{"id":4645,"date":"2025-02-05T11:28:00","date_gmt":"2025-02-05T10:28:00","guid":{"rendered":"https:\/\/clinicasanroman.com\/tratamientos\/metatarsalgie\/"},"modified":"2026-06-11T17:33:54","modified_gmt":"2026-06-11T15:33:54","slug":"metatarsalgie","status":"publish","type":"tratamientos","link":"https:\/\/clinicasanroman.com\/nl\/behandelingen\/metatarsalgie\/","title":{"rendered":"Metatarsalgie"},"content":{"rendered":"<p><!-- ============================================================ --><br \/>\n<!-- REVAMP METATARSALGIA - POST 512                              --><br \/>\n<!-- ============================================================ --><\/p>\n\n\n<script type=\"application\/ld+json\">\n{\n \"@context\": \"https:\/\/schema.org\",\n \"@graph\": [\n  {\n   \"@type\": \"BreadcrumbList\",\n   \"@id\": \"https:\/\/clinicasanroman.com\/nl\/behandelingen\/metatarsalgie\/#breadcrumb\",\n   \"itemListElement\": [\n    {\n     \"@type\": \"ListItem\",\n     \"position\": 1,\n     \"name\": \"Home\",\n     \"item\": \"https:\/\/clinicasanroman.com\/nl\/\"\n    },\n    {\n     \"@type\": \"ListItem\",\n     \"position\": 2,\n     \"name\": \"Behandelingen\",\n     \"item\": \"https:\/\/clinicasanroman.com\/nl\/behandelingen\/\"\n    },\n    {\n     \"@type\": \"ListItem\",\n     \"position\": 3,\n     \"name\": \"Metatarsalgie\",\n     \"item\": \"https:\/\/clinicasanroman.com\/nl\/behandelingen\/metatarsalgie\/\"\n    }\n   ]\n  },\n  {\n   \"@type\": \"MedicalClinic\",\n   \"@id\": \"https:\/\/clinicasanroman.com\/#clinic\",\n   \"name\": \"Cl\u00ednica San Rom\u00e1n\",\n   \"url\": \"https:\/\/clinicasanroman.com\/\",\n   \"telephone\": \"+34965921156\",\n   \"address\": {\n    \"@type\": \"PostalAddress\",\n    \"streetAddress\": \"Av. del Dr. Ram\u00f3n y Cajal 1\",\n    \"addressLocality\": \"Alicante\",\n    \"postalCode\": \"03001\",\n    \"addressCountry\": \"ES\"\n   },\n   \"aggregateRating\": {\n    \"@type\": \"AggregateRating\",\n    \"ratingValue\": \"4.8\",\n    \"reviewCount\": \"191\"\n   }\n  },\n  {\n   \"@type\": \"MedicalCondition\",\n   \"@id\": \"https:\/\/clinicasanroman.com\/nl\/behandelingen\/metatarsalgie\/#condition\",\n   \"name\": \"Metatarsalgie\",\n   \"inLanguage\": \"nl\",\n   \"associatedAnatomy\": {\n    \"@type\": \"AnatomicalStructure\",\n    \"name\": \"Voet\"\n   }\n  },\n  {\n   \"@type\": \"FAQPage\",\n   \"@id\": \"https:\/\/clinicasanroman.com\/nl\/behandelingen\/metatarsalgie\/#faq\",\n   \"inLanguage\": \"nl\",\n   \"mainEntity\": [\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Is metatarsalgie hetzelfde als een Morton-neuroom?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Nee, hoewel ze dezelfde symptomen vertonen. Metatarsalgie is pijn in de kop van de middenvoetsbeentjes als gevolg van overbelasting. Morton-neuroom is een fibrose van de interdigitale zenuw die pijn veroorzaakt die aanvoelt als een elektrische schok, een branderig gevoel of gevoelloosheid tussen de derde en vierde teen. Soms komen beide aandoeningen tegelijk voor en daarom is een differenti\u00eble diagnose met echografie of MRI belangrijk.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Kan metatarsalgie worden voorkomen?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"U kunt het risico verminderen door schoenen te dragen met demping in de voorvoet, langdurig dragen van hoge hakken te vermijden, een gezond gewicht te behouden, voetversterkende oefeningen te doen en bij de eerste klachten een podoloog te raadplegen. Steunzolen op maat zijn nuttig bij pati\u00ebnten met een biomechanische aanleg (holvoet, korte eerste middenvoetsbeentje).\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Ik heb een hallux valgus en metatarsalgie. Kunnen deze aandoeningen tegelijkertijd worden geopereerd?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"In de meeste gevallen wel, en dat is aan te raden. Metatarsalgie is meestal een gevolg van hallux valgus: doordat de grote teen afwijkt, wordt de belasting overgebracht naar het tweede en derde middenvoetsbeentje. Als alleen de hallux valgus wordt gecorrigeerd zonder de metatarsalgie te behandelen (of omgekeerd), blijft het probleem onvolledig verholpen. Met MIS-chirurgie kunnen beide aandoeningen in \u00e9\u00e9n ingreep worden aangepakt.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Helpen inlegzolen bij metatarsalgie?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Goed ontworpen inlegzolen verlichten de symptomen door de belasting te herverdelen en de aangetaste middenvoetsbeentjes te ontlasten. Als de oorzaak functioneel is (overbelasting door schoeisel, sport, licht holvoet), kunnen deze voldoende zijn. Als de oorzaak structureel is (lang middenvoetsbeentje, misvorming), helpen inlegzolen wel, maar verhelpen ze de oorzaak niet: de definitieve oplossing is een MIS-operatie.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Wat is DMMO precies?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"De DMMO (Distal Metatarsal Minimally-invasive Osteotomy) is een percutane osteotomie van het distale deel van het middenvoetsbeentje (nabij de kop), waardoor dit onder belasting door de pati\u00ebnt lichtjes naar boven kan verschuiven, waardoor de druk op de voetzool wordt verlicht. De ingreep wordt uitgevoerd zonder het bot bloot te leggen, via millimeterkleine incisies en onder fluoroscopische controle.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Gebruikt u schroeven of naalden?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Nee. In Cl\u00ednica San Rom\u00e1n voeren wij de DMMO uit zonder enig intern fixatiemateriaal. De osteotomie wordt gestabiliseerd met een speciaal functioneel verband dat de metatarsale koppen op hun plaats houdt. Hierdoor wordt een tweede ingreep, die bij andere technieken nodig is om de Kirschner-pinnen te verwijderen, overbodig.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Hoe lang duurt de ingreep?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Een DMMO-ingreep aan 2-3 middenvoetsbeentjes duurt doorgaans tussen de 30 en 45 minuten. Indien deze wordt gecombineerd met een correctie van hallux valgus of klauwtenen, kan de totale duur vari\u00ebren van 60 tot 90 minuten. De gehele ingreep wordt uitgevoerd onder plaatselijke verdoving en, indien de pati\u00ebnt dat wenst, onder sedatie.