Blog
Growth Spurts May Cause Sever’s Disease

Children and young teenagers who have heel pain may have a foot condition that is known as Sever’s disease. It can affect people in this age group who frequently participate in running and jumping activities. It can happen as a result of bones that grow faster than the muscles and tendons in the heel, and this can cause the calf muscles to tighten. Common symptoms that are often experienced with Sever’s disease include swelling, tenderness when the heel is touched, and the patient may walk on their toes due to the pain. Relief and treatment can begin with stopping the activity that caused the condition, followed by performing specific stretches that may ease the pain. A calf stretch is generally successful in improving flexibility in the feet and calves. This is done by standing on a step and lowering the heels one at a time until a gentle stretch is felt. The pain typically stops when the growth spurt has been completed, and may return if another growth spurt takes place. If your child has heel pain, please consult a podiatrist who can determine if it is 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 Dr. Kevin H. Lapoff from Lake Worth 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 office located in Lake Worth, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.
How Is Gout Diagnosed?

The pain from a severe gout attack can be debilitating. Many patients find it difficult to walk, and even the weight of a bed sheet can be disturbing. Gout is a type of arthritis that is brought on by an excess amount of uric acid in the blood. This converts to crystals, and can lodge in the joints of the big toe. Gout can develop from genetic reasons, leading a sedentary lifestyle, or from eating foods that are not healthy. These include an excess of red meat, shellfish or alcohol, or from having drinks that are made with large amounts of sugar. There may also be existing medical conditions that can lead to gout. Among these are obesity, high blood pressure, diabetes, or kidney damage. A proper diagnosis of gout involves having a blood sample drawn that can determine the uric acid level. In severe cases, there may be a needle inserted into the affected joint, and an analysis of the fluid. Relief may be found when the foot is elevated, and this may help to diminish a portion of the swelling that often accompanies gout. If you have gout attacks, it is strongly advised that you are under the care of a podiatrist who can properly diagnose and treat this condition.
Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Kevin H. Lapoff from Lake Worth Podiatry. Our doctor will treat your foot and ankle needs.
What Is Gout?
Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.
Symptoms
- Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
- Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
- Inflammation and Redness -Affected joints may become swollen, tender, warm and red
- Limited Range of Motion - May experience a decrease in joint mobility
Risk Factors
- Genetics - If family members have gout, you’re more likely to have it
- Medications - Diuretic medications can raise uric acid levels
- Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
- Diet - Eating red meat and shellfish increases your risk
- Alcohol - Having more than two alcoholic drinks per day increases your risk
- Obesity - Obese people are at a higher risk for gout
Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.
If you have any questions, please feel free to contact our office located in Lake Worth, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
A Partial or Complete Achilles Tendon Rupture

The Achilles tendon is responsible for pointing and flexing the foot, which is necessary in walking and running. It is located at the back of the heel, and connects the calf muscles to the heel. An Achilles tendon injury can occur from increasing speed and distance too quickly while running, or not properly warming up and cooling down. A tear may occur, and if the rupture is partial, the tendon remains attached to the calf muscle. A complete tear, where there is no connection between the tendon and muscle, is known as a rupture, and it is very painful and difficult to walk. This can happen as a result of high levels of stress put on the Achilles tendon from participating in activities that can include tennis, basketball, and football. There may be existing medical conditions and medications that can weaken the Achilles tendon and contribute to enduring an injury, such as Cushing’s syndrome, prednisolone, and ciprofloxacin. Common symptoms that many patients experience can be the inability to stand on their tiptoes, and there may be a flat-footed walking style. An Achilles tendon injury can be treated in different ways, and it is suggested that you urgently consult the expertise of a podiatrist who can determine what is best for you.
Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Dr. Kevin H. Lapoff of Lake Worth Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is the Achilles Tendon?
The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.
What Are the Symptoms of an Achilles Tendon Injury?
There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.
Achilles Tendinitis Symptoms
- Inflammation
- Dull to severe pain
- Increased blood flow to the tendon
- Thickening of the tendon
Rupture Symptoms
- Extreme pain and swelling in the foot
- Total immobility
Treatment and Prevention
Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:
- Thorough stretching of the tendon before and after exercise
- Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses
If you have any questions please feel free to contact our office located in Lake Worth, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
What You Might Look For in a Running Shoe

Running is a cherished pastime across the country and an excellent way to stay in shape. However, if you are running with ill-fitting running shoes, you could be putting the health of your feet in jeopardy. Running with shoes that do not match the shape of your foot can lead to afflictions including bunions and naked toes. To avoid these unpleasant conditions, you should be mindful of what you might look for in a potential pair of running shoes. Of course, selecting the ideal pair of shoes is a highly individual process that will be specific to each runner. Yet, there are rules that runners might follow to guide them along this process. First and foremost, runners should prioritize finding shoes that fit the shape of their feet instead of shoes that look most fashionable or visually appealing. Additionally, a good pair of running shoes will have an insole that mirrors the natural shape of the runner's arch. Ideally, the ankle collar of the running shoe will fit comfortably and securely, but not tightly enough to cause rubbing and chafing. Good running shoes will also have toe boxes that give each toe enough space to comfortably rest in the shoe. When it comes to running, selecting the right running shoe is no joke, but these guidelines and a podiatrist might help you in your search.
If you are a runner, wearing the right running shoe is essential. For more information, contact Dr. Kevin H. Lapoff from Lake Worth Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
Choosing the Right Running Shoe for Your Foot Type
To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.
- Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
- Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
- Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.
If you have any questions please feel free to contact our office located in Lake Worth, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Existing Medical Problems May Lead To Flat Feet

