Understanding Sever's Disease

Sever's disease, also known as calcaneal apophysitis, is a common cause of heel pain in growing children and adolescents, particularly those involved in sports like running or basketball. It occurs when the growth plate in the heel or calcaneus becomes irritated or inflamed due to repetitive stress, often worsened by activities that involve running or jumping. The main symptoms of Sever's disease include heel pain, tenderness, and swelling at the back of the heel, especially after physical activity. Children may also limp or complain of discomfort when walking or standing for long periods. Treatment typically focuses on relieving pain and reducing inflammation. This may include stretching exercises for the Achilles tendon. Custom orthotics or heel pads can also help reduce pressure on the heel. In severe cases, a podiatrist may recommend a period of restricted activity. If your child is dealing with this condition, it is suggested that you make an appointment with a podiatrist.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Sharmila Das-Wattley, DPM from Home Wound Healing. Our doctor 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 office located in Florida . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Reasons You Might Need Toe Surgery

Toe surgery is sometimes needed when deformities or painful changes in the toes make walking, standing, or wearing shoes difficult. Conditions like hammer toes, claw toes, or severe bunions may cause joints to bend abnormally, leading to corns, ulcers, or painful pressure points. These problems may be present at birth or develop later due to arthritis, high arches, or changes in foot mechanics. When the toe becomes rigid, conservative measures may no longer help, and toe surgery may be required to restore function. A podiatrist can determine whether procedures such as joint realignment, tendon release, bone removal, or fusion are appropriate. In some cases, correction also involves the metatarsal bones of the forefoot to achieve better balance and reduce strain. Surgery can relieve discomfort, improve alignment, and lower the risk of more serious complications. If you are experiencing ongoing toe pain, it is suggested that you make an appointment with a podiatrist for an exam and treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact Sharmila Das-Wattley, DPM of Home Wound Healing. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please contact our office located in Florida . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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What Is Tarsal Tunnel Syndrome?

Tarsal tunnel syndrome is an unusual form of peripheral neuropathy caused by pressure on the tibial nerve as it travels through the tarsal tunnel near the ankle. This compression can lead to numbness, burning, tingling, and pain in the ankle, bottom of the foot, and toes. A podiatrist can perform a detailed examination and order diagnostic tests, which record electrical activity in muscles and nerves, to confirm the condition. Treatment may include custom orthotics, anti-inflammatory therapy, or surgical release of the nerve, in severe cases. If you have persistent foot or ankle pain with tingling or numbness, it is suggested that you promptly schedule an appointment with a podiatrist who can accurately diagnose and treat what may be going on.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Sharmila Das-Wattley, DPM of Home Wound Healing. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please contact our office located in Florida . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Choosing the Right Shoes for Medical Workers

For healthcare professionals who spend long hours on their feet, wearing the right shoes is essential for comfort and safety. Proper footwear provides traction to prevent slips and falls, along with cushioning and support to reduce fatigue and joint strain. Wearing the wrong shoes can lead to plantar fasciitis, bunions, calluses, or back and knee pain, over time. Investing in well-fitted, supportive shoes helps maintain proper posture and overall wellness during long shifts. A podiatrist can assess your feet, recommend the best shoe styles, and provide custom orthotics for additional support. If you have foot pain, it is suggested that you consult a podiatrist who can treat various foot conditions and guide you on the correct shoes to wear for your demanding workday. 

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Sharmila Das-Wattley, DPM from Home Wound Healing. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

If you have any questions please contact our office located in Florida . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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