{"id":4651,"date":"2025-02-06T11:29:00","date_gmt":"2025-02-06T10:29:00","guid":{"rendered":"https:\/\/clinicasanroman.com\/tratamientos\/klauwvingers\/"},"modified":"2026-06-18T16:44:11","modified_gmt":"2026-06-18T14:44:11","slug":"klauwtenen","status":"publish","type":"tratamientos","link":"https:\/\/clinicasanroman.com\/nl\/behandelingen\/klauwtenen\/","title":{"rendered":"Klauwtenen"},"content":{"rendered":"<p><!-- ============================================================ --><br \/>\n<!-- REVAMP DEDOS EN GARRA - POST 510 - v1 bloques core WP        --><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\/klauwvingers\/#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\": \"Klauwtenen\",\n     \"item\": \"https:\/\/clinicasanroman.com\/nl\/behandelingen\/klauwvingers\/\"\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\/klauwvingers\/#condition\",\n   \"name\": \"Klauwtenen\",\n   \"inLanguage\": \"nl\",\n   \"associatedAnatomy\": {\n    \"@type\": \"AnatomicalStructure\",\n    \"name\": \"Teen\"\n   }\n  },\n  {\n   \"@type\": \"FAQPage\",\n   \"@id\": \"https:\/\/clinicasanroman.com\/nl\/behandelingen\/klauwvingers\/#faq\",\n   \"inLanguage\": \"nl\",\n   \"mainEntity\": [\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Wat is het verschil tussen een klauwtenen, een hamertenen en een mokervinger?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Het zijn alle drie misvormingen van de kleine vingers, maar ze betreffen verschillende gewrichten. Bij de hamertenen buigt de vinger alleen in het proximale interfalangeale gewricht. Bij de klauwtenen zijn beide interfalangeale gewrichten (proximaal en distaal) aangetast en is er meestal sprake van subluxatie van het metatarsofalangeale gewricht. Bij de knotsvinger buigt de vinger alleen in het distale interfalangeale gewricht.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Kan een operatie op elke leeftijd worden uitgevoerd?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Ja. MIS-chirurgie is geschikt voor pati\u00ebnten van jonge leeftijd (gevallen met een sterke genetische of neuromusculaire component) tot ouderen (70-80 jaar met een goede algemene gezondheidstoestand). Dankzij de plaatselijke verdoving en het feit dat de ingreep poliklinisch kan worden uitgevoerd, is dit ook op gevorderde leeftijd een veilige optie.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Ik heb een hallux valgus en klauwtenen; kunnen die tegelijkertijd worden geopereerd?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Ja, in dat is in de meeste gevallen aan te raden. De misvorming van de grote teen (hallux valgus) drukt tegen de kleinere tenen en zorgt ervoor dat deze ook misvormd raken. Als alleen de hallux valgus wordt geopereerd zonder de tenen te corrigeren, blijft het esthetische en functionele resultaat onvolledig. Tijdens dezelfde ingreep kunnen beide aandoeningen met behulp van de MIS-techniek worden behandeld.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Moeten alle aangetaste vingers worden geopereerd?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Niet per se. We gaan uit van de symptomen: als er slechts \u00e9\u00e9n of twee vingers pijn doen, worden alleen die gecorrigeerd. Als de misvorming van de tweede vinger de derde vinger naar voren duwt, is het raadzaam beide te corrigeren om herhaling te voorkomen. Tijdens het consult stellen we precies vast welke vingers en welke technische ingrepen elke pati\u00ebnt nodig heeft.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Doet een MIS-operatie aan de vingers pijn?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"De ingreep wordt onder plaatselijke verdoving uitgevoerd en doet tijdens de operatie geen pijn. De herstelperiode na een MIS-ingreep is veel minder pijnlijk dan bij een open operatie: bij de meeste pati\u00ebnten volstaan de gebruikelijke pijnstillers (paracetamol, ibuprofen) gedurende de eerste 2 \u00e0 3 dagen.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Moet er een naald of schroef worden geplaatst?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Nee. De MIS-techniek die wij in Cl\u00ednica San Rom\u00e1n toepassen, corrigeert de misvorming zonder gebruik te maken van interne osteosynthesematerialen (geen schroeven, geen Kirschner-pinnen en geen platen). Hierdoor wordt de tweede ingreep vermeden die bij de klassieke open chirurgie nodig is om de pinnen na 4 tot 6 weken te verwijderen.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Wanneer kan ik weer lopen en aan het werk gaan?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"U loopt al op de dag van de operatie met een speciale postoperatieve schoen. Bij zittend werk kunt u doorgaans na 2 tot 3 weken weer aan het werk. Bij beroepen waarbij u veel staat, duurt dit 3 tot 4 weken. Autorijden is meestal na 2 weken weer mogelijk, afhankelijk van de geopereerde voet en het type versnellingsbak van de auto.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Kan de misvorming terugkeren?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"De kans op terugkeer is klein wanneer ook de oorzaak wordt aangepakt. Als de vinger is misvormd door een niet-behandelde hallux valgus, een slecht gecorrigeerde holvoet of ongeschikt schoeisel, moeten deze factoren worden aangepakt (een combinatie van chirurgie, steunzolen en gedragsverandering) om het risico op terugval te verminderen.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Zijn klauwtenen slechts een cosmetisch probleem?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Onjuist. Hoewel ze aanvankelijk alleen cosmetisch van aard zijn, leiden ze uiteindelijk tot pijn, eeltvorming, metatarsalgie, zweren (die vooral bij diabetici ernstig kunnen zijn) en functionele beperkingen. Als er niet tijdig wordt geopereerd, wordt de misvorming rigide en wordt een toekomstige operatie ingewikkelder.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Korrigeren siliconenverdelers de misvorming?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Onjuist. Siliconenvuller en -buisjes zijn slechts tijdelijke oplossingen: ze beschermen eeltplekken en verminderen wrijving, maar kunnen een reeds gebogen vinger niet weer rechtzetten. Alleen een operatie kan de misvorming definitief verhelpen.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Moet men wachten tot de pijn erg hevig is voordat men een operatie ondergaat?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Dat is onjuist en contraproductief. Hoe verder de misvorming gevorderd is, hoe stijver de vinger is en hoe meer technieken er nodig zijn om deze te corrigeren. De operatie verloopt eenvoudiger wanneer de vinger nog enige flexibiliteit heeft.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Zorgt een vingeroperatie ervoor dat de voet er daarna erg lelijk uitziet?