Sever's Disease

Sever’s disease, also known as calcaneal apophysitis, is a foot condition that occurs in children. Sever’s disease is not truly a disease, but rather an overuse injury. It is common among active children between the ages of 8 and 14. Young, growing children have a growth plate in their heels, where new bone is forming. When too much stress is put on the heel, the growth plate can become inflamed, leading to heel pain. 

Children who participate in activities that put repetitive stress on the heel bone are most at risk of developing Sever’s disease. These activities include playing soccer or basketball, running track, or any other sport or activity that involves running, jogging, or jumping. Children who are obese, have tight Achilles tendons, biomechanical problems, flat feet, or fallen arches are also at risk. 

The symptoms of Sever’s disease include pain in the back or bottom of the heel, pain when the sides of the heel are squeezed, and fatigue. The pain may lead to difficulties walking or bearing weight on the affected foot, and you may notice your child limping or walking on their toes to avoid putting pressure on the heel. A chiropodist can diagnose Sever’s disease by taking a medical history and performing a physical examination. Imaging studies such as X-rays may also be ordered. 

Sever’s disease is generally treated by resting the affected foot, wearing shoes or orthotics that support the heel, and taking nonsteroidal anti-inflammatory medications to reduce pain and inflammation. In severe cases of heel pain, the affected foot may need to be immobilized with a cast while it heals. If your child is complaining of heel pain, please consult with a chiropodist. 

Sever’s Disease and Heel Pain

Sever's disease, also known as calcaneal apophysitis, is a common source of heel pain in physically active young individuals, typically emerging during puberty. It occurs more frequently in boys than girls and has no known single cause but likely results from factors like overuse and increased body weight. This condition involves the Achilles tendon's attachment to the heel bone, which is still in the process of changing from cartilage to bone in pre-teens. Symptoms include heel pain during physical activity, worsened pain after exercise, limping, and tiptoeing. Several factors contribute to Sever's disease, including changes in height, weight, increased physical activity volume, type of activity, and footwear choices. Treatment varies based on the level of pain and may include activity modification, load management, heel raises, orthotics, and time for the condition to improve. If your child has heel pain, it is suggested that you make an appointment with a chiropodist for a proper diagnosis and treatment options.

Sever’s disease typically affects young children and teenagers. If your child complains of foot pain, please consult with one of the chiropodists from The Footcare Centre. Our chiropodists will assess your condition and provide you with quality foot and ankle treatment. 

What Is Sever’s Disease? 

Sever’s disease, also known as calcaneal apophysitis, is an inflammation of the growth plate in the heel bone. It is typically caused by overuse due to repetitive activities such as running, jumping, and playing certain sports. This condition most frequently affects children between the ages of 8 and 14. 

Symptoms

Symptoms of Sever’s disease include: 

  • Pain in the back or bottom of the heel

  • Pain when the sides of the heel are squeezed

  • Limping or walking on tiptoes to avoid putting pressure on the heel

  • Difficulty running, jumping, or participating in usual activities

  • Fatigue 

Diagnosis

Sever’s disease is diagnosed by taking a thorough medical history and performing a physical examination. Imaging studies, such as an X-ray, can help rule out other injuries like a fracture. 

Treatment

Sever’s disease typically heals without any long-term complications. Treatment involves resting the affected foot by reducing typical activities, wearing orthotics to support the foot, immobilizing the affected foot, taking medications to reduce pain and inflammation, and stretching the foot. 

If you have any questions, please feel free to contact our office located in . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Sever's Disease

Stress Fractures

Stress fractures are small, fine cracks that can happen in the bones of the feet. Stress fractures occur when the affected bones are not able to bear the weight placed on them. They are often the result of repetitive overuse and injury from activities such as running, jumping, or dancing and are therefore common in athletes. Stress fractures are also more likely to occur in people who have other health conditions, such as osteoporosis, bunions, tendinitis, or abnormal foot biomechanics. 