Pes planus is the medical term for the foot condition known as flat feet. It is easy to notice while standing as the entire foot lies flat on the floor. Most babies are born with flat feet and the arch gradually develops during the early teenage years. Flat feet typically correct as soft tissues stiffen and the muscles strengthen. Some adults have flat feet and this can happen for genetic reasons. It can cause pain and many adults may have a limited range of motion. The Achilles tendon can be affected and walking may be painful. There may also be existing medical conditions that lead to flat feet. These can include cerebral palsy, juvenile arthritis, or disorders that affect the nervous system. This can be a common condition among overweight patients as a result of the excess weight the body carries. Relief may be found when the correct footwear is worn and orthotics may be necessary to alleviate any pain. If you have flat feet, it is suggested that you confer with a podiatrist who can offer you proper treatment techniques.
Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Kevin H. Lapoff from Lake Worth Podiatry. Our doctor will treat your foot and ankle needs.
What Are Flat Feet?
Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.
Conditions & Problems:
Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.
Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.
Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.
Symptoms
- Pain around the heel or arch area
- Trouble standing on the tip toe
- Swelling around the inside of the ankle
- Flat look to one or both feet
- Having your shoes feel uneven when worn
Treatment
If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle.
If you have any questions please feel free to contact our office located in Lake Worth, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Bunion Surgery May Be Necessary

Bunions may be prevented from developing. A bunion is defined as a bony protrusion on the side of the big toe and can gradually occur from wearing shoes that do not fit correctly. In severe cases, the bunion can cause the other toes to overlap, and this may cause difficulty in walking and completing daily activities. Some of the suggested ways to prevent bunions from developing can include wearing shoes that have adequate room for the toes to move freely as well as avoiding high heels. It can be beneficial to frequently rest the feet as this can provide the opportunity to stretch the toes. If the bunion is painful, it may feel better to wear a protective pad on top of it which may aid in reducing the pressure against the shoe. When a bunion is severe, surgery may be a necessary option for permanent relief. If you notice the beginning stages of a developing bunion, it is suggested that you contact a podiatrist who can offer the correct treatment options.
If you are suffering from bunion pain, contact Dr. Kevin H. Lapoff of Lake Worth 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 office located in Lake Worth, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Foot Pain in Kids

Beyond how active kids are, there are many reasons why children might complain of sore feet. A child may injure the foot resulting in a sprain or fracture. They may have athlete’s foot and find the skin in between their toes or the soles of their feet to be itchy, dry, and scaly. Kids experiencing growth spurts or who play sports involving running and jumping may complain of sore heels and this could be indicative of a condition called Sever’s disease. Children who are flat-footed may have foot pain that extends up to their ankles and calf muscles. Tight or ill-fitting shoes can cause blisters or corns. Kids can even develop bunions due to genetics or if the arch of their foot is overcompensated. Sometimes, if the toenails are clipped improperly, a toenail can dig into the surrounding skin and cause pain. Because children’s feet are so important to their overall functioning and each condition mentioned causes foot pain, it is suggested that a podiatrist be included as part of your child’s routine health care. A podiatrist can diagnose problems that arise and help direct the proper foot care of your child.
Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Dr. Kevin H. Lapoff of Lake Worth Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
Keeping Children's Feet Healthy
Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...
Although babies do not walk yet, it is still very important to take care of their feet.
Avoid putting tight shoes or socks on his or her feet.
Allow the baby to stretch and kick his or her feet to feel comfortable.
As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’.
As your child gets older, it is important to teach them how to take care of their feet.
Show them proper hygiene to prevent infections such as fungus.
Be watchful for any pain or injury.
Have all injuries checked by a doctor as soon as possible.
Comfortable, protective shoes should always be worn, especially at play.
If you have any questions please feel free to contact our office located in Lake Worth, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Synovial Joint Pain in the Feet

The foot consists of 34 joints, all of which contain synovial membranes. When these membranes become inflamed, the result is swelling, redness, and pain when you move. This condition, known as synovitis, is common among athletes who are involved in repetitive stress movements like lifting and squatting. Patients with rheumatoid arthritis, juvenile arthritis, lupus, and psoriatic arthritis may also experience synovitis. In these cases, excessive growth of the synovial membrane is part of an autoimmune response where the body attacks itself. The cells then release enzymes into the synovial capsule of the joint causing further inflammation and pain. Depending on the cause, pain from synovitis can be short-lived or continued. If you are experiencing frequent joint pain or inflammation of the feet and ankles, it is suggested to check with a podiatrist for a complete examination and proper diagnosis.
Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Dr. Kevin H. Lapoff of Lake Worth Podiatry. Our doctor will assist you with all of your podiatric concerns.
What Is Rheumatoid Arthritis?
Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.
Rheumatoid Arthritis of the Feet
Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.
Symptoms
- Swelling and pain in the feet
- Stiffness in the feet
- Pain on the ball or sole of feet
- Joint shift and deformation
Diagnosis
Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.
If you have any questions please feel free to contact our office located in Lake Worth, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.