If symptoms are acute, the foot should be immobilized.
Choose suitable footwear:
The shoe must not be too tight in the front. There must be enough space for the mobility of the toes.
The length of the shoe must be checked.
Sufficient cushioning?
Heel height? The higher the heels, the greater the load on the forefoot.
Aim for normal weight!Determination of BMI (body mass index, body mass index) or body composition by means of electrical impedance analysis and, if necessary, participation in a medically supervised weight loss program.
BMI ≥ 25 → participation in a medically supervised weight loss program.
Conventional non-surgical therapy methods
Anti-inflammatory drugs (anti-inflammatory drugs) may need to be used.
Medical aids
The use of orthopedic insoles should restore normal foot statics. Insoles should be relieving as well as arch supporting.
Insoles supply serves the foot bedding
If painful: shell-shaped insoles, possibly anti-pelotte in painful splayfoot in the final stage; the pad serves to raise the transverse arch; the pad is understood to be a ball-shaped, usually semi-spherical object that can be incorporated into an insole. This measure is not a permanent solution, because although the discomfort is alleviated, but the foot muscles are not strengthened by the restriction of movement.
If not painful: try with sensorimotor or proprioceptive insoles.
Nutritional medicine
Nutritional counseling based on nutritional analysis
Nutritional recommendations according to a healthy mixed diet taking into account the age. This means, among other things:
Daily total of 5 servings of fresh vegetables and fruits (≥ 400 g; 3 servings of vegetables and 2 servings of fruit).
Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
Physical therapy to strengthen the muscles of the foot – e.g., toe grips; walking barefoot on uneven ground; tiptoe walking; mobilization exercises for the transverse arch (the muscles of the ball of the foot, in particular, have an influence on maintaining the transverse arch)