Sever’s Disease Affects Young Feet
Sever's disease, also known as calcaneal apophysitis, is a common condition affecting children and adolescents, particularly those who are active in sports. Contrary to its name, Sever's disease is not a true disease but rather an inflammation of the growth plate in the heel bone. This inflammation occurs due to repetitive stress or tension on the growth plate, often during periods of rapid growth. As a result, the heel becomes painful and tender, especially during physical activities like running or jumping. Despite its discomfort, Sever's disease does not cause long-term damage and typically resolves once the growth plate closes. However, proper management is critical to alleviate symptoms and prevent recurrence. Treatment may involve rest, stretching exercises, wearing supportive footwear, and in severe cases, temporary activity modification. If your child has heel pain and enjoys participating in sporting activities, it is suggested that you consult a podiatrist who can accurately diagnose and treat Sever’s disease.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrist from North Texas Podiatry Associates. Our doctors can treat your child’s foot and ankle needs.
Sever’s Disease
Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.
Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.
Symptoms
Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.
Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.
If you have any questions, please feel free to contact our offices located in Euless and Southlake, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.
Sever's Disease
Sever's disease, also known as calcaneal apophysitis, is a medical condition that causes heel pain in children’s feet while they’re growing. Sever's disease occurs most commonly in boys and girls between the ages of 8 and 14.
Sever's disease occurs when the child’s growth plate, or the calcaneal epiphysis, an area attached to the Achilles tendon, is injured or when the muscles and tendons of the growing foot do not keep pace with bone growth. The result is constant pain experienced at the back of the heel and the inability to put any weight on the heel. This forces the child to bear weight on their toes while walking. When a toe gait develops, the child must change the way they walk to avoid placing weight on the painful heel. If this is not properly addressed, this can lead to further developmental problems.
The most common symptom of Sever's disease is acute pain felt in the heel when a child engages in physical activity such as walking, jumping or running. Children who are active athletes are among the group most susceptible to experiencing Sever's disease. This is due to the extreme stress and tension placed on their growing feet. The rolling movement of the foot during walking or running and obesity are both additional conditions linked to causing Sever's disease.
The first step in treating Sever's disease is to rest the foot and leg and avoid physical activity. Over the counter pain-relieving and anti-inflammatory medications can be helpful for reducing the amount of heel pain. A child with Sever's disease should also wear shoes that properly support the heel and the arch of the foot. Consider purchasing orthotic shoe inserts which can help support the heel and foot while it is healing. Most patients with Sever's disease symptoms report an eventual elimination of heel pain after wearing orthotic insoles that support the affected heel.
Sever's disease may affect either one heel or both. It is important for a child experiencing heel pain to be examined by a foot doctor who can apply the squeeze test. The squeeze test compresses both sides of the heel in order to determine if there is intense pain. Discourage any child diagnosed with Sever's disease from going barefoot as this can intensify the problem. Apply ice packs to the affected painful heel two or three times a day for pain relief.
Exercises that help stretch the calf muscles and hamstrings are effective at treating Sever's disease. An exercise known as foot curling has also proven to be very effective at treating Sever's disease. When foot curling, the foot is pointed away from the body, then curled toward the body to help stretch the muscles. The curling exercise should be done in sets of 10 or 20 repetitions and repeated several times throughout the day.
Treatment methods can continue for at least 2 weeks and as long as 2 months before the heel pain completely disappears. A child can continue doing daily stretching exercises for the legs and feet to prevent Sever’s disease from returning.
When Foot or Ankle Surgery Might Be Needed
The foot and ankle are complex structures comprised of bones, muscles, tendons, ligaments, and joints. The foot is made up of three main sections: the forefoot, midfoot, and hindfoot. Key bones include the tarsal bones, metatarsals, and phalanges. Major muscles and tendons control movement and stability. Surgery may be necessary for various conditions affecting the foot and ankle, such as severe fractures, ligament tears, tendon ruptures, or deformities like bunions or hammertoes. Other reasons for surgery can include chronic pain from arthritis or nerve compression, as well as congenital abnormalities requiring correction. In such cases, surgical intervention aims to restore function, alleviate pain, and improve mobility. Procedures range from arthroscopic surgery for minimally invasive joint repairs to complex reconstructions involving bone realignment or fusion. If you are having foot or ankle problems, it is suggested that you schedule an appointment with a podiatrist for a thorough assessment and to determine what the right treatment is for you.
Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrist of North Texas Podiatry Associates. Our doctors will assist you with all of your foot and ankle needs.
