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How to Properly Diagnose Sever’s Disease

Children who frequently participate in sporting activities may be prone to developing Sever’s disease. It is a condition that affects the growth plate in the heel in children and young teenagers, and limping is a noticeable sign. The foot grows to its full size during early puberty and often grows faster than the surrounding tendons and muscles. The foot can become less flexible and can cause extra pressure where the Achilles tendon connects to the heel. A diagnosis that is referred to as the squeeze test is often performed, which is done by squeezing both sides of the heel. Flexibility may be limited, and it may be painful to walk. Effective prevention methods can include having your child wear shoes that have additional cushioning in the heel area, and performing specific stretches that can strengthen the heel. If your active child has heel pain, please consult with a podiatrist who can accurately diagnose Sever’s disease, and offer correct treatment options.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see our podiatrists from CNY Foot Surgery & Podiatry Care. 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 office located in East Syracuse, NY . 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 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.
Understanding Plantar Fasciitis Pain

Sometimes aching feet are simply a result of standing for too long or overdoing an activity. But certain types of foot pain may indicate more serious arch and heel problems, the most common of which is plantar fasciitis. If you experience sharp pains in the feet when you first get up in the morning, it can be a sign of plantar fasciitis because the muscles in the feet tighten up overnight. Likewise, if you feel pain in the heels after exercising, and inflammation becomes chronic, plantar fasciitis may be indicated. Arthritis may be an underlying cause of plantar fasciitis and the heel pain it brings. Osteoporosis, which is a thinning of the bones, can contribute to stress fractures that may change the way you move or walk. This shifting of weight can cause foot pain to increase and add to the risk of developing plantar fasciitis. If you believe you may have plantar fasciitis, please make an appointment with a podiatrist for an examination and diagnosis.
Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact our podiatrists from CNY Foot Surgery & Podiatry Care. Our doctors can provide the care you need to keep you pain-free and on your feet.
What Is Plantar Fasciitis?
Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.
What Causes Plantar Fasciitis?
- Excessive running
- Non-supportive shoes
- Overpronation
- Repeated stretching and tearing of the plantar fascia
How Can It Be Treated?
- Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
- Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
- Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel
While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.
If you have any questions please feel free to contact our office located in East Syracuse, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Plantar Fasciitis
The plantar fascia is a connective tissue in the heel that stretches across the bottom length of your foot. Plantar fasciitis occurs when the connective tissue becomes inflamed, causing heel pain and discomfort during physical activity. Although the condition is completely treatable, traditional methods can take up to a year to start becoming effective.
Plantar fasciitis is caused by a number of everyday activities, so understanding the condition is important for managing and treating it. One of the most common causes of plantar fasciitis is excessive running, especially with improper fitting or non-supportive shoes. Too much exercise can lead to the plantar fascia being overworked and overstretched, which can cause tears in the tissue. Along with improper fitting shoes, pronation, the rolling of the feet inward, is a common cause of plantar fasciitis. If not treated properly, the plantar fascia becomes overstretched and starts to tear, causing inflammation.
Despite the common causes of plantar fasciitis, there are many different treatment options. For less severe cases, conservative home remedies include taking anti-inflammatory drugs to alleviate pain, applying ice packs to the bottom of your foot and heel, slowly stretching and exercising your feet to re-strengthen the tissue, and using orthotic devices are all ways to help manage your plantar fasciitis.
For more severe cases, shockwave therapy has become a common solution for plantar fasciitis. Shockwave therapy can effectively break up the tissue on the bottom of your foot which facilitates healing and regeneration. This fights the chronic pain caused by plantar fasciitis. Even if this doesn’t work, surgery is always a final option. Surgery on the tissue itself can be done to permanently correct the issue and stop the inflammation and pain in your heels.
No matter what the case may be, consulting your podiatrist is the first and best step to recovery. Even the slightest amount of heel pain could be the first stage of plantar fasciitis. Untreated symptoms can lead to the tearing and overstretching of tissue. Because the tearing of tissue can be compounded if it remains ignored, it can evolve into a severe case. The solution is early detection and early treatment. Talk to your podiatrist about the possibilities of plantar fasciitis if you’re experiencing heel pain.
Methods That Can Determine the Right Shoe Size

