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.

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. Due to the loss of stability, the forefoot widens – in extreme cases it assumes a triangular shape – and the load on the central metatarsal heads increases.

This is the reason why painful calluses develop on this mechanically overloaded foot region (metatarsal heads II, III and IV). Simultaneously to this development, toe deformations occur to varying degrees (hallux valgus, claw toe, hammer toe, mallet toe) or to the development of painful nerve bottleneck syndromes (Morton's neuroma).

Splayed foot complaints can generally be treated with conservative means, for example with individually adapted insoles, which relieve and softly cushion the painful area. Regular foot care with removal of the calluses may also alleviate the complaints. Generally it is recommended to wear shoes with soft soles. Gymnastic exercises to strengthen the foot musculature are useful, but if the shape of the foot has already been altered, the achievable effect is limited.

If sufficient relief of the splayed foot complaints cannot be achieved with conservative measures, operative measures may be considered. These include position-correcting operations on the metatarsal rays (for example Weil osteotomy), where the metatarsal heads are raised to relieve the pressure on the painful calluses.

Hallux valgus

The hallux valgus (bunion) is the most frequent large toe malposition: The big toe turns to varying degrees towards the small toe side and the ball of the big toe protrudes to the side. On the inside of the ball, increased friction and additional pressure on the soft tissue is caused when wearing shoes. 

More information.

Small toe deformities

Small toe deformities can occur in all joints. This may be caused by a muscle imbalance, a hereditary overlength of the small toe, an accompanying hallux valgus malpositioning and unsuitable shoes.

More information.

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.

More information.

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