APPOINTMENTS
Area of pain: Foot and ankle

Foot and Ankle Spe­cia­list Vienna

Every day, your feet not only carry your en­tire body weight, but are also ex­po­sed to ex­treme stress du­ring sport­ing ac­ti­vi­ties, which can reach many times your body weight. This con­stant strain makes our feet par­ti­cu­larly sus­cep­ti­ble to a num­ber of ove­r­use in­ju­ries that can lead to pain and rest­ric­ted mo­ve­ment. Com­mon cau­ses of ankle pain in­clude bone in­ju­ries, li­ga­ment te­ars and joint wear, known as osteoarthritis. 

Pain in the feet can be cau­sed by a va­riety of fac­tors, including:

  • In­ju­ries and overloads
  • Ten­don in­ju­ries & tenosynovitis
  • Heel spur
  • Hal­lux valgus
  • Ham­mer toe
  • Tar­sal osteoarthritis
  • Hal­lux rigidus
  • Nerve com­pres­sion syn­dro­mes such as Mor­ton’s neu­roma or tar­sal tun­nel syndrome
  • Me­ta­bo­lic di­se­a­ses such as gout

In my prac­tice, I place great em­pha­sis on a tho­rough ex­ami­na­tion in or­der to iden­tify the spe­ci­fic cause of your foot pain and to create an in­di­vi­du­ally tail­o­red tre­at­ment plan. My goal is to ac­com­pany and sup­port you on your path to a pain-free and ac­tive life. 

I look for­ward to get­ting to know you and working with you to de­ve­lop the best so­lu­ti­ons for your foot health.

Rely on my ex­per­tise as a spe­cia­list in foot and ankle pain to ac­cu­ra­tely dia­gnose the cau­ses of your dis­com­fort and in­itiate the most ef­fec­tive therapy.

Dia­gno­sis and tre­at­ment for foot and ankle pain

When cla­ri­fy­ing foot and ankle pain, I first per­form a de­tailed cli­ni­cal ex­ami­na­tion. In ad­di­tion, X‑ray ex­ami­na­ti­ons and, if ne­ces­sary, a fur­ther dia­gno­sis using ma­gne­tic re­so­nance ima­ging (MRI) are car­ried out. These pre­cise ima­ging tech­ni­ques enable me to re­co­gnize even subtle in­ju­ries or si­gns of wear and tear and to dia­gnose the exact cause of your symptoms. 

Af­ter the dia­gno­sis, I will put tog­e­ther a tre­at­ment plan in­di­vi­du­ally tail­o­red to you, which may in­clude a va­riety of non-ope­ra­tive, con­ser­va­tive the­rapy options:

Con­ser­va­tive the­ra­pies include:

If these con­ser­va­tive ap­proa­ches do not lead to the de­si­red re­sults, we will dis­cuss the pos­si­bi­lity of sur­gi­cal in­ter­ven­ti­ons. I rely on the la­test mi­ni­mally in­va­sive tech­ni­ques to mi­ni­mize the bur­den on your body and enable a quick re­turn to ever­y­day activities. 

Let us work tog­e­ther to find a way to ef­fec­tively treat your foot and ankle pain and sus­tain­ably im­prove your qua­lity of life. I would be happy to ad­vise you on all pos­si­ble the­rapy op­ti­ons and per­so­nally ac­com­pany you into a pain-free life. 

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Fre­quently as­ked ques­ti­ons about the shoulder

What is a heel spur and how is it trea­ted?

A heel spur is a bony growth on the heel bone. Ty­pi­cal sym­ptoms in­clude sharp pain when step­ping, espe­ci­ally in the mor­ning or af­ter pro­lon­ged sit­ting. Tre­at­ment of­ten in­cludes phy­sio­the­rapy, spe­cial in­so­les that dis­tri­bute pres­sure, and anti-in­flamm­a­tory me­di­ca­tion. In per­sis­tent ca­ses, shock­wave the­rapy may also be recommended. 

What is Hal­lux val­gus and what tre­at­ment op­ti­ons are available?

Hal­lux val­gus, of­ten re­fer­red to as a bu­nion, is a de­for­mity of the big toe that cau­ses it to lean towards the other toes. Tre­at­ment ran­ges from shoe mo­di­fi­ca­ti­ons and ort­ho­ses to cor­rect the de­for­mity, to sur­gi­cal in­ter­ven­ti­ons in more se­vere cases. 

What is a ham­mer­toe and how can it be trea­ted?

A ham­mer­toe is a de­for­mity of a toe in which the toe is bent and cur­ved down­wards, which can lead to pain and fric­tion. Non-sur­gi­cal tre­at­ments in­clude wea­ring roo­mier shoes and spe­cial toe pads. In ca­ses of se­vere dis­com­fort, sur­gi­cal cor­rec­tion may be necessary. 

What is mid­foot os­teo­ar­thri­tis and how is it trea­ted?

Mid­foot os­teo­ar­thri­tis re­fers to the wear and tear of the joints in the tar­sal bo­nes. Tre­at­ment aims to re­li­eve pain and main­tain mo­bi­lity, and in­cludes phy­sio­the­rapy, pain ma­nage­ment, and, if ne­ces­sary, or­tho­pe­dic shoe in­serts. In more se­vere ca­ses, sur­gery may be required. 

What does Hal­lux ri­gi­dus mean and what tre­at­ment op­ti­ons are available?

Hal­lux ri­gi­dus is a form of os­teo­ar­thri­tis in the big toe joint, lea­ding to pain and stiff­ness. Tre­at­ments may in­clude anti-in­flamm­a­tory me­di­ca­tion, shoe in­serts to re­duce stress on the af­fec­ted joint, and in ad­van­ced ca­ses, sur­gi­cal interventions. 

What are nerve com­pres­sion syn­dro­mes and how are they trea­ted?

Nerve com­pres­sion syn­dro­mes, such as Mor­ton’s neu­roma or tar­sal tun­nel syn­drome, oc­cur when ner­ves in the foot are com­pres­sed by sur­roun­ding tis­sue. Tre­at­ment may in­clude con­ser­va­tive me­a­su­res such as shoe mo­di­fi­ca­ti­ons and phy­sio­the­rapy, or, in ca­ses of per­sis­tent pain, sur­gi­cal in­ter­ven­ti­ons to re­li­eve the nerve. 

How do me­ta­bo­lic di­se­a­ses like gout af­fect the feet and what tre­at­ment is pos­si­ble?

Gout is a form of ar­thri­tis cha­rac­te­ri­zed by the de­po­si­tion of uric acid crys­tals in the joints, of­ten in the big toe, caus­ing se­vere pain. Tre­at­ment for gout ty­pi­cally in­cludes me­di­ca­tion to lower uric acid le­vels and re­duce in­flamm­a­tion, as well as die­tary ad­jus­t­ments to avoid pu­rine-rich foods. 

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haelsi Gesundheitszentrum im Achtzehnten
Theresiengasse 46/2
1180 Wien

Akuthilfe: +43 664 411 05 63

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Dr. Maximilian Kasparek
haelsi Health Center
in the Eighteenth
Theresiengasse 46/2
1180 Vienna

+43 1 399 08 63
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