Treating metatarsal complaints and disorders:
Causes and therapy
The midfoot is a complex structure of bones, joints, ligaments and nerves that provides stability and mobility. Foot deformities, accident-related damage to the joints and bones in the midfoot, and incorrect weight distribution lead to long-term discomfort. Altered gait mechanics, including an unfavourable forefoot strike, may further increase stress on the metatarsal and midfoot structures.
At our foot surgery practice, we use comprehensive treatment concepts to ensure pain-free functionality of the midfoot. The most common midfoot disorders include midfoot osteoarthritis, which is caused by wear and tear on the joints, accidents or chronic weakening of the tight ligament structure. Fatigue fractures (also known as stress fractures) often occur in athletes or as a result of excessive strain. Metabolic bone weakness or vitamin deficiency can also cause injuries to the metatarsal. Typical symptoms include sudden or gradually increasing pain in the metatarsal, especially when rolling or stepping, swelling and restricted movement. Early diagnosis is crucial to avoid more serious consequences.
Specialisation of the practice:
move ahead – expertise in metatarsal surgery
The foot surgery practice move ahead and its team of doctors offer comprehensive expertise in the treatment of metatarsal disorders. With many years of experience in foot and ankle surgery and scientific work at the Charité Berlin, Dr. Gehlen specialises in modern and effective procedures for the treatment of metatarsal complaints, including targeted metatarsalgia surgery.
Our services include minimally invasive procedures that are particularly gentle on tissue, as well as open surgical methods for more complex cases. The practice also performs metatarsal fusion (e.g. Lapidus arthrodesis) to correct malpositions and offers revision surgery for complications arising from previous procedures. Depending on overall foot alignment, associated deformities such as hallux valgus may also be addressed through bunion surgery (hallux valgus surgery).
Thanks to an interdisciplinary approach, each treatment is individually tailored to improve the patient's mobility and quality of life in the long term. State-of-the-art diagnostic and therapeutic procedures are available to achieve optimal results, particularly for conditions such as Morton's neuroma or metatarsal osteoarthritis. If required, corrective procedures such as hallux valgus surgery, hammer toe correction, or claw toe correction may be considered to restore balanced load distribution.
FAQs
What midfoot conditions does the practice treat?
Diagnosis and treatment of midfoot conditions such as metatarsalgia.
What are typical symptoms of midfoot disorders?
Pain, swelling and restricted movement in the midfoot.
How is the diagnosis made?
Through clinical examination and imaging techniques.
What treatment options are available?
Conservative therapies and surgical procedures, including metatarsalgia surgery, if necessary.
When is surgery necessary?
If symptoms persist despite conservative treatment.
How can I prevent pain in the midfoot?
By wearing suitable shoes, avoiding excessive forefoot load, correcting gait patterns such as forefoot strike, and doing regular foot exercises.
Are there special services for sports injuries?
Yes, we offer individual treatment plans for athletes.
Forefoot
Hindfoot
Tendon