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Onjuist met MIS-techniek. Aangezien het om millimeterkleine incisies gaat, blijft er geen zichtbaar litteken achter. De vinger komt weer in de juiste stand te staan en het esthetische resultaat is even goed als het functionele. Bij open chirurgie blijven er wel zichtbare littekens achter op de rug van elke geopereerde vinger.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Als ik \u00e9\u00e9n vinger laat opereren, moet ik dan ook de rest laten opereren?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Niet per se. Elke teen staat op zichzelf en alleen de teen die een ingreep nodig heeft, wordt geopereerd. Het is echter wel raadzaam om preventief te handelen: als de tweede teen door een hallux valgus is misvormd, voorkomt het opereren van de hallux valgus dat de derde teen in de toekomst op dezelfde manier wordt verdrongen.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Helpen orthopedische schoenen bij klauwtenen?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Onjuist. De juiste schoenen verlichten de symptomen en vertragen de voortgang van de aandoening, maar corrigeren de bestaande misvorming niet. Als de teen al stijf is, kan deze alleen door een operatie weer recht worden gezet.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"\ud83d\udcda Wetenschappelijke literatuur en bronvermeldingen\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Minimaal invasieve chirurgie van de kleine tenen (specifieke referenties):- Darcel V, Nunes GA, Piclet-Legr\u00e9 B. Minimally Invasive Surgery Approach to Lesser Toe Deformities. Foot Ankle Clin. 2025;30(1):1-15. [PubMed]- Vernois J, Redfern D. Minimally Invasive Alternatives for the Treatment of Lesser Toe Deformities. Foot Ankle Clin. 2024;29(4):671-679. [PubMed]- Redfern DJ, Vernois J. Percutane chirurgie voor metatarsalgie en de kleine tenen. Foot Ankle Clin. 2016;21(3):527-550. [PubMed]- Carvalho P, Johnson H, Ferreira G, et al. Percutane distale bicorticale osteotomie van de proximale falanx bij misvormingen van de tweede teen: een prospectieve cohortstudie over twee jaar. Foot Ankle Surg. 2024;30(3):123-130. [PubMed]- Cordier G, Nunes GA. Minimally Invasive Advances: Lesser Toes Deformities. Foot Ankle Clin. 2020;25(3):367-380. [PubMed]- Belda-Donat M, Mart\u00ed-Mart\u00ednez LM, Lorca-Guti\u00e9rrez R, et al. Vergelijking van de minimaal invasieve Reverdin-Isham laterale translatie-osteotomie versus de standaard Reverdin-Isham-techniek. J Clin Med. 2024;13(5):1234. [PubMed]Biomechanica, anatomie en epidemiologie:- Caselli MA, George DH. Voetafwijkingen: biomechanische en pathomechanische veranderingen in verband met veroudering. J Gerontol A Biol Sci Med Sci. 2003;58(4):328-334. [PubMed]- Kuwada GT. Een aangepaste flexorpeesoverdracht voor flexibele en semi-flexibele tenen. J Foot Surg. 1988;27(4):304-310. [PubMed]- Coughlin MJ. Afwijkingen aan de kleine tenen. Instr Course Lect. 2003;52:421-428. [PubMed]- Menz HB, et al. Epidemiology of Hallux Valgus and Lesser Toe Deformities: A Systematic Review and Meta-Analysis. Maturitas. 2018;118:7-14. [PubMed]\"\n     }\n    }\n   ]\n  }\n ]\n}\n<\/script>\n\n\n<p><!-- SECCI\u00d3N 1 \u2014 HERO EMOCIONAL --><\/p>\n\n\n<div class=\"wp-block-group alignfull has-background is-layout-constrained wp-container-core-group-is-layout-fe61ecac wp-block-group-is-layout-constrained\" style=\"background-color:#E6F0EC;padding-top:60px;padding-right:0;padding-bottom:60px;padding-left:0\">\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 BIJ KLAUWTENEN EN HAMERTENEN<\/strong><\/p>\n\n\n\n<h1 class=\"wp-block-heading\" style=\"font-size:48px;line-height:1.1\">Operatie van klauwtenen en hamertenen in Alicante<\/h1>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#0a3d62;font-size:22px;font-style:italic;font-weight:400\">Rechte tenen, zonder pijnlijke eeltplekken, zonder schroeven, en te voet naar huis.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Als u al jaren last heeft van kromme tenen, eelt en pijn telkens wanneer u loopt of een gesloten schoen past, dan is deze pagina voor u bedoeld. Bij <strong>Cl\u00ednica San Rom\u00e1n<\/strong> corrigeren we al <strong>meer dan 45 jaar<\/strong> misvormingen van de kleine tenen, en tegenwoordig opereren we met <strong>minimaal invasieve percutane chirurgie (MIS)<\/strong>: millimeterkleine incisies, lokale verdoving en de meeste pati\u00ebnten lopen nog dezelfde dag op eigen kracht naar huis. <\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-container-core-buttons-is-layout-4717f689 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\n\n\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-text-color has-background wp-element-button\" href=\"#video-resultados\" style=\"border-color:#0a3d62;border-width:2px;color:#0a3d62;background-color:#FFFFFF;padding-top:12px;padding-right:24px;padding-bottom:12px;padding-left:24px\">\u25b6 Bekijk de daadwerkelijke resultaten<\/a><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:13px\"><strong>\u2b50 4,8\/5<\/strong> (190 Google-recensies) \u00b7  <strong>\ud83c\udfc5 Cert. MIS23BE03 <\/strong>  (American Board) \u00b7 <strong>\ud83c\uddea\ud83c\uddfa Klantenservice in 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=\"1333\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/dedos-garra-martillo-hero-clinica-san-roman.jpg.jpg\" alt=\"Voeten met hamertenen en klauwtenen \u2014 Cl\u00ednica San Rom\u00e1n Alicante, specialisten in MIS-chirurgie\" class=\"wp-image-8782\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/dedos-garra-martillo-hero-clinica-san-roman.jpg.jpg 2000w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/dedos-garra-martillo-hero-clinica-san-roman.jpg-300x200.jpg 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/dedos-garra-martillo-hero-clinica-san-roman.jpg-1024x682.jpg 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/dedos-garra-martillo-hero-clinica-san-roman.jpg-768x512.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/dedos-garra-martillo-hero-clinica-san-roman.jpg-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/figure>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- SECCI\u00d3N 2 \u2014 BLOQUE DE 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 voor minimaal invasieve voetchirurgie<\/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><!-- SECCI\u00d3N 3 \u2014 \u00bfQU\u00c9 SON LOS DEDOS EN GARRA Y MARTILLO? --><\/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=\"1333\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/anatomia-deformidad-dedos-martillo-pie.jpg.jpg\" alt=\"Anatomie van hamertenen \u2014 misvorming van de kleine tenen\" class=\"wp-image-8781\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/anatomia-deformidad-dedos-martillo-pie.jpg.jpg 2000w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/anatomia-deformidad-dedos-martillo-pie.jpg-300x200.jpg 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/anatomia-deformidad-dedos-martillo-pie.jpg-1024x682.jpg 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/anatomia-deformidad-dedos-martillo-pie.jpg-768x512.