Sever's disease, a common but often misunderstood condition, is not truly a disease, but rather a growth-related heel pain that affects active children and adolescents. This condition, also known as calcaneal apophysitis, occurs when the growth plate at the back of the heel becomes inflamed due to repetitive stress and tension. Children between the ages of 8 and 15 are most susceptible to Sever's disease, as this is typically when their bones are rapidly growing. This growth spurt places extra stress on the heel's growth plate, especially in active children who participate in sports or activities that involve running and jumping. The hallmark symptom of Sever's disease is heel pain, often exacerbated by physical activity. This pain can be particularly bothersome during or after exercise. Understanding Sever's disease is essential for parents and young athletes, as it enables early recognition and appropriate management. If your active child has heel pain, it is suggested that you consult a podiatrist who can effectively 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 Frederick Matthews, DPM from Innovative Foot and Ankle Care. 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 Plano, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

Read more about Sever's Disease
Tuesday, 02 January 2024 00:00

Sever's Disease

Sever’s disease, also known as calcaneal apophysitis is a common bone disorder that occurs during childhood. The disease is defined as an inflammation of the growth plate in the heel. When a child has a growth spurt, his heel bone grows faster than the muscles, tendons, and ligaments in his leg. This disease is a result of overuse. The people who are most likely to be affected by this disease are children who are in a growth spurt, especially boys who are from the ages of 5 to 13 years old. 60% of children with Sever’s disease have both heels involved.

Symptoms of this disease are heel pain that intensifies during running and jumping activities. The pain is typically localized to the posterior part of the heel. Symptoms may be severe, and they can easily interfere with daily activities. Children who play soccer, baseball, and basketball are more likely to develop Sever’s disease.

Your doctor will diagnose your child based on his or her symptoms, x-rays are generally not helpful in diagnosing this disease. Your doctor may examine both heels and ask your child questions about his or her activity level in sports. Your doctor may then use the squeeze test on your child’s heel to see if there is any pain. Nevertheless, some doctors might still use x-rays to rule out any other issues such as fractures, infections, and tumors.

Sever’s disease can be prevented by maintaining good flexibility while your child is growing. Another prevention method is to wear good-quality shoes that have firm support and a shock-absorbent sole. Sever’s disease can be treated by ceasing any activity that causes heel pain. You should apply ice to the injured heel for 20 minutes 3 times a day. Additionally, orthotics should be used for children who have high arches, flat feet, or bowed legs.

If you suspect your child has Sever’s disease, you should make an appointment with your podiatrist to have his or her foot examined. Your doctor may recommend nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen to relieve pain. In more severe cases, your child may need a cast to rest his or her heel. Fortunately, Sever’s disease does not cause long-term foot problems. After treatment, your child should start to feel better within two weeks to two months.

Sunday, 31 December 2023 00:00

Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek professional help and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

Tuesday, 26 December 2023 00:00

Managing a Broken Foot

Managing a broken foot requires immediate attention and a structured treatment plan to ensure proper healing. Immobilization of the foot is often necessary to prevent further injury, and this may involve using splints, casts, or walking boots. The type of fracture dictates the specific immobilization method. Pain relief is an important aspect of management. In some cases, particularly for more complex fractures, surgery may be necessary to realign and stabilize the bones. Following immobilization, the patient usually needs to limit weight bearing on the injured foot, sometimes with the aid of crutches or a scooter. A podiatrist will establish a timeline for the gradual reintroduction of weight-bearing activities. If you have broken your foot, it is suggested that you make an appointment with a podiatrist as quickly as possible, and follow their instructions to prevent re-injury in addition to proper bone healing.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact Frederick Matthews, DPM from Innovative Foot and Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

  • Bruising
  • Pain
  • Redness
  • Swelling
  • Blue in color
  • Numbness
  • Cold
  • Misshapen
  • Cuts
  • Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

If you have any questions please feel free to contact our office located in Plano, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Causes, Symptoms, and Treatment for a Broken Foot

The human foot has 26 different bones, and the foot is divided into three parts: the hindfoot, the midfoot, and the forefoot. Each section of the foot is composed of a different amount of bones. For instance, the forefoot is made up of 19 bones. The midfoot is composed of five smaller bones called the navicular, cuboid, and three cuneiform bones. Lastly, the hindfoot is made up of only the talus and the calcaneus. The feet tend to be vulnerable to slipping and twisting; consequently, fractured bones within the foot are common. When a bone gets crushed, bent, twisted, or stretched it may become broken.

