Splayfoot (Pes Transversoplanus): Therapy

General measures

  • 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.
    • High-fiber diet (whole grain products).
  • Selection of appropriate food based on the nutritional analysis
  • See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
  • Detailed information on nutritional medicine you will receive from us.

Physical therapy (including physiotherapy)

  • 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)