march, the bone structures are overwhelmed and break.
Diabetic foot syndrome By a long-standing diabetes become the peripheral annoy owing to Insufficient supply and circulatory disorders damaged and can cause arch pain.
Obesity It can cause arch pain if the Foot muscles is heavily stressed by standing or walking for long periods of time.
Symptoms
The Pain qualities are diverse.
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Is the Plantar fascia affected, it occurs frequently to sharp pain, especially at the beginning of exercise or after long periods of rest.
At a Fatigue fracture can in addition to the arch pain too Swelling, overheating and redness come. A fatigue fracture can easily be with rheumatic complaints be confused as the pain is slow to increase.
The first signs of an incorrect foot load are often Hyperkeratosis, so one Thickening of the cornea.
At pronounced Misaligned feet can lead to it Back and knee pain come because the foot is wrongly stressed. In addition, the Shortened walking distance his and one easier fatigue of your feet.
At the diabetic foot can the Pain quality rather burning be, but also Numbness tingling or tingling may occur. The pain also occurs at rest.
therapy
Orthopedic insoles, especially with malpositions of the feet
Physiotherapy / foot exerciseswhich is intended to specifically strengthen the foot muscles
Comfortable, if necessary orthopedic footwear, with enough space for your toes
Relief and protection, supportive also through Tape or plaster of paris bandages
cooling by an ice pack (wrapped with a cloth, the ice should not be directly the skin in case of acute pain or to reduce swelling
Over-the-counter pain relievers how Ibuprofen or Paracetamol
In severe cases Cortisone syringes or proceeded operationally become
In the case of heel spurs, there are also X-rays or shock wave therapy to use.
prophylaxis
Even with small children you should pay attention to the right footwear.
Preventive a lot can be done. Nice Children and young people should comfortable, suitable shoes wear. Is already one Foot malposition known, should orthopedic insoles in time prescribed and worn regularly before the arch of the foot becomes painful. Go barefoot regularly trains the foot muscles and strengthens them. A good control of diabetes and weight can also prevent pain.
When to the doctor
The specialist should be consulted if the Pain for more than three days stop or increase. Will the pain in the arch of the foot be from overheat, Misalignments, Walking disability or Discoloration accompanied, they should be clarified by the doctor.
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forecast
The prognosis depends on the Cause of the pain in the arch of the foot.
Misaligned feet Will you treated in time Do you have a good prognosis. But even without treatment, children often get better up to school entry age. If the misalignments only develop in adulthood, there is usually one Therapy necessary.
hallux valgus Often in childhood by rails an improvement of the deformity can be achieved, whereas in adulthood it is often just the operation remains the only treatment option. After an operation, the ligaments and tendons must first get used to the new position, but then the long-term prognosis of the operated hallux valgus is good.
Plantar fasciitis Through the consistent Compliance with the treatment measures there is often an improvement in the symptoms. Complete healing can up to six months take advantage of. Then it is important to get the foot back slowly getting used to new loadsto prevent renewed overuse. It is recommended Stretching and strengthening exercises continue to perform.
Heel spur Good prognosis with Improvement in 80-90% of the cases after weeks and months.Patience and consistent application of the therapeutic measures often bring relief.
Fatigue fracture In the case of fatigue failure, this is Forecast also favorable and is improved through professional treatment and physiotherapy. The healing can up to six months take advantage of.
