Heel Pain in Kids May Signal Sever’s Disease
Heel pain in children should never be casually dismissed, as it could be a potential sign of a condition known as Sever's disease. It is common among active youngsters and adolescents, especially those involved in sports. Sever's disease, medically known as calcaneal apophysitis, involves the growth plate within the heel bone and typically emerges in children aged between 8 and 15 years old. Repeated stress placed on the heel due to activities such as running, jumping, and participation in various sports can trigger this ailment. It is characterized by irritation and inflammation in the heel that results in pain. If your child experiences such pain during or after physical activities, or if you observe them limping or favoring tiptoe walking, it may indicate Sever’s disease. Swelling and tenderness in the heel area may also accompany these symptoms. Treatment involves a combination of rest, gentle stretching exercises, and, in some cases, the use of orthotics or specialized shoe inserts. Ignoring heel pain in children can lead to more severe complications or long-term discomfort. For an evaluation, 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 Neeta Hasmukh, DPM from Total Podiatry. 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 offices located in San Antonio, Uvalde, and Jourdanton, 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.
Causes of Bunions May Be More Than Just Footwear
Bunions, those bony bumps that form at the base of the big toe, are a common foot ailment that can cause pain and discomfort. While many people associate bunions with wearing tight or ill-fitting shoes, the causes are often more complex than simply blaming your footwear choices. One of the primary contributors to bunions is genetics. If bunions run in your family, you may be genetically predisposed to developing them. In such cases, the way your foot bones are structured can make you more susceptible. Another significant factor is having improper foot biomechanics. If your feet roll inward excessively when you walk, termed overpronation, or if you have a flat foot arch, the increased stress on the joint at the base of the big toe can lead to bunion formation over time. While wearing tight shoes with a narrow toe box can exacerbate the problem, they generally are not the sole cause of bunions. If you have developed a bunion, it is strongly suggested that you speak with a podiatrist who can determine the cause and guide you toward the treatment method that is best for you.
If you are suffering from bunion pain, contact Neeta Hasmukh, DPM of Total Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.
Causes
- Genetics – some people inherit feet that are more prone to bunion development
- Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development
Symptoms
- Redness and inflammation
- Pain and tenderness
- Callus or corns on the bump
- Restricted motion in the big toe
In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.
If you have any questions, please feel free to contact our offices located in San Antonio, Uvalde, and Jourdanton, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Bunions
A bunion is a bump that forms at the base of the big toe. Bunions form when the big toe pushes against the next toe, which forces the big toe joint to get bigger and stick out. As a result, the skin over the bunion may start to appear red and it may feel sore.
There are risk factors that can increase your chances of developing bunions. People who wear high heels or ill-fitting shoes are more likely to develop them, in addition to those who have a genetic history of bunions or have rheumatoid arthritis.
The most obvious way to tell if you have a bunion is to look for the big toe pushing up against the toe next to it. Bunions produce a large protrusion at the base of the big toe and may or may not cause pain. Other symptoms are redness, swelling, and restricted movement of the big toe if you have arthritis.
Nonsurgical methods are frequently used to treat bunions that aren’t severe. Some methods of nonsurgical treatment are orthotics, icing and resting the foot, taping the foot, and pain medication. Surgery is usually only required in extreme cases. However, if surgery is needed, some procedures may involve removing the swollen tissue from around the big toe joint, straightening the big toe by removing part of the bone, or joining the bones of your affected joint permanently.
Your podiatrist will diagnose your bunion by doing a thorough examination of your foot. He or she may also conduct an x-ray to determine the cause of the bunion and its severity.
Common Foot Problems in Children
Children's feet are essential for their overall health and development. However, various foot problems can affect children as they grow. Flat feet, or pes planus, is a common condition where the arches on the inside of the feet do not develop fully, making the entire sole touch the ground. While this is normal in infants, it should resolve as they age. Ingrown toenails can cause pain, redness, and swelling, often the result of improper nail trimming or tight shoes. Proper nail care and footwear are key to preventing this issue. Sever's disease, medically termed calcaneal apophysitis, is common in active children between the ages of 8 and 14. It affects the growth plate in the heel and causes heel pain, especially during physical activities. Deformities, such as clubfoot, curly toes or overlapping toes, can be present from birth or develop later. Early intervention can help correct these deformities. Parents may wish to regularly inspect their children's feet and seek the help of a podiatrist for any of these common foot problems.
The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Neeta Hasmukh, DPM of Total Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
Tips for Keeping Children's Feet Healthy
- Make sure their shoes fit properly
- Look for any signs of in-toeing or out-toeing
- Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
- Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
- Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
- Cut toenails straight across to avoid ingrown toenails
- Keep your child’s foot clean and dry
- Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.
If you have any questions, please feel free to contact our offices located in San Antonio, Uvalde, and Jourdanton, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
How to Care for Your Child's Feet
It is never normal for a child to experience pain in his or her feet. Foot pain that lasts more than a few days and limits a child’s ability to walk should be examined by a podiatrist. Many adult foot ailments originate in childhood and may be present at birth. Common foot issues that are experienced by children are pediatric flat foot, Sever’s disease, ingrown toenails, and plantar warts.
A child’s foot grows rapidly during the first year, allowing it to reach almost half of their adult foot size. Consequently, foot specialists consider the first year to be the most crucial point in the foot development process. There are ways you can help ensure that your child’s foot develops properly. One way is to carefully look at your baby’s feet. If you notice any deformities, you should immediately seek professional care. You should also loosely cover your child’s foot, since tight coverings may prevent movement and inhibit normal development. Another tip is to change the baby’s positioning throughout the day. If your baby lies down in one spot for too long, it may put an excess amount of strain on the feet and legs.