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Wat zijn de risico's?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Zoals bij elke operatie brengt ook de DMMO risico\u2019s met zich mee, hoewel deze zeldzaam zijn: langdurig oedeem (bij tot wel 30% van de pati\u00ebnten houdt dit langer dan 6 weken aan), vertraagde botgenezing, metatarsalgie door overbelasting van een andere kop bij onjuiste planning, of stijfheid. De MIS-techniek kent minder infectie- en littekencomplicaties dan open chirurgie.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Is metatarsalgie alleen iets voor ouderen?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Onjuist. Hoewel metatarsalgie vaker voorkomt bij mensen ouder dan 50 jaar vanwege het verlies van het vetkussentje onder de voet, kan deze aandoening op elke leeftijd optreden: bij hardlopers, bij mensen met een holvoet, na een operatie aan de voorvoet of door langdurig dragen van hoge hakken.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Is het probleem opgelost als de likdoorn wordt verwijderd?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Onjuist. Een eeltplek is het gevolg, niet de oorzaak. Het verwijderen ervan biedt tijdelijke verlichting, maar de eeltplek komt binnen enkele weken terug als de onderliggende overbelasting (biomechanica, misvorming, schoeisel) niet wordt verholpen. Podotherapie is een aanvulling op, en geen vervanging van, de daadwerkelijke behandeling.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Moet men altijd infiltreren?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Onjuist. Injecties met corticostero\u00efden zijn voorbehouden aan zeer specifieke gevallen (intermetatarsale bursitis, matig Morton-neuroom) en worden slechts in beperkte mate toegepast, omdat ze op lange termijn tot atrofie van het plantaire vetkussen kunnen leiden en de metatarsalgie kunnen verergeren. PRP is een veiliger alternatief bij chronische gevallen.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Als ik een operatie aan metatarsalgie onderga, kan ik dan nooit meer hardlopen?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Onjuist. Na een goed ge\u00efndiceerde MIS-operatie voor metatarsalgie en een passende revalidatie is het gebruikelijk dat pati\u00ebnten binnen 3 tot 6 maanden weer aan impactsporten (waaronder hardlopen) kunnen deelnemen. Veel pati\u00ebnten zien hun prestaties verbeteren omdat ze de pijn niet langer compenseren met een afwijkende looptechniek.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"\ud83d\udcda Wetenschappelijke literatuur en bronvermeldingen\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Percutane chirurgie van de voorvoet (DMMO en MIS-technieken):- Laffenetre O, Lucas Y, Hernandez J, Cerrato R. Minimally Invasive Lesser Metatarsal Osteotomies and Their Variations. Foot Ankle Clin. september 2025;30(3):489-506. [PubMed]- Redfern DJ, Vernois J. Percutane chirurgie voor metatarsalgie en de kleine tenen. Foot Ankle Clin. september 2016;21(3):459-473. [PubMed]- Biz C, Corradin M, Petretta I, et al. Klinische en radiografische resultaten op middellange tot lange termijn van minimaal invasieve distale metatarsale metafysaire osteotomie (DMMO) bij centrale primaire metatarsalgie. BioMed Res Int. 2018;2018:1947024. [PubMed]- Del Vecchio CM, Trujillo MM, Kirtley SM. Percutane distale osteotomie van de kleine middenvoetsbeentjes (DMMO) voor de behandeling van metatarsalgie met metatarsofalangeale instabiliteit. J Foot Ankle Surg. 2018;57(3):539-547. [PubMed]- Coughlin MJ, Shurnas PS. Percutane technieken in voet- en enkelchirurgie. J Am Acad Orthop Surg. februari 2025;33(4):e167-e178. [PubMed]Plantaire plaat en pathologie van het tweede middenvoetsbeentje:- Baker EA, Baker ET, Newman N. Behandeling van instabiliteit van het kleine metatarsofalangeale gewricht door herstel van de plantaire plaat: een systematische review en meta-analyse. J Foot Ankle Surg. 2022;61(5):1114-1118. [PubMed]- Jastifer JR. Herstel van de plantaire plaat bij instabiliteit van het metatarsofalangeale gewricht van de kleine tenen. Orthop Clin North Am. 2022;53(3):349-359. [PubMed]Biomechanica, overbelasting van de voetzool en het syndroom van Morton:- Chatwin C, Abbott CA, Boulton AJM. De rol van voetdrukmeting bij de voorspelling en preventie van diabetische voetulcera. Diabetes Metab Res Rev. 2020;36(6):e3258. [PubMed]- Shirazinejad H, Mardian Y, Diab T, et al. Veiligheid en werkzaamheid van percutane cryoneurolyse van het Morton-neuroom onder echografische begeleiding. J Foot Ankle Surg. 2024;63(3):e1-e7. [PubMed]\"\n     }\n    }\n   ]\n  }\n ]\n}\n<\/script>\n\n\n<p><!-- HERO --><\/p>\n\n\n<div class=\"wp-block-group alignfull has-background is-layout-constrained wp-container-core-group-is-layout-685c61f0 wp-block-group-is-layout-constrained\" style=\"background-color:#E6F0EC;padding-top:60px;padding-bottom:60px\">\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:55%\">\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#0a3d62;font-size:14px;letter-spacing:2px\"><strong>PERCUTANE CHIRURGIE VAN DE VOETVOORSTEEN<\/strong><\/p>\n\n\n\n<h1 class=\"wp-block-heading\" style=\"font-size:48px;line-height:1.1\">Behandeling van metatarsalgie in Alicante<\/h1>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#0a3d62;font-size:22px;font-style:italic\">Geen pijn meer in de voorvoet. Conservatieve behandeling en percutane chirurgie. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Als u aan het eind van de dag een <strong>brandende pijn in de voetzool<\/strong> voelt, eeltplekken onder de middenvoetsbeentjes opmerkt of het gevoel hebt dat u \u201eover steentjes loopt\u201c, kunt u last hebben van <strong>metatarsalgie<\/strong>. Bij <strong>Cl\u00ednica San Rom\u00e1n<\/strong> combineren we 45 jaar ervaring met internationaal toonaangevende technieken: steunzolen op maat, schokgolftherapie en, indien nodig, minimaal invasieve <strong>percutane osteotomie\u00ebn (DMMO)<\/strong>. <\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button spectra-popup-trigger-712\" href=\"#contacto\" onclick=\"return false;\" style=\"background-color:#0a3d62;padding-top:14px;padding-right:24px;padding-bottom:14px;padding-left:24px\">\ud83d\udcde Vraag uw gratis evaluatie aan<\/a><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:13px\"><strong>\u2b50 4,8\/5<\/strong> (190 beoordelingen) \u00b7  <strong>\ud83c\udfc5 Cert. MIS23BE03 <\/strong>  \u00b7 <strong>\ud83c\uddea\ud83c\uddfa 5 talen<\/strong><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:45%\">\n<figure class=\"wp-block-image size-large has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"1125\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/metatarsalgia-dolor-antepie-clinica-san-roman.jpg.jpg\" alt=\"Metatarsalgie \u2014 pijn aan de voetzool van de voorvoet als gevolg van overbelasting van de middenvoetsbeentjes\" class=\"wp-image-8778\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/metatarsalgia-dolor-antepie-clinica-san-roman.jpg.jpg 2000w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/metatarsalgia-dolor-antepie-clinica-san-roman.jpg-300x169.jpg 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/metatarsalgia-dolor-antepie-clinica-san-roman.jpg-1024x576.jpg 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/metatarsalgia-dolor-antepie-clinica-san-roman.jpg-768x432.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/metatarsalgia-dolor-antepie-clinica-san-roman.jpg-1536x864.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/figure>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- CONFIANZA --><\/p>\n\n\n<div class=\"wp-block-group alignfull is-layout-constrained wp-container-core-group-is-layout-e5aaa7f3 wp-block-group-is-layout-constrained\" style=\"padding-top:50px;padding-bottom:50px\">\n<h2 class=\"wp-block-heading has-text-align-center\">Gesteund door 45 jaar ervaring<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-text-align-center has-text-color wp-block-paragraph\" style=\"color:#0a3d62;font-size:42px;font-weight:800;line-height:1\">45 jaar en ouder<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:14px\">Een huisartsenpraktijk, opgericht in 1979<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-text-align-center has-text-color wp-block-paragraph\" style=\"color:#0a3d62;font-size:32px;font-weight:800;line-height:1\">\ud83c\udfc5 MIS23BE03<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:14px\">De eersten in Europa met een certificering van de American Board<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-text-align-center has-text-color wp-block-paragraph\" style=\"color:#0a3d62;font-size:42px;font-weight:800;line-height:1\">\u2b50 4,8<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:14px\">190 geverifieerde recensies op Google<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-text-align-center has-text-color wp-block-paragraph\" style=\"color:#0a3d62;font-size:42px;font-weight:800;line-height:1\">\ud83c\uddea\ud83c\uddfa 5<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:14px\">Talen: ES \u00b7 EN \u00b7 NL \u00b7 FR \u00b7 DE<\/p>\n<\/div>\n<\/div>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-style:italic\">Onder leiding van <strong>dr. Jos\u00e9 Manuel San Rom\u00e1n P\u00e9rez<\/strong> (oprichter) en <strong>dr. Israel San Rom\u00e1n Sirvent<\/strong>, sinds 1986 Fellow van de American Academy of Ambulatory Foot &amp; Ankle Surgery.<\/p>\n<\/div>\n\n\n<p><!-- QU\u00c9 ES --><\/p>\n\n\n<div class=\"wp-block-group alignfull is-layout-constrained wp-container-core-group-is-layout-685c61f0 wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:40%\">\n<figure class=\"wp-block-image size-large has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"1125\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/anatomia-antepie-nervios-neuroma-morton.jpg.jpg\" alt=\"Anatomie van de voorvoet \u2014 innervatie van de middenvoetsbeentjes en het neuroma van Morton in verband met metatarsalgie\" class=\"wp-image-8777\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/anatomia-antepie-nervios-neuroma-morton.jpg.jpg 2000w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/anatomia-antepie-nervios-neuroma-morton.jpg-300x169.jpg 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/anatomia-antepie-nervios-neuroma-morton.jpg-1024x576.jpg 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/anatomia-antepie-nervios-neuroma-morton.jpg-768x432.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/anatomia-antepie-nervios-neuroma-morton.jpg-1536x864.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:60%\">\n<h2 class=\"wp-block-heading\">Wat is metatarsalgie?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Metatarsalgie<\/strong> is pijn die zich voordoet aan de voorkant van de voetzool, onder de <strong>koppen van de middenvoetsbeentjes<\/strong> (de lange botten van de voorvoet, tussen het voetgewricht en de tenen). Dit kan worden omschreven als <em> een &#8220;gevoel alsof men op steentjes loopt&#8221;<\/em>, <em> een &#8220;gekrompen sok&#8221;<\/em> of <em>een aanhoudende branderigheid in het steungebied onder de tenen<\/em>. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Het is geen ziekte op zich, maar een <strong>symptoom<\/strong> van mechanische overbelasting van de voorvoet. Het kan \u00e9\u00e9n enkel metatarsale kopje treffen (meestal het tweede) of meerdere, en gaat meestal gepaard met: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Eeltplekken en plantaire heloma\u2019s<\/strong> onder de aangetaste middenvoetsbeentjes.<\/li>\n\n\n\n<li><strong>Klauwtenen<\/strong> (wanneer de plantaire plaat beschadigd is).<\/li>\n\n\n\n<li><strong>Hallux valgus (eeltknobbel)<\/strong> die de gewichtsverdeling naar de kleinere tenen verstoort.<\/li>\n\n\n\n<li><strong>Morton-neuroom<\/strong>, dat dezelfde symptomen vertoont en soms gelijktijdig voorkomt.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Is dit een veelvoorkomend probleem?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Het is een van de meest voorkomende oorzaken van <strong>pijn in de voorvoet bij volwassenen ouder dan 50 jaar<\/strong> en komt vaker voor bij vrouwen, met name bij vrouwen die jarenlang hoge hakken hebben gedragen. Het komt ook voor bij hardlopers en bij pati\u00ebnten met <strong>een holvoet<\/strong> of een voorgeschiedenis van operaties aan de voorvoet. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- S\u00cdNTOMAS --><\/p>\n\n\n<div class=\"wp-block-group alignfull has-background is-layout-constrained wp-container-core-group-is-layout-685c61f0 wp-block-group-is-layout-constrained\" style=\"background-color:#FAF9F6;padding-top:60px;padding-bottom:60px\">\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:60%\">\n<h2 class=\"wp-block-heading\">Symptomen van metatarsalgie<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Een stekende, brandende pijn of een gevoel alsof er \u201esteentjes\u201c<\/strong> in de voetzool van de voorvoet zitten bij het lopen of staan.<\/li>\n\n\n\n<li>De <strong>klachten verergeren aan het eind van de dag<\/strong> of na lang lopen, hardlopen of het dragen van hoge hakken.<\/li>\n\n\n\n<li><strong>Eeltplekken<\/strong> aan <strong>de voetzolen<\/strong> ter hoogte van de pijnlijke middenvoetsbeentjes.<\/li>\n\n\n\n<li><strong>Een gevoel van druk of zwelling<\/strong> in de voorvoet.<\/li>\n\n\n\n<li><strong>Tintelingen of gevoelloosheid<\/strong> tussen de tenen (wijst op een Morton-neuroom).<\/li>\n\n\n\n<li><strong>Pijn bij het met de hand op de voorvoet drukken<\/strong> of bij het palperen van een specifieke middenvoetsbeentje.<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-group has-background is-layout-flow wp-block-group-is-layout-flow\" style=\"border-left-color:#D94F4F;border-left-width:4px;background-color:#fff3f3;padding-top:20px;padding-right:24px;padding-bottom:20px;padding-left:24px\">\n<h3 class=\"wp-block-heading\" style=\"font-size:20px\">\ud83d\udd34 Wanneer moet u een arts raadplegen?<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>De pijn houdt <strong>al meer dan drie maanden<\/strong> aan en gaat niet over met de gebruikelijke maatregelen.<\/li>\n\n\n\n<li>Er treden <strong>zichtbare misvormingen<\/strong> op: klauwtenen, hallux valgus, afwijking van de tweede teen.<\/li>\n\n\n\n<li>Het belemmert u bij <strong>het lopen, werken of sporten<\/strong>.<\/li>\n\n\n\n<li>U heeft <strong>diabetes<\/strong> en de eeltplekken verdwijnen niet met de gebruikelijke behandeling.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Door tijdig een arts te raadplegen, kan metatarsalgie in een conservatief stadium worden behandeld, <strong>voordat een operatie nodig is<\/strong>.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button spectra-popup-trigger-712\" href=\"#contacto\" onclick=\"return false;\" style=\"background-color:#0a3d62\">Vraag uw gratis evaluatie aan<\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:40%\">\n<figure class=\"wp-block-image size-large has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"1125\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/sintomas-metatarsalgia-sobrecarga-antepie.jpg.jpg\" alt=\"Symptomen van metatarsalgie \u2014 het gevoel alsof er steentjes onder de voet liggen en een brandende pijn\" class=\"wp-image-8776\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/sintomas-metatarsalgia-sobrecarga-antepie.jpg.jpg 2000w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/sintomas-metatarsalgia-sobrecarga-antepie.jpg-300x169.jpg 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/sintomas-metatarsalgia-sobrecarga-antepie.jpg-1024x576.jpg 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/sintomas-metatarsalgia-sobrecarga-antepie.jpg-768x432.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/sintomas-metatarsalgia-sobrecarga-antepie.jpg-1536x864.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/figure>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- CAUSAS --><\/p>\n\n\n<div class=\"wp-block-group alignfull is-layout-constrained wp-container-core-group-is-layout-685c61f0 wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:40%\">\n<figure class=\"wp-block-image size-large has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"1500\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/calzado-tacones-causa-juanetes.jpg.jpg\" alt=\"Schoenen met hoge hakken als veelvoorkomende oorzaak van voetafwijkingen\" class=\"wp-image-8765\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/calzado-tacones-causa-juanetes.jpg.jpg 2000w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/calzado-tacones-causa-juanetes.jpg-300x225.jpg 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/calzado-tacones-causa-juanetes.jpg-1024x768.jpg 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/calzado-tacones-causa-juanetes.jpg-768x576.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/calzado-tacones-causa-juanetes.jpg-1536x1152.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:60%\">\n<h2 class=\"wp-block-heading\">Waarom ontstaat metatarsalgie?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Metatarsalgie treedt op wanneer \u00e9\u00e9n of meerdere middenvoetsbeentjes <strong>meer belasting te verduren krijgen dan zou moeten<\/strong>. De meest voorkomende oorzaken zijn: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Hallux valgus (eeltknobbel):<\/strong> doordat de grote teen afwijkt, wordt de belasting overgebracht naar het tweede en derde middenvoetsbeentje, die hier niet op berekend zijn.<\/li>\n\n\n\n<li><strong>Klauwtenen of hamertenen:<\/strong> de gebogen teen steunt niet goed, waardoor het volledige gewicht op de metatarsale kop rust.<\/li>\n\n\n\n<li><strong>Onvoldoende eerste metatarsale<\/strong> (Morton): het eerste middenvoetsbeentje is kort of hypermobiel en draagt zijn deel van de belasting niet.<\/li>\n\n\n\n<li><strong>Scheuring van de plantaire plaat:<\/strong> degeneratie van het \u201eligament\u201c dat het metatarsofalangeale gewricht stabiliseert, wat zeer vaak voorkomt bij de tweede teen.<\/li>\n\n\n\n<li><strong>Holvoet:<\/strong> door de zeer hoge voetboog staan de middenvoetsbeentjes bloot aan abnormaal hoge druk.<\/li>\n\n\n\n<li><strong>Ongeschikt schoeisel:<\/strong> hoge hakken, smalle neus, stijve zolen zonder demping.<\/li>\n\n\n\n<li><strong>Verlies van het vetkussentje onder de voet<\/strong> (komt vaak voor bij het ouder worden).<\/li>\n\n\n\n<li><strong>Sporten met veel impact:<\/strong> hardlopen, springen, dansen op harde ondergronden.<\/li>\n\n\n\n<li><strong>Reumatologische aandoeningen:<\/strong> reumato\u00efde artritis, spondyloartropathie\u00ebn.