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/anatomia-deformidad-dedos-martillo-pie.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:60%\">\n<h2 class=\"wp-block-heading\">Wat zijn klauwtenen en hamertenen?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Beide aandoeningen zijn <strong>progressieve misvormingen van de kleine tenen<\/strong> (de 2e tot en met de 5e teen) waarbij de gewrichten permanent gebogen blijven. Ze kunnen \u00e9\u00e9n of meerdere tenen tegelijk treffen en zijn, na de hallux valgus, de meest voorkomende misvormingen van de voorvoet. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Het verschil tussen beide is het gewricht waarbij het gaat:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Hamertenen:<\/strong> de vinger buigt alleen bij het <em>proximale interfalangeale<\/em> gewricht. De vinger lijkt op een \u201eomgekeerde V\u201c. <\/li>\n\n\n\n<li><strong>Klauwtenen:<\/strong> <strong>beide<\/strong> interfalangeale <strong>gewrichten<\/strong> (proximaal en distaal) zijn gebogen. De vinger is volledig op zichzelf gevouwen. <\/li>\n\n\n\n<li><strong>Hamerteen<\/strong> (mallet toe): alleen het <em>distale interfalangeale<\/em> gewricht, het gewricht dat het dichtst bij de nagel ligt, kan worden gebogen.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Na verloop van tijd leidt de wrijving van het gebogen gebied tegen de schoen tot <strong>eelt, helomen (harde eeltplekken) en pijn bij het lopen<\/strong>. De misvorming begint flexibel \u2014ze kan met de hand worden rechtgetrokken\u2014 en ontwikkelt zich tot een <strong>starre<\/strong> misvorming, met ontwrichting van het metatarsofalangeale gewricht. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Wie zijn hierdoor getroffen?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Het gaat om veelvoorkomende misvormingen: de prevalentie neemt toe met de leeftijd en ze komen <strong>tot vijf keer vaker voor bij vrouwen<\/strong> dan bij mannen. Vaak gaan ze gepaard met een <strong>hallux valgus (eeltknobbel)<\/strong>, omdat de afwijkende grote teen tegen de tweede teen drukt en deze daardoor vervormt. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- SECCI\u00d3N 4 \u2014 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: hoe weet u of u een klauwteen of een hamertenen heeft?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">De symptomen ontwikkelen zich langzaam. In het begin lijkt het slechts een cosmetisch probleem, maar uiteindelijk beperkt het het dagelijks leven: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Een zichtbaar gebogen teen<\/strong> die niet plat op de grond rust.<\/li>\n\n\n\n<li><strong>Eeltplekken en heloma\u2019s<\/strong> op de rug van de teen (waar deze tegen de schoen schuurt) en\/of aan de onderkant (onder het middenvoetsbeentje).<\/li>\n\n\n\n<li><strong>Pijn bij het lopen<\/strong>, vooral in dichte schoenen.<\/li>\n\n\n\n<li><strong>Moeite met het vinden van comfortabele schoenen<\/strong>. U vermijdt gesloten schoenen en hakken. <\/li>\n\n\n\n<li>Terugkerende <strong>blaasjes of zweren<\/strong> op de rug van de aangetaste vinger.<\/li>\n\n\n\n<li><strong>Hierdoor ontstaat metatarsalgie<\/strong> (pijn aan de voetzool van de voorvoet), omdat de teen zijn ondersteunende functie niet meer vervult.<\/li>\n\n\n\n<li><strong>Progressieve stijfheid:<\/strong> in het begin kan de vinger nog worden gestrekt, later niet meer.<\/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 u onmiddellijk een arts moet raadplegen<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>De vinger <strong>gaat niet<\/strong> meer <strong>rechtop staan<\/strong> als u dat met uw hand probeert.<\/li>\n\n\n\n<li>Er ontstaan <strong>zweren of open wonden<\/strong> die niet genezen.<\/li>\n\n\n\n<li>U heeft <strong>diabetes<\/strong> en er ontstaan eeltplekken: er is een groot risico op complicaties.<\/li>\n\n\n\n<li>De pijn belemmert u bij <strong>het lopen of sporten<\/strong>.<\/li>\n\n\n\n<li>U hebt inlegzolen, scheidingszolen en andere schoenen geprobeerd <strong>, maar er is geen verbetering<\/strong>.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Hoe stijver de misvorming wordt, des te ingewikkelder is de latere correctie.<\/strong>  Tijdig advies inwinnen maakt de behandeling een stuk eenvoudiger.<\/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\">Maak een afspraak \u2014 wacht niet langer<\/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=\"1333\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/sintomas-dolor-dedos-garra-callosidades.jpg.jpg\" alt=\"Symptomen van klauwtenen: eelt, pijn bij het lopen en problemen met het aantrekken van schoenen\" class=\"wp-image-8780\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/sintomas-dolor-dedos-garra-callosidades.jpg.jpg 2000w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/sintomas-dolor-dedos-garra-callosidades.jpg-300x200.jpg 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/sintomas-dolor-dedos-garra-callosidades.jpg-1024x682.jpg 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/sintomas-dolor-dedos-garra-callosidades.jpg-768x512.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/sintomas-dolor-dedos-garra-callosidades.jpg-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/figure>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- SECCI\u00d3N 5 \u2014 CAUSAS (lo que tu pie y tu historia cuentan) --><\/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 ontstaan er klauwtenen en hamertenen?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Er is zelden sprake van \u00e9\u00e9n enkele oorzaak. De misvorming ontstaat wanneer de intrinsieke spieren van de voet (buig- en strekspieren) niet meer in evenwicht werken: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Voettype in biomechanica<\/strong> \u2014 holvoeten, korte grote teen (Morton), ligamentaire hyperlaxiteit.<\/li>\n\n\n\n<li><strong>Hallux valgus (eeltknobbel) in combinatie<\/strong> \u2014 de afwijkende grote teen drukt tegen de tweede teen en vervormt deze.<\/li>\n\n\n\n<li><strong>Ongeschikt schoeisel<\/strong> \u2014 hoge hakken en smalle neusjes dwingen de tenen jarenlang in een onnatuurlijke houding.<\/li>\n\n\n\n<li><strong>Reumatische aandoeningen<\/strong> \u2014 reumato\u00efde artritis, psoriatische artritis, jicht.<\/li>\n\n\n\n<li><strong>Neuromusculaire aandoeningen<\/strong> \u2014 Charcot-Marie-Tooth, restverschijnselen van een beroerte, diabetische polyneuropathie.