Introduction Two very similar diseases are summarized as Morbus Köhler. Köhler’s disease I is the dying off of the scaphoid at the foot. The scaphoid is a tarsal bone. In contrast, Köhler’s disease II is the dying off of the metatarsal bone, typically that of the second, third or fourth ray. In both forms of … Köhler’s disease I and II
Complaints Typically, a child with Köhler’s disease is first noticed by pain when the affected foot is strained, whereby there is no external injury. Pain also occurs when pressure is applied to the scaphoid. There are a total of four scaphoids on the body, one on each foot and hand. In Köhler’s disease, the foot … Complaints | Köhler’s disease I and II
Prognosis Köhler I disease has a very good prognosis, even though the healing process can take a long time, several years. An operation is practically never necessary and the damage usually heals without consequences. The situation is different with Köhler II disease. One reason for this is that the disease is only recognized at a … Prognosis | Köhler’s disease I and II
The metatarsalgia is a pain in the area of the metatarsus whereby only the pain in the area of the metatarsal bones (Os metacarpalis) 2-5 is included because pain in the area of the first metatarsal bone (Os metacarpalis I) is treated separately. In most cases, the pain of the metatarsus occurs during exercise, for … Metatarsalgia
Diagnosis In order to be able to make a diagnosis of metatarsalgia, a detailed doctor-patient consultation (anamnesis) is required first, during which, among other things, the footwear and the associated posture of the foot, but also any previous illnesses, such as arthrosis or a previous fracture in the area of the metatarsus, must be asked. … Diagnosis | Metatarsalgia
Prophylaxis In order to prevent metatarsalgia, it is advisable to wear suitable footwear. This means that the shoe should have a sole that is as good and resilient as possible. For regular sports, insoles should be used that optimally adapt to the shape of the foot. For women it is especially important to avoid or … Prophylaxis | Metatarsalgia
