July 2022
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.
Growth Spurts May Cause Sever’s Disease
![](/images/grayfish/9y1PVAxKyu3X4NEpkKli.jpg)
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?
![](/images/grayfish/CBkBUmhQqxPtmhfqS1U4.jpg)
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.
Gout
Gout is a form of arthritis that is caused by a buildup of uric acid crystals in the joints. This considered to be one of the most frequently recorded medical illnesses throughout history. Gout occurrences in the US have risen within the past twenty years and the condition now affects 8.3 million people which is 4% of all Americans. Researchers have found that gout affects men more than women and African-American men more than white men.
Symptoms of gout are warmth, swelling, discoloration, and tenderness in the affected joint area. The small joint on the big toe is the most common place for a gout attack to occur.
People who are obese, gain weight excessively, drink alcohol heavily, have high blood pressure, or have abnormal kidney function are more likely to develop gout. Furthermore, certain drugs and diseases are likely to increase levels of uric acid in the joints which eventually leads to gout. You are also more likely to develop gout if you eat a lot of meat and fish.
Many who experience gout attacks will experience repeated attacks over the years. Some people who have gout symptoms, may never have them again, but others may experience them several times a year. If you have gout symptoms throughout the year, you may have recurrent gout. Those who have gout should also be careful about their urate crystals collecting in their urinary tract, because this may lead to kidney stones.
Diagnosis for gout is done by checking the level of uric acid in the joints and blood. Your podiatrist may also prescribe medicine to reduce uric acid buildup in the blood, which will help prevent any gout attacks.
To treat gout, your podiatrist may also prescribe you Anti-inflammatory medication (NSAIDs) which will relieve the pain and swelling of a gout episode and it can also shorten a gout attack. Maintaining a healthy diet is also a proven method to prevent gout attacks.
What are Achilles Tendon Injuries
The Achilles tendon is the strongest tendon in the human body. Its purpose is to connect the lower leg muscles and calf to the heel of the foot. This tendon is responsible for facilitating all types of movement, like walking and running. This tendon provides an enormous amount of mobility for the body. Any injuries inflicted to this tissue should be immediately brought up with a physician to prevent further damage.
The most common injuries that can trouble the Achilles tendon are tendon ruptures and Achilles tendinitis. Achilles tendinitis is the milder of the two injuries. It can be recognized by the following symptoms: inflammation, dull-to-severe pain, increased blood flow to the tendon, thickening of the tendon, and slower movement time. Tendinitis can be treated via several methods and is often diagnosed by an MRI.
An Achilles tendon rupture is trickier to heal, and is by far the most painful injury. It is caused by the tendon ripping or completely snapping. The results are immediate and absolutely devastating, and will render the patient immobile. If a rupture or tear occurs, operative and non-operative methods are available. Once the treatment begins, depending on the severity of the injury, recovery time for these types of issues can take up to a year.
Simple preventative measures can be taken as a means to avoid both injuries. Prior to any movement, taking a few minutes to stretch out the tendon is a great way to stimulate the tissue. Calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses are all suggested ways to help strengthen the lower legs and promote Achilles tendon health.
Many problems arise among athletes and people who overexert themselves while exercising. Problems can also happen among those who do not warm up properly before beginning an activity. Proper, comfortable shoes that fit correctly can also decrease tendon injuries. Some professionals also suggest that when exercising, you should make sure that the floor you are on is cushioned or has a mat. This will relieve pressure on the heels. A healthy diet will also increase tendon health.
It is very important to seek out a podiatrist if you believe you have an injury in the Achilles region. Further damage could result in severe complications that would make being mobile difficult, if not impossible.
A Partial or Complete Achilles Tendon Rupture
![](/images/grayfish/VCEzOoYzMG1WZJcF0UDr.jpg)
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.
Choosing the Right Running Shoe
Choosing the right running shoes for you is an important part of running. A good pair of running shoes will make the running experience more enjoyable for you and prevent potential injury.
Poorly-fitted shoes can increase the risk of injury in runners substantially. Common injuries from running with poor quality shoes include shin splints, sprained ankles, Achilles tendinitis, stress fractures, plantar fasciitis and more. This is due to the fact that bad shoes do not provide proper foot support, can increase pronation (how much the foot rolls when hitting the ground), have little to no cushioning, do not allow the feet to breath, and do not provide enough flex and rigidity in the right parts.
When looking for running shoes, first, determine where you will be running. If you are a trail runner, then pick trail shoes. If you run on concrete and asphalt, then regular running shoes are the best choice. When trying on shoes, its best to go at the end of the day as feet grow during the day and shrink after a night of sleep. Shoes should be more rigid towards the back of the foot while being more flexible up where the toes are. The toe box should provide enough room for the toes to move freely. The overall fit should be snug, not too tight but not too loose. A good pair of running shoes should also provide enough arch support for your foot type. If you experience overpronation or under-pronation while running, try to find a pair of shoes that will help correct this with different sole patterns. Finally, try to find a pair of shoes that allow the feet to breathe like nylon mesh or synthetic leather.
Don’t forget about the socks either. Socks that hold too much moisture can lead to athlete’s foot. Socks should be breathable so that your feet can air out and breathe. Synthetic socks wick away moisture like sweat. If you tend to run a lot, having a second pair of shoes that you can wear while you let the first pair air out is smart. Just don’t forget to replace your shoes after about every 300 to 500 miles.
Before you start running, it is advised to see a podiatrist to see if running is right for you. They can also offer good advice on how to run and what to look for in a pair of running shoes. If you have flat feet or poorly supported ones, they can also offer custom-made orthotics that will help give your feet the support they need.
What You Might Look For in a Running Shoe
![](/images/grayfish/Pi4gDY4dQtdQlR8qC3BR.jpg)
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.