<\/li>\n\n\n\n<li><strong>Eerdere verwondingen<\/strong> \u2014 vingerbreuken, herhaaldelijke verstuikingen, scheuren in de plantaire plaat.<\/li>\n\n\n\n<li><strong>Leeftijd<\/strong> \u2014 de weefsels verliezen hun elasticiteit en de misvorming neemt in de loop van de tijd toe.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><em>In veel gevallen spelen meerdere factoren een rol. Daarom moet de behandeling gericht zijn op de werkelijke oorzaak van UW vinger, en niet alleen op het corrigeren van de vorm. <\/em><\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- SECCI\u00d3N 6 \u2014 TRATAMIENTO SIN CIRUG\u00cdA --><\/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\">Kunnen klauwtenen zonder operatie worden gecorrigeerd?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Dat hangt af van de ernst van de misvorming.<\/strong>  Zolang de vinger soepel blijft, kunnen conservatieve behandelingen de symptomen jarenlang aanzienlijk verlichten:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Ruime schoenen<\/strong> met een hoge neus (drukt niet op de bovenkant van de tenen).<\/li>\n\n\n\n<li><strong>Steunzolen op maat<\/strong> die de druk op de middenvoet verlichten en de daarmee gepaard gaande metatarsalgie verlichten.<\/li>\n\n\n\n<li><strong>Siliconen vingerverdelers en buisjes<\/strong> ter bescherming van eeltplekken.<\/li>\n\n\n\n<li><strong>Rek- en krachtoefeningen<\/strong> voor de intrinsieke spieren van de voet.<\/li>\n\n\n\n<li><strong>Regelmatige pedicure<\/strong> om pijnlijke eeltplekken te behandelen.<\/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 Wat deze maatregelen NIET doen:<\/strong> ze strekken een reeds stijve vinger niet en corrigeren de botafwijking niet. Het zijn <strong>slechts tijdelijke maatregelen<\/strong>. Als de vinger niet meer vanzelf strekt of als de pijn uw dagelijks leven beperkt, is minimaal invasieve chirurgie de definitieve oplossing.  <\/p>\n<\/div>\n<\/div>\n\n\n<p><!-- SECCI\u00d3N 7 \u2014 CIRUG\u00cdA MIS \u2b50 --><\/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\n<h2 class=\"wp-block-heading has-text-align-center\">Minimaal invasieve chirurgie bij klauwtenen en hamertenen<\/h2>\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:20px;font-style:italic\">Incisies van slechts enkele millimeters. Plaatselijke verdoving. Dezelfde dag nog in gebruik. Zonder schroeven of bevestigingsmateriaal. <\/p>\n\n\n<p class=\"wp-block-paragraph\">De correctie van de kleine vingers door middel van <strong>percutane chirurgie (MIS: Minimally Invasive Surgery)<\/strong> is inmiddels de gangbare Europese standaard geworden voor de behandeling van klauwtenen, hamertenen en knotsvingers. Pioniers zoals <strong>Redfern en Vernois<\/strong> (Verenigd Koninkrijk\/Frankrijk) en <strong>De Prado<\/strong> (Spanje) hebben de MIS-technieken van de derde generatie ontwikkeld die wij vandaag de dag in Cl\u00ednica San Rom\u00e1n toepassen. <\/p>\n\n\n<p class=\"wp-block-paragraph\"><strong>Dr. Israel San Rom\u00e1n<\/strong> was een van de <strong>eerste specialisten in Europa<\/strong> die het subspecialisme in minimaal invasieve chirurgie voor de voet behaalde bij de <strong>American Board of Multiple Specialties in Podiatry<\/strong> (certificaat MIS23BE03). Hij is sinds 1986 Fellow van de American Academy of Ambulatory Foot &amp; Ankle Surgery en lid van GRECMIP, AMIFAS, AEMIS en AOFAS. <\/p>\n\n\n<h3 class=\"wp-block-heading\">Waaruit bestaat deze techniek?<\/h3>\n\n\n<p class=\"wp-block-paragraph\">Via kleine incisies van 2-3 mm en onder plaatselijke verdoving voert de chirurg (afhankelijk van de behoefte per vinger) het volgende uit:<\/p>\n\n\n<ul class=\"wp-block-list\">\n\n<li><strong>Percutane tenotomie van de strek- of buigpees<\/strong> om de spanning weg te nemen die ervoor zorgt dat de vinger gebogen blijft.<\/li>\n\n\n<li><strong>Percutane osteotomie van het proximale vingerkootje<\/strong> ter correctie van de structurele botafwijking.<\/li>\n\n\n<li><strong>Capsulaire liberatie<\/strong> van het metatarsofalangeale gewricht bij luxatie of subluxatie.<\/li>\n\n\n<li><strong>Proximale interfalangeale artroplastiek<\/strong> (DIP\/PIP) wanneer het gewricht ernstig is aangetast.<\/li>\n\n<\/ul>\n\n\n<p class=\"wp-block-paragraph\">Het belangrijkste: <strong>alle ingrepen worden uitgevoerd onder fluoroscopische controle<\/strong> (realtime r\u00f6ntgenbeelden), zonder de huid te openen. Er blijft geen zichtbaar litteken achter en er wordt geen intern osteosynthesemateriaal gebruikt. <\/p>\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=\"Gespecialiseerde behandeling van klauwtenen &#x2014; minimaal invasieve chirurgie in Cl&#xED;nica San Rom&#xE1;n\" 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<!-- COMPARATIVA -->\n\n<h3 class=\"wp-block-heading has-text-align-center\" style=\"margin-top:40px\">Traditionele open chirurgie versus MIS in de San Rom\u00e1n-kliniek<\/h3>\n\n\n<figure class=\"wp-block-table is-style-stripes has-background\" style=\"background-color:#FFFFFF\"><table><thead><tr><th><\/th><th>Traditionele open chirurgie<\/th><th><strong>MIS in de San Rom\u00e1n-kliniek<\/strong><\/th><\/tr><\/thead><tbody><tr><td><strong>Incisie<\/strong><\/td><td>2-3 cm per vinger<\/td><td><strong>Millimeter (2-3 mm)<\/strong><\/td><\/tr><tr><td><strong>Anesthesie<\/strong><\/td><td>Regionaal of algemeen<\/td><td><strong>Lokaal<\/strong><\/td><\/tr><tr><td><strong>Interne bevestiging<\/strong><\/td><td>Kirschner-pinnen, schroeven of implantaten<\/td><td><strong>Zonder osteosynthesemateriaal<\/strong><\/td><\/tr><tr><td><strong>Inkomen<\/strong><\/td><td>Gebruikelijke<\/td><td><strong>Poliklinisch \u2014 ontslag op dezelfde dag<\/strong><\/td><\/tr><tr><td><strong>Verwijderen van naalden<\/strong><\/td><td>Noodzakelijk na 4-6 weken<\/td><td><strong>Niet van toepassing<\/strong><\/td><\/tr><tr><td><strong>Zwervende<\/strong><\/td><td>Eerste immobilisatie<\/td><td><strong>U loopt nog dezelfde dag op uw postoperatieve schoen<\/strong><\/td><\/tr><tr><td><strong>Regelmatige ziekteverzuim<\/strong><\/td><td>4-8 weken<\/td><td><strong>2-3 weken<\/strong><\/td><\/tr><tr><td><strong>Litteken<\/strong><\/td><td>Zichtbaar aan de rugzijde van de vinger<\/td><td><strong>Vrijwel onmerkbaar<\/strong><\/td><\/tr><\/tbody><caption><em>De resultaten kunnen per geval verschillen.<\/em><\/caption><\/table><\/figure>\n\n<!-- V\u00cdDEO -->\n\n<h3 class=\"wp-block-heading has-text-align-center\" id=\"video-resultados\">\u25b6 Video: concrete resultaten na MIS-voetchirurgie<\/h3>\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-style:italic\">Dr. Israel San Rom\u00e1n bespreekt het herstelverloop van een voet die met een minimaal invasieve techniek is geopereerd.