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Het is van cruciaal belang om de werkelijke oorzaak te achterhalen: metatarsalgie kan niet alleen met inlegzolen worden verholpen als de oorzaak mechanisch-structureel is. Daarom is onze eerste stap altijd een volledig biomechanisch onderzoek. <\/em><\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- TRATAMIENTO CONSERVADOR --><\/p>\n\n\n<div class=\"wp-block-group alignfull has-background is-layout-constrained wp-container-core-group-is-layout-95654ce3 wp-block-group-is-layout-constrained\" style=\"background-color:#FAF9F6;padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading\">Conservatieve behandeling van metatarsalgie<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">In de meeste gevallen <strong>vormt conservatieve behandeling de eerste keuze<\/strong> en is <strong>deze<\/strong> doorgaans effectief als ze op de juiste wijze en tijdig wordt toegepast:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Steunzolen op maat<\/strong> met een steunbalk of een knop die de druk op de betreffende middenvoetkop verlicht en de druk herverdeelt.<\/li>\n\n\n\n<li><strong>Geschikt schoeisel:<\/strong> brede leest, zool met balansmechanisme, luchtkamer of demping in de voorvoet, hakhoogte van &lt; 3 cm.<\/li>\n\n\n\n<li><strong>Regelmatige pedicure<\/strong> om pijnlijke eeltplekken te behandelen.<\/li>\n\n\n\n<li><strong>Specifieke rekoefeningen<\/strong> voor de achillespees en versterking van de intrinsieke spieren van de voet.<\/li>\n\n\n\n<li><strong>Schokgolftherapie (ESWT)<\/strong> bij chronische aandoeningen die verband houden met enthesopathie\u00ebn.<\/li>\n\n\n\n<li><strong>Injecties<\/strong> met corticostero\u00efden of PRP in zeer specifieke gevallen.<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-group has-background is-layout-flow wp-block-group-is-layout-flow\" style=\"border-left-color:#F4A300;border-left-width:4px;background-color:#FFF8E1;padding-top:20px;padding-right:24px;padding-bottom:20px;padding-left:24px\">\n<p class=\"wp-block-paragraph\"><strong>\u26a0\ufe0f Wanneer conservatieve behandeling niet volstaat:<\/strong> als de pijn na zes maanden van <strong>een<\/strong> goed uitgevoerde behandeling aanhoudt, of als er sprake is van een structurele misvorming (hallux valgus, klauwtenen, scheur in de plantaire plaat), is <strong>minimaal invasieve chirurgie<\/strong> de definitieve oplossing.<\/p>\n<\/div>\n<\/div>\n\n\n<p><!-- CIRUG\u00cdA MIS --><\/p>\n\n\n<div class=\"wp-block-group alignfull has-background is-layout-constrained wp-container-core-group-is-layout-cbb694e2 wp-block-group-is-layout-constrained\" id=\"cirugia-mis\" style=\"background-color:#E6F0EC;padding-top:80px;padding-bottom:80px\">\n<h2 class=\"wp-block-heading has-text-align-center\">Percutane chirurgie bij metatarsalgie (DMMO)<\/h2>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:20px;font-style:italic\">Percutane osteotomie van de middenvoetsbeentjes. Zonder interne fixatie. Ontslag op dezelfde dag.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Wanneer de oorzaak van metatarsalgie een <strong>structurele overbelasting van het bot<\/strong> is (een metatarsaal dat langer is dan de andere, een scheur in de plantaire plaat of een daarmee samenhangende misvorming), is de chirurgische techniek bij uitstek in Europa de <strong>DMMO: Distal Metatarsal Minimally-invasive Osteotomy<\/strong>. Deze techniek bestaat uit het uitvoeren van een <strong>percutane osteotomie<\/strong> van de aangetaste middenvoetsbeentjes via millimeterkleine incisies (2-3 mm), waardoor de kop van het middenvoetsbeentje zich onder fysiologische belasting op de juiste hoogte kan &#8216;herpositioneren&#8217;. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">De DMMO-techniek is ontwikkeld door Europese pioniers zoals <strong>Redfern, Vernois en De Prado<\/strong>. In Cl\u00ednica San Rom\u00e1n voeren wij deze ingreep regelmatig uit, en <strong>dr. Israel San Rom\u00e1n<\/strong> was een van de eerste specialisten in Europa die de subspecialisatie in MIS-chirurgie van de voet behaalde bij de <strong>American Board of Multiple Specialties in Podiatry<\/strong> (Cert. MIS23BE03). <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Voordelen van MIS-chirurgie bij metatarsalgie<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Incisies van 2-3 mm<\/strong>, zonder zichtbare littekens.<\/li>\n\n\n\n<li><strong>Lokale verdoving<\/strong> en poliklinische chirurgie.<\/li>\n\n\n\n<li><strong>Zonder schroeven, Kirschner-pinnen of platen<\/strong> \u2014 de osteotomie wordt gestabiliseerd met een functioneel verband.<\/li>\n\n\n\n<li><strong>Vanaf de eerste dag belasting<\/strong> met een postoperatieve schoen.<\/li>\n\n\n\n<li><strong>Mogelijkheid om dit te combineren<\/strong> met MIS-chirurgie voor hallux valgus en klauwtenen tijdens dezelfde operatie.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"1482\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/cirugia-mis-dedos-garra-tratamiento.jpg.jpg\" alt=\"MIS-behandeling van metatarsalgie \u2014 minimaal invasieve DMMO-osteotomie in Cl\u00ednica San Rom\u00e1n\" class=\"wp-image-8779\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/cirugia-mis-dedos-garra-tratamiento.jpg.jpg 2000w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/cirugia-mis-dedos-garra-tratamiento.jpg-300x222.jpg 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/cirugia-mis-dedos-garra-tratamiento.jpg-1024x759.jpg 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/cirugia-mis-dedos-garra-tratamiento.jpg-768x569.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/cirugia-mis-dedos-garra-tratamiento.jpg-1536x1138.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center\" style=\"margin-top:40px\">Herstel na een DMMO<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Dag 0:<\/strong> u wordt poliklinisch ontslagen met een postoperatieve schoen. U loopt op eigen kracht. <\/li>\n\n\n\n<li><strong>Eerste 3-4 weken:<\/strong> postoperatieve schoen, korte wandelingen.<\/li>\n\n\n\n<li><strong>Week 4-6:<\/strong> verwijdering van het verband en overgang naar normaal schoeisel.<\/li>\n\n\n\n<li><strong>Week 8-12:<\/strong> geleidelijke hervatting van de sportactiviteiten.<\/li>\n\n\n\n<li>De zwelling kan enkele weken aanhouden; dit wordt als normaal beschouwd en heeft geen invloed op het resultaat.