It is best that you try not to force a child to start walking. Children will begin to walk when they are both physically and emotionally capable to do so. You should also avoid comparing your child’s walking progress with other children because the age range for independent walking may range. When your child’s feet begin to develop, you may need to change both their shoe and sock size every few months to allow room for their feet to grow.
Kids are sometimes prone to splinters, cuts, and severe injuries because they tend to walk around barefoot. This also makes them more susceptible to developing plantar warts which is a condition caused by a virus that invades the sole of the foot through breaks in the skin. These ailments can be avoided by making sure your child wears shoes in unsanitary environments. You should also wash any minor cuts or scrapes on your child’s feet. It is a myth that exposure to fresh air will heal injuries; fresh air will only expose your child’s cuts to germs.
As a parent, you should ensure that your child’s feet are developing properly and are being properly maintained. Consequently, it is important that you perform routine inspections on his or her feet to detect any injuries or deformities in their early stages. Early detection and treatment will help to ensure that your child does not develop any serious foot conditions.
Understanding the Causes of Ingrown Toenails
Ingrown toenails are painful foot problems, and can disrupt your daily life, leading to discomfort. Understanding the causes behind them is crucial for prevention and effective management. A common culprit is improper toenail trimming. Cutting nails too short or rounding the edges can encourage them to grow into the skin. Tight-fitting shoes or socks can also compress the toenails, increasing the likelihood of inward growth. Trauma, such as stubbing your toe, also can distort the nail's growth pattern. Additionally, inherited factors and genetics can predispose some individuals to ingrown toenails. Infections and fungal conditions can further exacerbate the problem. It is essential to maintain proper nail care, wear well-fitting footwear, and address any foot issues promptly to reduce the risk of ingrown toenails and enjoy pain-free feet. If you have developed an ingrown toenail, it is suggested that you are under the care of a podiatrist who can provide you with relief and treatment options.
Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Neeta Hasmukh, DPM of Total Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.
Causes
- Bacterial infections
- Improper nail cutting such as cutting it too short or not straight across
- Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
- Ill-fitting shoes that bunch the toes too close together
- Genetic predisposition
Prevention
Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.
Treatment
Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.
If you have any questions please feel free to contact our offices located in San Antonio, Uvalde, and Jourdanton, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Fungal Infections Affecting Toenails
Fungal nails, also known as onychomycosis, result from a fungal infection. This condition often leads to nail thickening and discoloration, along with the buildup of dead skin beneath the nail plate. Sometimes, the nail's shape can also change. Among fungal infections affecting the body, nail infections are particularly challenging to prevent and treat. Onychomycosis arises due to an overgrowth of fungi that thrive in warm, moist environments, such as locker rooms, public showers, and swimming pool areas. Typically, fungal growth begins at the nail's end and gradually spreads beneath it. Occasionally, chalky white patches may form on the nail's surface. As the infection progresses, yellowish or brownish discoloration becomes evident. The fungus can also cause damage to the nail's base, resulting in a thickening and altered shape. Treatment for fungal nail infections involves conservative, laser, and surgical approaches. Conservative treatment consists of using a topical medication applied like nail polish. Reinfection is a risk, and antifungal spray can be used inside shoes to treat any residual infection. Laser treatment for fungal nails is non-invasive. Surgical intervention is considered only if other treatments are not effective. If you have a fungal nail infection, it is strongly suggested that you make an appointment with a podiatrist to have your nails assessed and treatment administered that is right for you.
For more information about treatment, contact Neeta Hasmukh, DPM of Total Podiatry. 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 offices located in San Antonio, Uvalde, and Jourdanton, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
How to Treat Your Toenail Fungus
While not a serious issue, toenail fungus, or onychomycosis, can be an embarrassing and uncomfortable condition to experience. Toenail fungus is often caused from public areas that harbor fungi and improper cleaning/drying of the foot. Once infected, the fungus grows deeper into the nail and can be very hard to get rid of.
There are different types of fungus that cause toenail fungus. Dermatophytes, yeasts, and molds are the most frequent forms of fungus to infect the toenail. Dermatophytes are the most common among the three. Symptoms associated with fungal nails include the discoloration of the toenail, brittleness, and in some circumstances, a smell. Pain is rarely a symptom caused by toenail fungus.
Diagnosis of fungal nails is generally a rather quick process. However podiatrists will make sure that the cause is not another condition such as lichen planus, psoriasis, onychogryphosis, or nail damage. Podiatrists will make use of fungal cultures and microscopy to verify that it is fungus.
While over-the-counter ointments are readily available, most are ineffective. This is due to the fact that the nail is very protective and that the fungus slips in between the nail plate and bed. Podiatrists can offer oral medication which currently provides the best results.
Ultimately, prevention is the best line of defense against toenail fungus. Avoid unsanitary public showers. If you do use a public shower, use shower shoes to provide your foot with protection. Once you are finished showering, make sure to thoroughly dry your feet. Fungi thrive in warm, dark, and moist places like sweaty, warm feet that are left dark in shoes all day.
Keep Your Feet Healthy So You Can Stay Active
Have your feet inspected by a professional before starting a new sport or physical activity. Taking charge of your foot health will keep you in good physical condition and can help you avoid a potential injury, such as a fracture or sprained ankle.
Prevent injuries and see a foot specialist.