Many foot fractures occur through an accident or trauma. More specifically, common causes for broken feet are car accidents, falls, missteps, or overuse. If you have a broken ankle or foot, you may have one or more of the following symptoms: throbbing pain, swelling, bruising, tenderness, deformities, and difficulty walking.

There are some factors that may put you at a higher risk of developing a broken foot. People who participate in high-impact sports are more likely to develop foot fractures because of the stresses, direct blows, and twisting injuries involved in gameplay. Additionally, those who suddenly increase their activity level are more likely to suffer a stress fracture.

Unfortunately, there are different complications that may arise because of a foot fracture. For instance, arthritis may be caused by fractures that extend into the joints. Bone infections are also possible in open fractures due to the bone being exposed to bacteria. However, there are ways you can help prevent yourself from breaking your foot. One way to avoid fractures is to wear proper footwear. If you plan on going on a run, you should wear running shoes. You should also replace your shoes if you notice that they are becoming worn out. For runners, it is best to replace shoes every 300 to 400 miles.

Treatment for foot fractures usually consists of rest, ice, elevation, and compression (RICE). If you plan on wrapping your foot, try not to wrap it too tightly because doing so may cut off blood supply in the foot. You should also avoid walking on the fractured foot.

If you suspect you have a broken foot, you should see your podiatrist right away. It is important that you have someone bring you to your doctor, since driving with a broken foot can be dangerous. You should especially seek urgent care if you are experiencing numbness, pain, or deformities in your foot.

Tuesday, 19 December 2023 00:00

Cold Feet May Indicate Raynaud’s Phenomenon

Persistent cold feet can be more than just a response to chilly weather. It could be a sign of Raynaud's phenomenon, a condition that affects blood circulation to the feet and toes. When exposed to cold temperatures or heightened stress, this phenomenon can lead to a change in toe color, often turning them white or even blue as blood vessels react to reduced blood flow. Other symptoms can include pain, numbness, and a sensation of pins and needles. Even the skin may appear paler, irrespective of your natural skin tone. The exact cause of Raynaud's remains elusive, but it is associated with disruptions in blood circulation. Certain blood disorders, possibly involving excess platelets or red blood cells, may contribute to the condition. Additionally, heightened sensitivity of special receptors in the blood, regulating vessel narrowing, could play a role. While Raynaud's is typically not severe, ongoing symptoms warrant attention, as they may hint at an underlying issue. Managing Raynaud's symptoms focuses on keeping the toes warm, particularly in cold environments. Wearing warm socks can be effective in preventing and alleviating symptoms. If you suspect Raynaud's is affecting your toes, it is suggested that you schedule an appointment with a podiatrist who can accurately diagnosis this condition, and offer appropriate treatment options.

Some foot conditions may require additional professional care. If you have any concerns, contact Frederick Matthews, DPM of Innovative Foot and Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

  • Freiberg’s disease
  • Kohler’s disease
  • Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions please feel free to contact our office located in Plano, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
 