The first place to start when determining the correct shoe size is by measuring your feet. Research has indicated that a large percentage of people worldwide are wearing the wrong shoe size. This often results in developing unwanted foot conditions consisting of corns, calluses, and blisters. To obtain the correct shoe size, it is beneficial to measure your feet at the end of the day when they are at their largest. The majority of shoe stores have a Brannock device which can accurately measure the feet. Conversely, many people choose to measure their feet at home, and this is done by standing on a piece of paper, and tracing the outline of each foot, followed by measuring them. At this point, the measurements can be compared to a size chart, and the correct shoe size can be determined. While in the shoe store, it is beneficial to try on both shoes and walk for a short time in them, which is helpful in ensuring a comfortable fit. If you have questions about how to get your right shoe size, please do not hesitate to consult a podiatrist who can provide you with the information you are seeking.
Getting the right shoe size is an important part of proper foot health. Seek the assistance of our podiatrists from CNY Foot Surgery & Podiatry Care. Our doctors will provide the care you need to keep you pain-free and on your feet.
Getting the Right Shoe Size
There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.
- When visiting the shoe store, use the tools available to measure your foot.
- Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
- Do not always assume you are the same size, as manufacturers run differently.
- Purchase shoes later in the day, as your feet swell as the day progresses.
- If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes
As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.
If you have any questions, please feel free to contact our office located in East Syracuse, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Getting the Right Shoe Size
If you want to ensure the long-term health of your feet, you should choose the right pair of shoes to wear on an everyday basis. Poorly fitting shoes will not only be uncomfortable, but they may also cause foot pain and unwanted foot conditions. When looking for a new pair of shoes, there are certain factors you should look for.
One of the most crucial tips you can follow is to always try shoes on in the afternoon. It is normal for feet to swell throughout the day, which means your shoe size may be different in the morning compared to what it is at night. To be safe, you should go with the slightly bigger size to ensure that your feet have enough room within your shoes.
Another rule is to never buy shoes that are too tight (Many people buy shoes that are too tight for their feet and expect the shoes to stretch out). If you are looking for a pair of running sneakers, you can go to a specialty running shoe store to have your feet properly sized. When you purchase shoes in-store, walk around in them to make sure the shoes you are going to buy fit you properly. Take some time to make sure the shoes are comfortable for your feet
The upper section of your shoe should be made from a softer, more flexible material. The material that makes up the shoe should not be slippery. Arch support should be a key factor in the decision-making process for shoes. Arch support is crucial because it will prevent the arches in your feet from collapsing. If your arches collapse, the plantar fascia may begin to stretch out which could lead to plantar fasciitis.
Many problematic foot conditions may be prevented by wearing properly fitting shoes. Some of these unwanted conditions are bunions, corns, calluses, pain, stress fractures, and plantar fasciitis. If you are suffering from any of these ailments you may want to speak with your podiatrist.
Club Foot Is Treatable

Club foot is a condition that begins when the baby is inside the womb. It is considered to be a rare foot condition and is noticeable as the feet turn in and point down. It happens as a result of a short Achilles tendon and can affect one or both feet. Club foot is generally not painful to babies despite the difficulty in walking if it is not treated. An ultrasound can be performed during the pregnancy, and it can give the parents the opportunity to speak with their doctor about specific treatment methods. A common treatment is referred to as the Ponseti method, and this provides gentle manipulation that stretches the feet into a better position. This is followed by having the baby wear a cast, and the method is repeated approximately every eight weeks. Minor surgery may be necessary to perform on the Achilles tendon when the feet have straightened out, and this can be helpful in loosening this tendon. If you have questions about club foot, it is strongly advised that you seek the counsel of a podiatrist who can perform the necessary treatment options that can benefit your child.
Some foot conditions may require additional professional care. If you have any concerns, contact our podiatrists of CNY Foot Surgery & Podiatry Care. Our doctors 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 East Syracuse, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
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.
Warming Up Before Running May Prevent Running Injuries

Incurring a running injury can ruin any day for the avid runner. There are simple methods that can be done that may help to prevent running injuries. The importance of warming up and cooling down before and after running is crucial in keeping the muscles flexible. This is necessary for keeping the tendons and ligaments healthy as running is practiced. It is beneficial to pay attention to the body, and foot pain for any reason may need prompt medical attention. Existing foot pain may cause the body to compromise on gait and balance, and there are three key factors that experienced runners implement to prevent injuries. A muscle’s potential to reach its full range of motion and flexibility can be increased when soft tissue elasticity is increased. Performing simple stretches can improve joint mobility, in addition to running becoming easier. Muscle activation is needed while running, and this is done by improving tissue elasticity and joint mobility. For additional tips on how running injuries can affect the feet and how to prevent them, please confer with a podiatrist.
Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact our podiatrists of CNY Foot Surgery & Podiatry Care. Our doctors will treat your foot and ankle needs.
How to Prevent Running Injuries
Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.
What Are Some Causes of Running Injuries?
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.
Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.
If you have any questions please feel free to contact our office located in East Syracuse, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.