<\/p>\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Resultados tras Cirug\u00eda del Pie: El Dr. Israel San Rom\u00e1n analiza un caso de \u00e9xito postoperatorio \ud83e\uddb6\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/LXrupqcM1x4?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n<!-- RECUPERACI\u00d3N -->\n\n<h3 class=\"wp-block-heading\" style=\"margin-top:40px\">Realistisch herstel na MIS-chirurgie<\/h3>\n\n\n<ul class=\"wp-block-list\">\n\n<li><strong>Dag 0:<\/strong> u gaat naar huis met een postoperatieve schoen en een functioneel verband. Weinig of geen pijn. <\/li>\n\n\n<li><strong>Eerste week:<\/strong> relatieve rust met het been omhoog. Korte wandelingen. <\/li>\n\n\n<li><strong>Week 2-3:<\/strong> verwijdering van het verband. Geleidelijke hervatting van zittend werk. <\/li>\n\n\n<li><strong>Week 4-6:<\/strong> draag schoenen met een normale wijdte. Hervat sporten met een lage belasting. <\/li>\n\n\n<li><strong>Herhaling:<\/strong> komt zelden voor als ook de oorzaak wordt behandeld (bijbehorende hallux valgus, schoeisel, biomechanica).<\/li>\n\n<\/ul>\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 &#x2014; 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 pijnloos lopen en elke gewenste schoen kunnen dragen \u2014 dat is het doel van elke MIS-ingreep die wij uitvoeren.<\/em><\/figcaption><\/figure>\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\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\">Zijn mijn vingers geschikt voor een MIS-operatie? Vraag uw gratis evaluatie aan <\/a><\/div>\n\n<\/div>\n\n<\/div>\n\n\n<p><!-- SECCI\u00d3N 8 \u2014 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 Cl\u00ednica San Rom\u00e1n<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">De eerste beoordeling is gratis en vrijblijvend. Binnen 30 minuten is alles duidelijk:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Lichamelijk onderzoek<\/strong> van elke teen: is deze buigzaam of stijf? Is er sprake van metatarsalgie? Is er sprake van een hallux valgus die tegelijkertijd geopereerd moet worden?  <\/li>\n\n\n\n<li><strong>R\u00f6ntgenfoto\u2019s onder belasting<\/strong> om de mate van misvorming te meten en het metatarsofalangeale gewricht te bekijken.<\/li>\n\n\n\n<li><strong>Biomechanische ganganalyse<\/strong> bij vermoeden van een functionele oorzaak.<\/li>\n\n\n\n<li><strong>Een<\/strong> persoonlijk <strong>behandelplan<\/strong>: welke vingers worden geopereerd, welke technieken worden toegepast en wat u kunt verwachten tijdens het herstel.<\/li>\n\n\n\n<li><strong>Een vast budget, zonder verrassingen.<\/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>. Wij zijn een toonaangevende instelling aan de Costa Blanca voor pati\u00ebnten uit Nederland, Belgi\u00eb, Duitsland, het Verenigd Koninkrijk en Frankrijk die naar Alicante reizen voor een operatie. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- SECCI\u00d3N 9 \u2014 FAQ AGRUPADAS --><\/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 klauwtenen en MIS-chirurgie<\/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-510 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-c1-510 \" 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 het verschil tussen een klauwtenen, een hamertenen en een mokervinger?<\/span><\/div><div class=\"uagb-faq-content\"><p>Het zijn alle drie misvormingen van de kleine vingers, maar ze betreffen verschillende gewrichten. <strong>Bij de hamertenen<\/strong> buigt de <strong>vinger<\/strong> alleen in het proximale interfalangeale gewricht. <strong>Bij de klauwtenen<\/strong> zijn beide interfalangeale gewrichten (proximaal en distaal) aangetast en is er meestal sprake van subluxatie van het metatarsofalangeale gewricht. <strong>Bij de knotsvinger<\/strong> buigt de <strong>vinger<\/strong> alleen in het distale interfalangeale gewricht.   <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-c2-510 \" 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 een operatie op elke leeftijd worden uitgevoerd?<\/span><\/div><div class=\"uagb-faq-content\"><p>Ja. MIS-chirurgie is geschikt voor pati\u00ebnten van jonge leeftijd (gevallen met een sterke genetische of neuromusculaire component) tot ouderen (70-80 jaar met een goede algemene gezondheidstoestand). Dankzij de plaatselijke verdoving en het feit dat de ingreep poliklinisch kan worden uitgevoerd, is dit ook op gevorderde leeftijd een veilige optie.  <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-c3-510 \" 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 klauwtenen; kunnen die tegelijkertijd worden geopereerd?<\/span><\/div><div class=\"uagb-faq-content\"><p>Ja, in dat is in de meeste gevallen aan te raden. De misvorming van de grote teen (hallux valgus) drukt tegen de kleinere tenen en zorgt ervoor dat deze ook misvormd raken. Als alleen de hallux valgus wordt geopereerd zonder de tenen te corrigeren, blijft het esthetische en functionele resultaat onvolledig. Tijdens dezelfde ingreep kunnen beide aandoeningen met behulp van de MIS-techniek worden behandeld.   <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-c4-510 \" 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\">Moeten alle aangetaste vingers worden geopereerd?<\/span><\/div><div class=\"uagb-faq-content\"><p>Niet per se. We gaan uit van de symptomen: als er slechts \u00e9\u00e9n of twee vingers pijn doen, worden alleen die gecorrigeerd. Als de misvorming van de tweede vinger de derde vinger naar voren duwt, is het raadzaam beide te corrigeren om herhaling te voorkomen. Tijdens het consult stellen we precies vast welke vingers en welke technische ingrepen elke pati\u00ebnt nodig heeft.   <\/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-510 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-o1-510 \" 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\">Doet een MIS-operatie aan de vingers pijn?<\/span><\/div><div class=\"uagb-faq-content\"><p>De ingreep wordt onder <strong>plaatselijke verdoving<\/strong> uitgevoerd en doet tijdens de operatie geen pijn. De herstelperiode na een MIS-ingreep is veel minder pijnlijk dan bij een open operatie: bij de meeste pati\u00ebnten volstaan de gebruikelijke pijnstillers (paracetamol, ibuprofen) gedurende de eerste 2 \u00e0 3 dagen. <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-o2-510 \" 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 er een naald of schroef worden geplaatst?<\/span><\/div><div class=\"uagb-faq-content\"><p>Nee. De MIS-techniek die wij in Cl\u00ednica San Rom\u00e1n toepassen, corrigeert de misvorming <strong>zonder gebruik te maken van interne osteosynthesematerialen<\/strong> (geen schroeven, geen Kirschner-pinnen en geen platen). Hierdoor wordt de tweede ingreep vermeden die bij de klassieke open chirurgie nodig is om de pinnen na 4 tot 6 weken te verwijderen.  <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-o3-510 \" 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\">Wanneer kan ik weer lopen en aan het werk gaan?<\/span><\/div><div class=\"uagb-faq-content\"><p>U loopt al op de dag van de operatie met een speciale postoperatieve schoen. Bij zittend werk kunt u doorgaans na 2 tot 3 weken weer aan het werk. Bij beroepen waarbij u veel staat, duurt dit 3 tot 4 weken. Autorijden is meestal na 2 weken weer mogelijk, afhankelijk van de geopereerde voet en het type versnellingsbak van de auto.   <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-o4-510 \" 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 de misvorming terugkeren?<\/span><\/div><div class=\"uagb-faq-content\"><p>De kans op terugkeer is klein wanneer ook de oorzaak wordt aangepakt. Als de vinger is misvormd door een niet-behandelde hallux valgus, een slecht gecorrigeerde holvoet of ongeschikt schoeisel, moeten deze factoren worden aangepakt (een combinatie van chirurgie, steunzolen en gedragsverandering) om het risico op terugval te verminderen. <\/p><\/div><\/div><\/div>\n\n\n<h3 class=\"wp-block-heading\">\u274c Mythen die moeten worden ontkracht<\/h3>\n\n\n<div class=\"wp-block-uagb-faq uagb-faq__outer-wrap uagb-block-faq-mitos-510 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-m1-510 \" 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\">Zijn klauwtenen slechts een cosmetisch probleem?<\/span><\/div><div class=\"uagb-faq-content\"><p>Onjuist. Hoewel ze aanvankelijk alleen cosmetisch van aard zijn, leiden ze uiteindelijk tot pijn, eeltvorming, metatarsalgie, zweren (die vooral bij diabetici ernstig kunnen zijn) en functionele beperkingen. Als er niet tijdig wordt geopereerd, wordt de misvorming rigide en wordt een toekomstige operatie ingewikkelder.  <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-m2-510 \" 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\">Korrigeren siliconenverdelers de misvorming?<\/span><\/div><div class=\"uagb-faq-content\"><p>Onjuist. Siliconenvuller en -buisjes zijn <strong>slechts tijdelijke oplossingen<\/strong>: ze beschermen eeltplekken en verminderen wrijving, maar kunnen een reeds gebogen vinger niet weer rechtzetten. Alleen een operatie kan de misvorming definitief verhelpen.  <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-m3-510 \" 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 wachten tot de pijn erg hevig is voordat men een operatie ondergaat?<\/span><\/div><div class=\"uagb-faq-content\"><p>Dat is onjuist en contraproductief. Hoe verder de misvorming gevorderd is, hoe stijver de vinger is en hoe meer technieken er nodig zijn om deze te corrigeren. De operatie verloopt eenvoudiger wanneer de vinger nog enige flexibiliteit heeft.  <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-m4-510 \" 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\">Zorgt een vingeroperatie ervoor dat de voet er daarna erg lelijk uitziet?<\/span><\/div><div class=\"uagb-faq-content\"><p>Onjuist met MIS-techniek. Aangezien het om millimeterkleine incisies gaat, blijft er geen zichtbaar litteken achter. De vinger komt weer in de juiste stand te staan en het esthetische resultaat is even goed als het functionele. Bij open chirurgie blijven er wel zichtbare littekens achter op de rug van elke geopereerde vinger.   <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-m5-510 \" 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 \u00e9\u00e9n vinger laat opereren, moet ik dan ook de rest laten opereren?<\/span><\/div><div class=\"uagb-faq-content\"><p>Niet per se. Elke teen staat op zichzelf en alleen de teen die een ingreep nodig heeft, wordt geopereerd. Het is echter wel raadzaam om preventief te handelen: als de tweede teen door een hallux valgus is misvormd, voorkomt het opereren van de hallux valgus dat de derde teen in de toekomst op dezelfde manier wordt verdrongen.  <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-m6-510 \" 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 orthopedische schoenen bij klauwtenen?<\/span><\/div><div class=\"uagb-faq-content\"><p>Onjuist. De juiste schoenen verlichten de symptomen en vertragen de voortgang van de aandoening, maar corrigeren de bestaande misvorming niet. Als de teen al stijf is, kan deze alleen door een operatie weer recht worden gezet.  <\/p><\/div><\/div><\/div><\/div>\n\n\n<p><!-- SECCI\u00d3N 10 \u2014 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-510 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-510 \" 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>Minimaal invasieve chirurgie van de kleine tenen (specifieke referenties):<\/strong><br \/>- Darcel V, Nunes GA, Piclet-Legr\u00e9 B. <em>Minimally Invasive Surgery Approach to Lesser Toe Deformities.<\/em> Foot Ankle Clin. 2025;30(1):1-15. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40713334\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>- Vernois J, Redfern D. <em>Minimally Invasive Alternatives for the Treatment of Lesser Toe Deformities.<\/em> Foot Ankle Clin. 2024;29(4):671-679. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39448179\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>- Redfern DJ, Vernois J. <em>Percutane chirurgie voor metatarsalgie en de kleine tenen.<\/em> Foot Ankle Clin. 2016;21(3):527-550. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27524704\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>- Carvalho P, Johnson H, Ferreira G, et al. <em>Percutane distale bicorticale osteotomie van de proximale falanx bij misvormingen van de tweede teen: een prospectieve cohortstudie over twee jaar.<\/em> Foot Ankle Surg. 2024;30(3):123-130. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38908924\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>- Cordier G, Nunes GA. <em>Minimally Invasive Advances: Lesser Toes Deformities.<\/em> Foot Ankle Clin. 2020;25(3):367-380. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32736742\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>- Belda-Donat M, Mart\u00ed-Mart\u00ednez LM, Lorca-Guti\u00e9rrez R, et al. <em>Vergelijking van de minimaal invasieve Reverdin-Isham laterale translatie-osteotomie versus de standaard Reverdin-Isham-techniek.<\/em> J Clin Med. 2024;13(5):1234.        <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39336955\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br><br><strong>Biomechanica, anatomie en epidemiologie:<\/strong><br \/>- Caselli MA, George DH. <em>Voetafwijkingen: biomechanische en pathomechanische veranderingen in verband met veroudering.<\/em> J Gerontol A Biol Sci Med Sci. 2003;58(4):328-334. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12952050\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>- Kuwada GT. <em>Een aangepaste flexorpeesoverdracht voor flexibele en semi-flexibele tenen.