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large has-custom-border vida-activa-img\"><img loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"1333\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/recuperacion-caminar-sin-dolor-juanete.jpg.jpg\" alt=\"Herstel \u2014 weer pijnloos lopen na een MIS-operatie aan de voet\" class=\"wp-image-8762\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/recuperacion-caminar-sin-dolor-juanete.jpg.jpg 2000w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/recuperacion-caminar-sin-dolor-juanete.jpg-300x200.jpg 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/recuperacion-caminar-sin-dolor-juanete.jpg-1024x682.jpg 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/recuperacion-caminar-sin-dolor-juanete.jpg-768x512.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/recuperacion-caminar-sin-dolor-juanete.jpg-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><figcaption class=\"wp-element-caption\"><em>Weer kunnen lopen, rennen en elke gewenste schoen dragen zonder pijn \u2014 dat is het doel van elke behandeling.<\/em><\/figcaption><\/figure>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-3e41869c wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button spectra-popup-trigger-712\" href=\"#contacto\" onclick=\"return false;\" style=\"background-color:#0a3d62;padding-top:16px;padding-right:32px;padding-bottom:16px;padding-left:32px\">Moet mijn metatarsalgie operatief worden behandeld? Vraag een onderzoek aan <\/a><\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- CONSULTA --><\/p>\n\n\n<div class=\"wp-block-group alignfull is-layout-constrained wp-container-core-group-is-layout-685c61f0 wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:45%\">\n<figure class=\"wp-block-image size-large has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"1333\" height=\"2000\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/consulta-podologo-diagnostico-juanete.jpg.jpg\" alt=\"Eerste podologisch consult in Cl\u00ednica San Rom\u00e1n in Alicante\" class=\"wp-image-8763\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/consulta-podologo-diagnostico-juanete.jpg.jpg 1333w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/consulta-podologo-diagnostico-juanete.jpg-200x300.jpg 200w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/consulta-podologo-diagnostico-juanete.jpg-682x1024.jpg 682w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/consulta-podologo-diagnostico-juanete.jpg-768x1152.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/consulta-podologo-diagnostico-juanete.jpg-1024x1536.jpg 1024w\" sizes=\"auto, (max-width: 1333px) 100vw, 1333px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:55%\">\n<h2 class=\"wp-block-heading\">Uw eerste consult bij ons<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">De eerste beoordeling is gratis en vrijblijvend. In 30 minuten doen we het volgende:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Klinisch onderzoek<\/strong>: palpatie, specifieke tests (druk op de voorvoet, Mulder-test, enz.).<\/li>\n\n\n\n<li><strong>Biomechanische ganganalyse in<\/strong> statische en dynamische <strong>omstandigheden<\/strong>.<\/li>\n\n\n\n<li><strong>R\u00f6ntgenfoto\u2019s onder belasting<\/strong> om de metatarsale stand en daarmee samenhangende afwijkingen te beoordelen.<\/li>\n\n\n\n<li><strong>Musculoskeletale echografie<\/strong> bij verdenking van een Morton-neuroom of een scheur in de plantaire plaat.<\/li>\n\n\n\n<li><strong>Een persoonlijk behandelplan<\/strong> (conservatief, schokgolftherapie, injectietherapie of minimaal invasieve chirurgie) en <strong>een vaste prijsopgave<\/strong>.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Wij bieden onze diensten aan in <strong>het Spaans, Engels, Duits, Frans en Nederlands<\/strong>.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- FAQ --><\/p>\n\n\n<div class=\"wp-block-group alignfull has-background is-layout-constrained wp-container-core-group-is-layout-95654ce3 wp-block-group-is-layout-constrained\" style=\"background-color:#FAF9F6;padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\">Veelgestelde vragen over metatarsalgie<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udccb Over uw zaak<\/h3>\n\n\n<div class=\"wp-block-uagb-faq uagb-faq__outer-wrap uagb-block-faq-casos-512 uagb-faq-icon-row uagb-faq-layout-accordion uagb-faq-expand-first-true uagb-faq-inactive-other-true uagb-faq__wrap uagb-buttons-layout-wrap uagb-faq-equal-height     \" data-faqtoggle=\"true\" role=\"tablist\"><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-c1-512 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Is metatarsalgie hetzelfde als een Morton-neuroom?<\/span><\/div><div class=\"uagb-faq-content\"><p>Nee, hoewel ze dezelfde symptomen vertonen. <strong>Metatarsalgie<\/strong> is pijn in de kop van de middenvoetsbeentjes als gevolg van overbelasting. <strong>Morton-neuroom<\/strong> is een fibrose van de interdigitale zenuw die pijn veroorzaakt die aanvoelt als een elektrische schok, een branderig gevoel of gevoelloosheid tussen de derde en vierde teen. Soms komen beide aandoeningen tegelijk voor en daarom is een differenti\u00eble diagnose met echografie of MRI belangrijk.   <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-c2-512 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Kan metatarsalgie worden voorkomen?<\/span><\/div><div class=\"uagb-faq-content\"><p>U kunt het risico verminderen door schoenen te dragen met demping in de voorvoet, langdurig dragen van hoge hakken te vermijden, een gezond gewicht te behouden, voetversterkende oefeningen te doen en bij de eerste klachten een podoloog te raadplegen. Steunzolen op maat zijn nuttig bij pati\u00ebnten met een biomechanische aanleg (holvoet, korte eerste middenvoetsbeentje). <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-c3-512 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Ik heb een hallux valgus en metatarsalgie. Kunnen deze aandoeningen tegelijkertijd worden geopereerd?<\/span><\/div><div class=\"uagb-faq-content\"><p>In de meeste gevallen wel, en dat is aan te raden. Metatarsalgie is meestal een gevolg van hallux valgus: doordat de grote teen afwijkt, wordt de belasting overgebracht naar het tweede en derde middenvoetsbeentje. Als alleen de hallux valgus wordt gecorrigeerd zonder de metatarsalgie te behandelen (of omgekeerd), blijft het probleem onvolledig verholpen. Met MIS-chirurgie kunnen beide aandoeningen in \u00e9\u00e9n ingreep worden aangepakt.   <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-c4-512 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Helpen inlegzolen bij metatarsalgie?<\/span><\/div><div class=\"uagb-faq-content\"><p>Goed ontworpen inlegzolen <strong>verlichten de symptomen<\/strong> door de belasting te herverdelen en de aangetaste middenvoetsbeentjes te ontlasten. Als de oorzaak functioneel is (overbelasting door schoeisel, sport, licht holvoet), kunnen deze voldoende zijn. Als de oorzaak structureel is (lang middenvoetsbeentje, misvorming), helpen inlegzolen wel, maar verhelpen ze de oorzaak niet: de definitieve oplossing is een MIS-operatie.  <\/p><\/div><\/div><\/div>\n\n\n<h3 class=\"wp-block-heading\">\ud83c\udfe5 Over de operatie<\/h3>\n\n\n<div class=\"wp-block-uagb-faq uagb-faq__outer-wrap uagb-block-faq-op-512 uagb-faq-icon-row uagb-faq-layout-accordion uagb-faq-expand-first-true uagb-faq-inactive-other-true uagb-faq__wrap uagb-buttons-layout-wrap uagb-faq-equal-height     \" data-faqtoggle=\"true\" role=\"tablist\"><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-o1-512 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Wat is DMMO precies?<\/span><\/div><div class=\"uagb-faq-content\"><p>De <strong>DMMO (Distal Metatarsal Minimally-invasive Osteotomy)<\/strong> is een percutane osteotomie van het distale deel van het middenvoetsbeentje (nabij de kop), waardoor dit onder belasting door de pati\u00ebnt lichtjes naar boven kan verschuiven, waardoor de druk op de voetzool wordt verlicht. De ingreep wordt uitgevoerd zonder het bot bloot te leggen, via millimeterkleine incisies en onder fluoroscopische controle. <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-o2-512 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Gebruikt u schroeven of naalden?<\/span><\/div><div class=\"uagb-faq-content\"><p>Nee. In Cl\u00ednica San Rom\u00e1n voeren wij de DMMO uit <strong>zonder enig intern fixatiemateriaal<\/strong>. De osteotomie wordt gestabiliseerd met een speciaal functioneel verband dat de metatarsale koppen op hun plaats houdt. Hierdoor wordt een tweede ingreep, die bij andere technieken nodig is om de Kirschner-pinnen te verwijderen, overbodig.   <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-o3-512 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Hoe lang duurt de ingreep?<\/span><\/div><div class=\"uagb-faq-content\"><p>Een DMMO-ingreep aan 2-3 middenvoetsbeentjes duurt doorgaans tussen de 30 en 45 minuten. Indien deze wordt gecombineerd met een correctie van hallux valgus of klauwtenen, kan de totale duur vari\u00ebren van 60 tot 90 minuten. De gehele ingreep wordt uitgevoerd onder plaatselijke verdoving en, indien de pati\u00ebnt dat wenst, onder sedatie.  <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-o4-512 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Wat zijn de risico&#8217;s?<\/span><\/div><div class=\"uagb-faq-content\"><p>Zoals bij elke operatie brengt ook de DMMO risico\u2019s met zich mee, hoewel deze zeldzaam zijn: langdurig oedeem (bij tot wel 30% van de pati\u00ebnten houdt dit langer dan 6 weken aan), vertraagde botgenezing, metatarsalgie door overbelasting van een andere kop bij onjuiste planning, of stijfheid. De MIS-techniek kent minder infectie- en littekencomplicaties dan open chirurgie. <\/p><\/div><\/div><\/div>\n\n\n<h3 class=\"wp-block-heading\">\u274c Mythen<\/h3>\n\n\n<div class=\"wp-block-uagb-faq uagb-faq__outer-wrap uagb-block-faq-mitos-512 uagb-faq-icon-row uagb-faq-layout-accordion uagb-faq-expand-first-true uagb-faq-inactive-other-true uagb-faq__wrap uagb-buttons-layout-wrap uagb-faq-equal-height     \" data-faqtoggle=\"true\" role=\"tablist\"><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-m1-512 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Is metatarsalgie alleen iets voor ouderen?<\/span><\/div><div class=\"uagb-faq-content\"><p>Onjuist. Hoewel metatarsalgie vaker voorkomt bij mensen ouder dan 50 jaar vanwege het verlies van het vetkussentje onder de voet, kan deze aandoening op elke leeftijd optreden: bij hardlopers, bij mensen met een holvoet, na een operatie aan de voorvoet of door langdurig dragen van hoge hakken. <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-m2-512 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Is het probleem opgelost als de likdoorn wordt verwijderd?<\/span><\/div><div class=\"uagb-faq-content\"><p>Onjuist. Een eeltplek is het gevolg, niet de oorzaak. Het verwijderen ervan biedt tijdelijke verlichting, maar de eeltplek komt binnen enkele weken terug als de onderliggende overbelasting (biomechanica, misvorming, schoeisel) niet wordt verholpen. Podotherapie is een aanvulling op, en geen vervanging van, de daadwerkelijke behandeling.   <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-m3-512 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Moet men altijd infiltreren?<\/span><\/div><div class=\"uagb-faq-content\"><p>Onjuist. Injecties met corticostero\u00efden zijn voorbehouden aan zeer specifieke gevallen (intermetatarsale bursitis, matig Morton-neuroom) en worden slechts in beperkte mate toegepast, omdat ze op lange termijn tot atrofie van het plantaire vetkussen kunnen leiden en de metatarsalgie kunnen verergeren. PRP is een veiliger alternatief bij chronische gevallen.  <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-m4-512 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Als ik een operatie aan metatarsalgie onderga, kan ik dan nooit meer hardlopen?<\/span><\/div><div class=\"uagb-faq-content\"><p>Onjuist. Na een goed ge\u00efndiceerde MIS-operatie voor metatarsalgie en een passende revalidatie is het gebruikelijk dat pati\u00ebnten binnen 3 tot 6 maanden weer aan impactsporten (waaronder hardlopen) kunnen deelnemen. Veel pati\u00ebnten zien hun prestaties verbeteren omdat ze de pijn niet langer compenseren met een afwijkende looptechniek.  <\/p><\/div><\/div><\/div><\/div>\n\n\n<p><!