The Foot Joint

The foot has an extremely complicated structure. Twenty six bones are connected with each other through thirty three joints and over one hundred tendons. Twenty muscles combined with strong ligaments are responsible for the movement and firm stand of the foot.  Many nerves sustain the skin, muscles and ligaments of the foot through which pressure, flexibility of the muscles and ligaments as well as temperature can be felt. The foot is so sensitive so as to be able to recognise surface irregularities, as well as textures, warmth, cold, and sharp or blunt sensations. Many blood vessels sustain the foot with oxygen and nutrients.

If you have problems with your feet, then you are not alone. Most problems can be treated without resorting to surgery. Shoe inlays, cushioning and targeted physiotherapy are all possible treatments.

Sometimes, however, surgery is necessary in order to restore an impaired function in the foot and eradicate the cause of foot pain.


Hallux Valgus (Bunion)

A hallux valgus or bunion is when the metatarsophalangeal or base joint of the big toe is misaligned in the direction of the smaller toes. Usually there is a significant predisposition existing. Tight shoes do not help but are not the cause of a bunion. Neither is a bunion caused by bone deposits. It is the pathological false load distribution on the foot which leads to the spreading apart of the first metatarsals and thus the prominence of the metatarsal head.

The treatment is dependent on how serious the bunion is. In its initial stages it can be treated with a change of footwear and inlays. Mostly, however, corrective surgery is necessary for which there are various methods of surgical intervention depending on the degree of deformity.



The operation to treat a hammertoe consists of removal of half the bone joint which allows the correct positioning and a continued mobility. Post-operatively, the foot is held in the correct position through a bandage. Occasionally it can also be necessary to correct the joints further along the toe.


Morton’s Neuroma

Treatment here is usually a series of injections combined with special inlays. A surgical treatment would consist of the removal of the painful tissue which, in turn, can cause a reduced sensation in the nerve.


Calcaneal Spur

About 90% of the time discomfort caused by calcaneal spur can be treated through the use of special inlays, physiotherapy or shock wave therapy and an operation is not necessary. If an operative intervention is needed, then the plantar fascia or connective tissue is removed from the painful area. This is usually done using minimally invasive methods. 


Metatarsophalangeal Joint (Base Joint) Arthritis

Treatment is dependent on how acute the arthritis is. Sometimes the joint will need to be completely or partially removed, stiffened or replaced by an artificial joint. 


Abnormal Foot Calluses

Treatment is dependent on the cause of the calluses.




Praxisklinik Stadthagen

Dr. med. Werner Muth
Christoph Tobias

Am Markt 12-16
31655 Stadthagen

Tel.: 0 57 21 - 99 46 7-0
Fax: 0 57 21 - 99 46 7-55

Surgery Hours

Mon, Tues and Thurs
9am - 12 noon and 3 - 6pm

Wed and Fri
8am - 12 noon

Accident and Emergency
Monday to Friday, 8am - 6pm

Call +49 57 21 - 99 46 7-0 to make an appointment so that unnecessary waiting times can be avoided. If you cannot meet an appointment then please let us know as early as possible in order to avoid delays.