When Is Surgery Necessary?
Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:
- Removing foot deformities like bunions and bone spurs
- Severe arthritis that has caused bone issues
- Cosmetic reconstruction
What Types of Surgery Are There?
The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:
- Bunionectomy for painful bunions
- Surgical fusion for realignment of bones
- Neuropathy decompression surgery to treat nerve damage
Benefits of Surgery
Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.
Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.
If you have any questions please feel free to contact our offices located in Euless and Southlake, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Foot and Ankle Surgery
When conservative, noninvasive methods prove ineffective, surgery may be selected as the next course of action for the treatment of your foot or ankle condition. A wide number of foot and ankle surgical procedures exist, and it is up to your podiatrist to determine which intervention will be most appropriate and helpful for your case. Some surgical procedures include bunion surgery, fusion, hammertoe surgery, heel spur surgery, metatarsal surgery, nail surgery, neuroma surgery, reconstructive surgery, skin surgery, and tendon surgery. Typically, surgery is turned to as a definitive way to alleviate excessive pain or discomfort and to return your foot to full mobility.
Regardless of the location on the body, all surgical procedures require preoperative testing and examination to ensure the surgery’s success and preferred outcome. A review of your medical history and medical conditions will take place, as will an evaluation of any current diseases, illnesses, allergies, and medications. Tests such as blood studies, urinalyses, EKG, X-rays, and blood flow studies may be ordered. Because the procedure involves the foot and/or ankle, the structures of your feet while walking may also be observed by your podiatrist.
Care post-surgery will depend on the type of surgical procedure performed. Typically, all postoperative care involves rest, ice, compression, and elevation. To improve and ensure a safe recovery, your foot and ankle surgeon may also employ the use of bandages, splints, surgical shoes, casts, crutches, or canes. He will also determine if and when you can bear weight. A timely and thorough recovery is a priority for both you and your podiatrist, and carefully following postoperative instructions can help achieve this.
Surgical Remedies for Ingrown Toenails
Ingrown toenails occur when the nail grows into the skin of the toe, causing irritation, inflammation, and sometimes infection. Home remedies may provide temporary relief from an ingrown toenail, but if pain persists or signs of infection develop, seeking attention from a podiatrist is important. In such cases, prescription medication and surgical intervention may be necessary. Nail avulsion is a minor procedure that involves removing the ingrown portion of the nail, or the entire nail plate, under local anesthesia. Partial nail avulsion allows for regrowth within months, while complete nail avulsion is less common and results in permanent removal. For recurrent cases of ingrown toenails, a matrixectomy may be recommended. This involves removing the nail root to prevent future ingrowth. Various techniques, including chemical, electrosurgical, or surgical methods, are employed based on individual needs. When an infection develops, a podiatrist will prescribe oral antibiotics to clear the bacteria and prevent complications. If you have persistent pain or redness due to an ingrown toenail, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options.
Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact one of our podiatrist of North Texas Podiatry Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.
Causes
- Improper toenail trimming
- Genetics
- Improper shoe fitting
- Injury from pedicures or nail picking
- Abnormal gait
- Poor hygiene
You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.
Symptoms
Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.
Treatment
Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.
If you have any questions, please feel free to contact our offices located in Euless and Southlake, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Ingrown Toenails
Ingrown toenails (onychocryptosis) are a common foot ailment and it is very unpleasant to experience. The condition is caused by an increase in pressure from the ingrowth of the nail edge into the skin of the toe. Ingrown toenails commonly cause pain in those who experience them. In some cases, the skin surrounding the ingrown toenail may break which may lead bacteria to enter through and cause an infection. Common symptoms of this ailment include pain, redness, swelling, and warmth around the toe.
An imbalance between the size of the nail and the enlargement of the nail skin edge causes ingrown toenails. This condition is often caused by improperly trimming the toenails. If you are trying you cut your nails, you should always try to trim straight across instead of in a rounded shape. Ingrown toenails can also be an inherited condition and they may also be caused by improper shoe fitting.
Another common cause of the condition is wearing shoes that are either too small or too large. Other causes include poor foot hygiene, obesity, diabetes, arthritis, edema, and fungal infections. There are many risk factors that may make a person more likely to develop an ingrown toenail. Athletes who play “stop and start” sports such as tennis, soccer, and basketball are most likely to have ingrown toenails.