-- BIBLIOGRAF\u00cdA --><\/p>\n\n\n<div class=\"wp-block-group alignfull is-layout-constrained wp-container-core-group-is-layout-1e9ef514 wp-block-group-is-layout-constrained\" style=\"padding-top:40px;padding-bottom:40px\"><div class=\"wp-block-uagb-faq uagb-faq__outer-wrap uagb-block-faq-biblio-512 uagb-faq-icon-row uagb-faq-layout-accordion uagb-faq-expand-first-true uagb-faq-inactive-other-true uagb-faq__wrap uagb-buttons-layout-wrap uagb-faq-equal-height     \" data-faqtoggle=\"true\" role=\"tablist\"><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-biblio-512 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">\ud83d\udcda Wetenschappelijke literatuur en bronvermeldingen<\/span><\/div><div class=\"uagb-faq-content\"><p><strong>Percutane chirurgie van de voorvoet (DMMO en MIS-technieken):<\/strong><br \/>- Laffenetre O, Lucas Y, Hernandez J, Cerrato R. <em>Minimally Invasive Lesser Metatarsal Osteotomies and Their Variations.<\/em> Foot Ankle Clin. september 2025;30(3):489-506. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40713332\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>- Redfern DJ, Vernois J. <em>Percutane chirurgie voor metatarsalgie en de kleine tenen.<\/em> Foot Ankle Clin. september 2016;21(3):459-473. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27524704\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>- Biz C, Corradin M, Petretta I, et al. <em>Klinische en radiografische resultaten op middellange tot lange termijn van minimaal invasieve distale metatarsale metafysaire osteotomie (DMMO) bij centrale primaire metatarsalgie.<\/em> BioMed Res Int. 2018;2018:1947024. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30581846\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>- Del Vecchio CM, Trujillo MM, Kirtley SM. <em>Percutane distale osteotomie van de kleine middenvoetsbeentjes (DMMO) voor de behandeling van metatarsalgie met metatarsofalangeale instabiliteit.<\/em> J Foot Ankle Surg. 2018;57(3):539-547. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29409206\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>- Coughlin MJ, Shurnas PS. <em>Percutane technieken in voet- en enkelchirurgie.<\/em> J Am Acad Orthop Surg. februari 2025;33(4):e167-e178.      <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39550093\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br><br><strong>Plantaire plaat en pathologie van het tweede middenvoetsbeentje:<\/strong><br \/>- Baker EA, Baker ET, Newman N. <em>Behandeling van instabiliteit van het kleine metatarsofalangeale gewricht door herstel van de plantaire plaat: een systematische review en meta-analyse.<\/em> J Foot Ankle Surg. 2022;61(5):1114-1118. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35283034\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>- Jastifer JR. <em>Herstel van de plantaire plaat bij instabiliteit van het metatarsofalangeale gewricht van de kleine tenen.<\/em> Orthop Clin North Am. 2022;53(3):349-359.    <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35725043\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br><br><strong>Biomechanica, overbelasting van de voetzool en het syndroom van Morton:<\/strong><br \/>- Chatwin C, Abbott CA, Boulton AJM. <em>De rol van voetdrukmeting bij de voorspelling en preventie van diabetische voetulcera.<\/em> Diabetes Metab Res Rev. 2020;36(6):e3258. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32405192\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>- Shirazinejad H, Mardian Y, Diab T, et al. <em>Veiligheid en werkzaamheid van percutane cryoneurolyse van het Morton-neuroom onder echografische begeleiding.<\/em> J Foot Ankle Surg. 2024;63(3):e1-e7.    <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38438685\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><\/p><\/div><\/div><\/div><\/div>\n\n\n<p><!-- CTA FINAL --><\/p>\n\n\n<div class=\"wp-block-group alignfull has-text-color has-background is-layout-constrained wp-container-core-group-is-layout-cbb694e2 wp-block-group-is-layout-constrained\" id=\"contacto\" style=\"color:#FFFFFF;background-color:#0a3d62;padding-top:80px;padding-bottom:80px\">\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:45%\">\n<figure class=\"wp-block-image size-large has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"1333\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/evaluacion-gratuita-juanetes-san-roman.jpg.jpg\" alt=\"Vraag uw gratis consult aan bij Cl\u00ednica San Rom\u00e1n in Alicante\" class=\"wp-image-8761\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/evaluacion-gratuita-juanetes-san-roman.jpg.jpg 2000w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/evaluacion-gratuita-juanetes-san-roman.jpg-300x200.jpg 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/evaluacion-gratuita-juanetes-san-roman.jpg-1024x682.jpg 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/evaluacion-gratuita-juanetes-san-roman.jpg-768x512.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/evaluacion-gratuita-juanetes-san-roman.jpg-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:55%\">\n<h2 class=\"wp-block-heading has-text-color\" style=\"color:#FFFFFF\">U kunt weer lopen zonder dat u \u201esteentjes\u201c onder uw voet voelt<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Er is een oplossing voor metatarsalgie.  <strong>De eerste beoordeling is gratis en vrijblijvend.<\/strong>  Een nauwkeurige diagnose en een op maat gemaakt behandelplan \u2014 conservatief of chirurgisch \u2014 kunnen ervoor zorgen dat u weer pijnvrij kunt lopen.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udcde <strong><a href=\"tel:+34965921156\" style=\"color:#FFFFFF\">+34 965 921 156<\/a><\/strong><br>\u2709\ufe0f <strong><a href=\"mailto:info@clinicasanroman.com\" style=\"color:#FFFFFF\">info@clinicasanroman.com<\/a><\/strong><br>\ud83d\udccd Av. del Dr. Ram\u00f3n y Cajal 1, 03001 Alicante<br>\ud83c\udf10 Klantenservice in het Spaans, Engels, Duits, Frans en Nederlands<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-text-color has-background wp-element-button spectra-popup-trigger-712\" href=\"https:\/\/clinicasanroman.com\/nl\/neem-contact-op-met\/\" onclick=\"return false;\" style=\"color:#0a3d62;background-color:#FFFFFF;padding-top:16px;padding-right:32px;padding-bottom:16px;padding-left:32px\">\ud83d\udcc5 Vraag uw gratis evaluatie aan<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>metatarsalgie<\/p>\n","protected":false},"author":1,"featured_media":0,"template":"","meta":{"inline_featured_image":false,"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-kleur-5)","background-image":"","background-repeat":"herhaal","background-position":"centrum 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