Read more about Rare Foot Conditions
Tuesday, 19 December 2023 00:00

Rare Foot Conditions

A podiatrist will be able to address a variety of rare foot conditions, particularly the ones that affect children. The most common are Kohler’s disease, Maffucci syndrome, and Freiberg’s disease. They can be properly diagnosed by having an X-ray taken, but in more serious cases an MRI may be needed. Kohler’s disease generally affects younger boys and bone deterioration may result from an interruption of blood supply. Children who have Kohler’s disease may find relief when the affected foot is rested, and a special boot is worn. Benign growths in the long bones of a child’s foot may lead to the development of bone lesions, and this is known as Maffucci syndrome. People who have this condition find mild relief when custom-made orthotics are worn. Freiberg’s disease targets the ball of the foot and can typically affect pre-teen and teenage girls. The metatarsal bone becomes deteriorated and flattened, and common symptoms include swelling and stiffness. A cast is often necessary to wear with this disease as it can help to reduce existing pain. Erythromelalgia is a rare foot condition, and its cause is unknown. Symptoms of this disease can include intense burning pain and the feet may appear red or feel warm. Relief may be found when the affected foot is immersed in ice water. It can also be beneficial to elevate the foot frequently. If your child complains of foot pain, it is strongly suggested that you consult with a podiatrist who can diagnose and treat rare foot conditions. 

Tuesday, 12 December 2023 00:00

Recurrence of Toenail Fungus

Onychomycosis is a fungal infection of the toenails. Successful treatment remains challenging, and the condition can have a significant impact on individuals. Effective management often requires months of treatment, and recurrence is common, affecting over half of successfully treated patients. Various factors contribute to the high recurrence rates. Patients with a genetic predisposition or belonging to susceptible populations, such as the elderly or diabetic people, are more likely to experience recurrence. Physical trauma can trigger recurrence in older people. Recurrence is also more common in children and may result from strong predisposing factors. Extending treatment durations beyond 48 weeks may offer better outcomes, allowing nails to grow out and eliminating nonviable fungal elements. If you have recurring toenail fungus, it is strongly suggested that you schedule an appointment with a podiatrist who can provide treatment and alleviate recurrence.

For more information about treatment, contact Frederick Matthews, DPM of Innovative Foot and Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please feel free to contact our office located in Plano, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Toenail Fungus
Tuesday, 12 December 2023 00:00

Toenail Fungus

Toenail fungus is a frustrating problem that affects many people. It can be persistent and hard to get rid of. As many different types of fungi are present throughout the environment, it is very easy to contract toenail fungus.  

The feet are especially susceptible to toenail fungus because shoes and socks create the ideal dark and moist environment that fungal infections thrive in. While fungal infections of the nail plate are quite common, if left untreated they can spread beyond the toenail and into the skin and other parts of the body.

Signs of toenail fungus include a thickened nail that has become yellow or brown in color, a foul smell, and debris beneath the nail. The toe may become painful due to the pressure of a thicker nail or the buildup of debris.

Treatment for toenail fungus is most effective during the early stages of an infection. If there is an accumulation of debris beneath the nail plate, an ingrown nail or a more serious infection can occur. While each treatment varies between patients, your podiatrist may prescribe you oral medications, topical liquids and creams, or laser therapy. To determine the best treatment process for you, be sure to visit your podiatrist at the first signs of toenail fungus.

Tuesday, 05 December 2023 00:00

The Important Role of Foot Protection at Work

In the realm of occupational safety, the significance of foot protection while working cannot be overstated. Whether navigating construction sites, industrial settings, or healthcare environments, the feet are vulnerable to various hazards. Sturdy, well-designed work boots serve as the first line of defense against potential injuries. These boots are crafted to shield the feet from falling objects, electrical hazards, sharp objects, and chemical spills. In professions where standing for prolonged periods is common, the right footwear provides essential support, preventing fatigue and discomfort. Beyond physical protection, appropriate footwear promotes overall foot health by reducing the risk of conditions like plantar fasciitis and stress fractures. Recognizing the role of foot protection in the workplace emphasizes the need for employers and employees alike to prioritize the selection and maintenance of proper footwear. If you would like more information about specific foot protection during the workday, it is suggested that you speak to a podiatrist.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Frederick Matthews, DPM from Innovative Foot and Ankle Care. 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 feel free to contact our office located in Plano, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Working on Your Feet
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