Your contact partners
in this area:
Prof. <br /> Dr. med. habil.<br /> Georg Matziolis
Dr. med. habil.
Georg Matziolis

Senior Consultant of the Clinic for Orthopaedics and Accident Surgery

Acting holder of the Chair for Orthopaedics of the FSU Jena at the Waldkrankenhaus Eisenberg

036691 8-1002

Specialist Registrar Dr. med. Andreas Wagner
Specialist Registrar Dr. med. Andreas Wagner

Head of department hand and foot surgery

Specialist for Orthopaedics and Accident Surgery, Rheumatology, Hand Surgery, Special Orthopaedic Surgery, Physical Therapy and Chirotherapy.

Nerve bottleneck syndromes

Tarsal tunnel syndrome is one of the most common nerve bottleneck syndromes of the foot. Patients experience pain or discomfort on the inner ankle of the foot, which may spread to the sole of the foot and the toes. The complaints are typically severe after getting out of bed in the morning. The diagnosis can only be made in cooperation with a specialist in neurology.

At an early stage, conservative treatment may lead to success. Suitable measures are inlays to compensate for malpositioning of the hindfoot, physical measures or injections. If these therapies are unsuccessful, the nerve can be exposed with an operation.

Morton's neuromia is a typical symptom of splayed foot. Load-related burning or stabbing pains in the area of the forefoot are typical. Often patients complain of a feeling of a foreign body or discomfort in the toes.

The diagnosis is made with a clinical examination, where the doctor carries out a test anaesthetic of the nerve for final assurance.

After confirmation of the diagnosis, conservative measures (inlays, injections) can be carried out. If these do not lead to the desired alleviation of the complaint, the nerve can be exposed by operation (cordotomy) or severed (neurotomy). This can be carried out both from the back of the foot or also from the sole of the foot.

After healing of the wound is completed, weight can be increasingly placed on the foot in ready-made shoes.

Splayed foot

A splayed foot occurs when the cross-stability of the metatarsal is no longer ensured. This may result from a hereditary weakness of the muscles and ligaments, but external factors (overweight, unsuitable shoes) also play a role.

More information.

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