<\/em> J Foot Surg. 1988;27(4):304-310. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/3346511\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>- Coughlin MJ. <em>Afwijkingen aan de kleine tenen.<\/em> Instr Course Lect. 2003;52:421-428. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12690869\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>- Menz HB, et al. <em>Epidemiology of Hallux Valgus and Lesser Toe Deformities: A Systematic Review and Meta-Analysis.<\/em> Maturitas. 2018;118:7-14.      <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29325639\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><\/p><\/div><\/div><\/div><\/div>\n\n\n<p><!-- SECCI\u00d3N 11 \u2014 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\">Rechte tenen, zonder eelt en zonder pijn bij het lopen<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Als u al jaren last heeft van kromme tenen, terugkerende eeltplekken en schoenen die niet meer sluiten, is dit het moment om de stap te zetten.  <strong>De eerste beoordeling is gratis en vrijblijvend.<\/strong>  Binnen 30 minuten is alles duidelijk: of uw vingers in aanmerking komen voor een MIS-operatie, hoe uw herstel eruit zal zien en welk resultaat u kunt verwachten.<\/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 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img{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-left-title-image > img{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-content > img{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-786e2374.uagb-infobox__content-wrap{text-align: center;}[dir=rtl] .uagb-block-786e2374.uagb-infobox-icon-above-title{text-align: center;}[dir=rtl] .uagb-block-786e2374.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg{margin-right: 5px;margin-left: 0px;}@media only screen and (max-width: 976px) {.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-icon-wrap > svg{width: 30px;height: 30px;line-height: 30px;font-size: 30px;}.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-icon-wrap > svg{line-height: 30px;font-size: 30px;}.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-content img{box-sizing: content-box;}.uagb-block-786e2374 .uagb-ifb-icon{width: 30px;line-height: 30px;}.uagb-block-786e2374 .uagb-ifb-icon > span{font-size: 30px;width: 30px;line-height: 30px;}.uagb-block-786e2374 .uagb-iconbox-icon-wrap{width: 30px;height: 30px;line-height: 30px;}.uagb-block-786e2374 .uagb-ifb-content .uagb-ifb-left-title-image > svg{width: 30px;line-height: 30px;font-size: 30px;}.uagb-block-786e2374 .uagb-ifb-content .uagb-ifb-right-title-image > svg{width: 30px;line-height: 30px;font-size: 30px;}.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg {margin-left: 5px;}[dir=rtl] .uagb-block-786e2374.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg{margin-right: 5px;margin-left: 0px;}}@media only screen and (max-width: 767px) {.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-icon-wrap > svg{width: 30px;height: 30px;line-height: 30px;font-size: 30px;}.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-icon-wrap > svg{line-height: 30px;font-size: 30px;}.uagb-block-786e2374 .uagb-ifb-content .uagb-ifb-left-title-image > svg{width: 30px;line-height: 30px;font-size: 30px;}.uagb-block-786e2374 .uagb-ifb-content .uagb-ifb-right-title-image > svg{width: 30px;line-height: 30px;font-size: 30px;}.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-content img{box-sizing: content-box;}.uagb-block-786e2374 .uagb-ifb-icon{width: 30px;line-height: 30px;}.uagb-block-786e2374 .uagb-ifb-icon > span{font-size: 30px;width: 30px;line-height: 30px;}.uagb-block-786e2374 .uagb-iconbox-icon-wrap{width: 30px;height: 30px;line-height: 30px;}.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg {margin-left: 5px;}[dir=rtl] .uagb-block-786e2374.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg{margin-right: 5px;margin-left: 0px;}}.uagb-block-d1fb0105 .uagb-ifb-icon{width: 30px;line-height: 30px;}.uagb-block-d1fb0105 .uagb-ifb-icon > span{font-size: 30px;width: 30px;line-height: 30px;color: #333;}.uagb-block-d1fb0105 .uagb-ifb-icon svg{fill: #333;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-icon-wrap svg{width: 30px;height: 30px;line-height: 30px;font-size: 30px;color: #333;fill: #333;}.uagb-block-d1fb0105 .uagb-ifb-content .uagb-ifb-icon-wrap svg{line-height: 30px;font-size: 30px;color: #333;fill: #333;}.uagb-block-d1fb0105 .uagb-iconbox-icon-wrap{margin: auto;display: inline-flex;align-items: center;justify-content: center;box-sizing: content-box;width: 30px;height: 30px;line-height: 30px;padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-icon-wrap > svg{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-icon-wrap > svg{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;}.uagb-block-d1fb0105 .uagb-ifb-content .uagb-ifb-left-title-image svg{width: 30px;line-height: 30px;font-size: 30px;color: #333;fill: #333;}.uagb-block-d1fb0105 .uagb-ifb-content .uagb-ifb-right-title-image svg{width: 30px;line-height: 30px;font-size: 30px;color: #333;fill: #333;}.uagb-block-d1fb0105 .uagb-infobox__content-wrap .uagb-ifb-imgicon-wrap{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;}.uagb-block-d1fb0105 .uagb-infobox .uagb-ifb-image-content img{border-radius: 0px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap img{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;border-radius: 0px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-right-title-image > img{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;border-radius: 0px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-left-title-image > img{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;border-radius: 0px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content > img{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;border-radius: 0px;}.uagb-block-d1fb0105 .uagb-ifb-title-wrap .uagb-ifb-title-prefix{margin-bottom: 10px;margin-top: 5px;}.uagb-block-d1fb0105 .uagb-ifb-title{font-family: \"Playfair Display\";font-weight: 900;font-size: 19px;color: var(--ast-global-color-4);margin-bottom: 10px;}.uagb-block-d1fb0105 .uagb-ifb-desc{color: var(--ast-global-color-4);margin-bottom: 20px;}.uagb-block-d1fb0105 .uagb-ifb-separator{width: 30%;border-top-width: 2px;border-top-color: #333;border-top-style: solid;margin-bottom: 0px;}.uagb-block-d1fb0105 .uagb-infobox__content-wrap .uagb-ifb-separator{width: 30%;border-top-width: 2px;border-top-color: #333;border-top-style: solid;}.uagb-block-d1fb0105 .uagb-ifb-align-icon-after{margin-left: 5px;}.uagb-block-d1fb0105 .uagb-ifb-align-icon-before{margin-right: 5px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content svg{box-sizing: content-box;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content img{box-sizing: content-box;}.uagb-block-d1fb0105 .uagb-infobox__content-wrap{text-align: left;}.uagb-block-d1fb0105.uagb-infobox-icon-above-title{text-align: left;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg {margin-left: 5px;}[dir=rtl] .uagb-block-d1fb0105 .uagb-iconbox-icon-wrap{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-icon-wrap > svg{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-icon-wrap > svg{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap img{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-right-title-image > img{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-left-title-image > img{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content > img{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap{text-align: right;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox-icon-above-title{text-align: right;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg{margin-right: 5px;margin-left: 0px;}@media only screen and (max-width: 976px) {.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-icon-wrap > svg{width: 30px;height: 30px;line-height: 30px;font-size: 30px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-icon-wrap > svg{line-height: 30px;font-size: 30px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content img{box-sizing: content-box;}.uagb-block-d1fb0105 .uagb-ifb-icon{width: 30px;line-height: 30px;}.uagb-block-d1fb0105 .uagb-ifb-icon > span{font-size: 30px;width: 30px;line-height: 30px;}.uagb-block-d1fb0105 .uagb-iconbox-icon-wrap{width: 30px;height: 30px;line-height: 30px;}.uagb-block-d1fb0105 .uagb-ifb-content .uagb-ifb-left-title-image > svg{width: 30px;line-height: 30px;font-size: 30px;}.uagb-block-d1fb0105 .uagb-ifb-content .uagb-ifb-right-title-image > svg{width: 30px;line-height: 30px;font-size: 30px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg {margin-left: 5px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg{margin-right: 5px;margin-left: 0px;}}@media only screen and (max-width: 767px) {.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-icon-wrap > svg{width: 30px;height: 30px;line-height: 30px;font-size: 30px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-icon-wrap > svg{line-height: 30px;font-size: 30px;}.uagb-block-d1fb0105 .uagb-ifb-content .uagb-ifb-left-title-image > svg{width: 30px;line-height: 30px;font-size: 30px;}.uagb-block-d1fb0105 .uagb-ifb-content .uagb-ifb-right-title-image > svg{width: 30px;line-height: 30px;font-size: 30px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content img{box-sizing: content-box;}.uagb-block-d1fb0105 .uagb-ifb-icon{width: 30px;line-height: 30px;}.uagb-block-d1fb0105 .uagb-ifb-icon > span{font-size: 30px;width: 30px;line-height: 30px;}.uagb-block-d1fb0105 .uagb-iconbox-icon-wrap{width: 30px;height: 30px;line-height: 30px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg {margin-left: 5px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg{margin-right: 5px;margin-left: 0px;}}.uagb-block-130741ef .uagb-ifb-icon{width: 30px;line-height: 30px;}.uagb-block-130741ef .uagb-ifb-icon > span{font-size: 30px;width: 30px;line-height: 30px;color: #333;}.uagb-block-130741ef .uagb-ifb-icon svg{fill: #333;}.uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-icon-wrap svg{width: 30px;height: 30px;line-height: 30px;font-size: 30px;color: #333;fill: #333;}.uagb-block-130741ef .uagb-ifb-content .uagb-ifb-icon-wrap svg{line-height: 30px;font-size: 30px;color: #333;fill: #333;}.uagb-block-130741ef .uagb-iconbox-icon-wrap{margin: auto;display: inline-flex;align-items: center;justify-content: center;box-sizing: content-box;width: 30px;height: 30px;line-height: 30px;padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;}.uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-icon-wrap > svg{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;}.uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-icon-wrap > svg{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;}.uagb-block-130741ef .uagb-ifb-content .uagb-ifb-left-title-image svg{width: 30px;line-height: 30px;font-size: 30px;color: #333;fill: #333;}.uagb-block-130741ef .uagb-ifb-content .uagb-ifb-right-title-image svg{width: 30px;line-height: 30px;font-size: 30px;color: #333;fill: #333;}.uagb-block-130741ef .uagb-infobox__content-wrap .uagb-ifb-imgicon-wrap{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;}.uagb-block-130741ef .uagb-infobox .uagb-ifb-image-content img{border-radius: 0px;}.uagb-block-130741ef.uagb-infobox__content-wrap img{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;border-radius: 0px;}.uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-right-title-image > img{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;border-radius: 0px;}.uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-left-title-image > img{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;border-radius: 0px;}.uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-content > img{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;border-radius: 0px;}.uagb-block-130741ef .uagb-ifb-title-wrap .uagb-ifb-title-prefix{margin-bottom: 10px;margin-top: 5px;}.uagb-block-130741ef .uagb-ifb-title{font-family: \"Playfair Display\";font-weight: 900;font-size: 19px;color: var(--ast-global-color-4);margin-bottom: 10px;}.uagb-block-130741ef .uagb-ifb-desc{color: var(--ast-global-color-4);margin-bottom: 20px;}.uagb-block-130741ef .uagb-ifb-separator{width: 30%;border-top-width: 2px;border-top-color: #333;border-top-style: solid;margin-bottom: 0px;}.uagb-block-130741ef .uagb-infobox__content-wrap .uagb-ifb-separator{width: 30%;border-top-width: 2px;border-top-color: #333;border-top-style: solid;}.uagb-block-130741ef .uagb-ifb-align-icon-after{margin-left: 5px;}.uagb-block-130741ef .uagb-ifb-align-icon-before{margin-right: 5px;}.uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-content svg{box-sizing: content-box;}.uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-content img{box-sizing: content-box;}.uagb-block-130741ef .uagb-infobox__content-wrap{text-align: left;}.uagb-block-130741ef.uagb-infobox-icon-above-title{text-align: left;}.uagb-block-130741ef.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg {margin-left: 5px;}[dir=rtl] .uagb-block-130741ef .uagb-iconbox-icon-wrap{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-icon-wrap > svg{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-icon-wrap > svg{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-130741ef.uagb-infobox__content-wrap img{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-right-title-image > img{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-left-title-image > 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