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July 2022

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.


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.

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Tuesday, 19 July 2022 00:00

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.


  • 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.

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Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

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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.

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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.

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