People who have diabetes, a compromised immune system, or poor circulation should immediately seek care from a podiatrist if they have an ingrown toenail. It is also recommended to seek professional assistance if at-home remedies are not successful within a week or if there is persistent pain.
Why Live with Pain and Numbness in Your Feet?
Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.
Causes and Treatment of Supination
Understanding supination, also called underpronation, is essential for maintaining foot health. Supination occurs when your weight rolls onto the outer edges of the feet during movement. It is often the result of inherited structural issues or muscle weakness. Unfortunately, excessive supination can lead to various problems, including back and hip pain, knee stress, ankle injuries, and plantar fasciitis. Supination can also cause tension in different parts of the body over time, increasing the risk of injuries. Seeking medical help from a podiatrist for a gait analysis is advisable if you suspect supination, or are experiencing unexplained lower body pain. Treatment typically involves corrective measures to address foot alignment and prevent future injuries. This may include selecting appropriate footwear with extra cushioning and room in the toes, using custom-made orthotic insoles, and performing strength and stretching exercises as suggested by a podiatrist. Proper care and intervention can alleviate discomfort and prevent complications associated with supination, ensuring optimal mobility and well-being. If you believe you have pain that results from supination, it is suggested that you schedule an appointment with a podiatrist.
If you have any concerns about your feet, contact one of our podiatrist from North Texas Podiatry Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.
Biomechanics in Podiatry
Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.
A History of Biomechanics
- Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
- In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.
Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.
Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.
If you have any questions please feel free to contact our offices located in Euless and Southlake, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Biomechanics in Podiatry
Podiatry is a branch of medicine that deals with the study, diagnosis, and treatment of foot and ankle conditions. There are various subdivisions in podiatry; biomechanics is one of them. Biomechanics is the way in which the bones, muscles, and joints of the feet and lower limb interact with each other.
Our feet play crucial roles in the way we move, and it is rare to have feet that are completely symmetrical. Common biomechanical issues include high or low arches or uneven leg heights. Excessive pronation often leads to fallen arches, or flat feet, and is a common cause of running injuries. People whose feet are over-pronated tend to have flexible and unstable feet. Pain is usually experienced during walking and running.
At times, people may be able to adapt to these abnormalities without any difficulties, but in other cases, these issues can cause a great deal of pain. This pain occurs because the joints, muscles, ligaments, and tendons are put under an excess amount of stress during movement. Common symptoms of biomechanical problems stemming from the feet include hip pain, knee pain, leg cramps, ankle pain, lower back pain, weak ankles, tripping, heel pain, Achilles pain, and shin splints.
Many biomechanical issues can be treated with orthotics. Orthotics are shoe insoles that are used to help control the way the foot operates. They can provide relief from foot pain, heel pain, and knee pain. Depending on your specific case, you may need to purchase over-the-counter orthotics or custom orthotics to fit your feet. Your podiatrist will be able to prescribe the perfect orthotic for your feet to help you walk around with ease.
Gait is defined as the way we move our bodies from one point to another. This is usually done by either walking or running. Gait analysis is a method used to assess the way we walk or run to highlight biomechanical abnormalities. Gait analyses are a great way to take a detailed look at how you walk and how your foot moves while you walk. An examination of the feet will help your podiatrist understand why you are suffering pain in other parts of your body.
Daily Foot Care for Diabetic Patients
Proper foot care is of extreme importance for diabetics to prevent serious complications, such as foot ulcers and possibly gangrene. A daily regimen begins with checking your feet daily for cuts, redness, swelling and sores, or any skin or nail changes. Use a mirror or ask for help if needed. Wash your feet daily with warm water, ensuring thorough drying and moisturizing except between toes. Always wear well-fitting shoes and socks or slippers to protect against injury, and inspect shoes regularly. Trim toenails straight across and seek podiatric assistance if necessary. Avoid self-treating corns or calluses. Schedule regular foot exams with a podiatrist, especially if you have nerve damage, to monitor sensation and blood flow. Promote circulation by elevating feet when sitting and incorporating gentle exercises. Choose low-impact activities like walking, biking, or swimming. It is suggested that people with diabetes schedule regular visits to a podiatrist to prevent or manage the serious complications caused by this disease.
Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact one of our podiatrist from North Texas Podiatry Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.
Diabetic Foot Care
Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.
The Importance of Caring for Your Feet
- Routinely inspect your feet for bruises or sores.
- Wear socks that fit your feet comfortably.
- Wear comfortable shoes that provide adequate support.
Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.
It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.
If you have any questions please feel free to contact our offices located in Euless and Southlake, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