While stress fractures can occur in any bone in the foot, they are most common in the metatarsal bones, the calcaneus bone, and navicular bone. The metatarsal bones are in the center of the foot and connect the toes to the rest of the midfoot region. The second and third metatarsal bones, which connect the second and third toes to the midfoot, are the most likely bones to incur a stress fracture. The calcaneus, or heel bone, is located at the back of the foot and is the second most common site of stress fractures in the feet. The navicular bone is located near the top of the foot. 

The symptoms of a stress fracture include pain, tenderness, weakness, bruising, and swelling. This can lead to difficulty putting weight on the affected foot, which may change your gait or manner of walking. Symptoms usually have a gradual onset and become progressively worse over time. Without treatment, a stress fracture may progress to a full fracture, in which the bone breaks completely. The affected bone can also move out of proper alignment, causing more pain. 

Stress fractures are diagnosed through a physical examination. Imaging studies, such as X-rays, bone scans, ultrasounds, or MRIs may be needed to confirm the diagnosis or to rule out other causes for your symptoms. Treatment for a stress fracture depends on the severity of the injury. You may be asked to cease certain weight-bearing activities and to rest, ice, compress, and elevate the affected foot to help it heal. Protective footwear, a cast, or crutches may be provided to protect and stabilize your foot while it heals. Surgery may be necessary if the stress fracture has occurred in an area that does not typically heal well through non-surgical means, such as the sesamoid bones. 

If you are experiencing the symptoms of a stress fracture in your foot, please consult with a chiropodist. 

Causes of Foot Stress Fractures

Foot stress fractures, which are hairline cracks in the bones of the foot, can often bring athletic activity to a halt. Stress fractures, primarily a result of repetitive strain, stem from several factors. The key trigger for foot stress fractures is the excessive force applied to foot bones during rigorous activities, such as running, jumping, and fast-paced sports. The foot's repetitive impact on hard surfaces initiates the problem, making runners, football players, and gymnasts highly susceptible. Despite the seemingly tiny nature of these fractures, they can lead to immense pain and discomfort. Inadequate muscle support also plays a role in foot stress fracture formation. When individuals rapidly escalate their activity levels, such as taking up a new sport or intensifying training, the muscles may lack the necessary strength and endurance to support it. This deficiency compromises the support of the foot bones, resulting in an overload of force onto them. This then can lead to small cracks forming within the bones. If you believe you have developed stress fractures in your feet, it is suggested that you consult a chiropodist for an exam and treatment options.

A stress fracture often requires medical attention as it can progress and worsen over time. Please consult with one of the chiropodists from The Footcare Centre. Our chiropodists will assess your condition and provide you with quality foot and ankle treatment. 

A stress fracture refers to a fine crack in a bone. This type of fracture is especially common in the feet, as they often endure repetitive pressure from daily activities such as walking or running. Stress fractures occur when the affected bone can not support the load being placed on it. Stress fractures in the foot can occur in any bone, but often affect the metatarsal bones which connect the toes to the rest of the foot, the heel bone, or the navicular bone on the top of the foot. 

Symptoms

Symptoms of a stress fracture may include: 

  • Deep, dull pain

  • Sharp, localized pain

  • Intermittent pain

  • Tenderness 

  • Weakness

  • Swelling

  • Bruising 

  • Changes in the biomechanics of the foot

Diagnosis

Stress fractures in the foot are diagnosed via medical history and a physical exam. You may also need to have diagnostic imaging tests like X-rays, MRIs, CT scans, bone scans, or an ultrasound performed to confirm the diagnosis and to rule out any other problems.  

Treatment

Nonsurgical treatment options include resting, icing, compressing and elevating the affected foot, taking nonsteroidal anti-inflammatory pain medications, modifying your footwear, wearing a cast, and using crutches. Certain types of foot fractures, such as navicular fractures, respond poorly to nonsurgical treatment and may need surgery to fully heal. 

If you have any questions, please feel free to contact our office located in . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Stress Fractures

Wounds That Don't Heal Need to Be Checked

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Ankle Sprains

A sprained ankle is a common injury that can happen to anyone. Whether you incur it while playing a high-impact sport or from simply stepping off of a curb and twisting your ankle, it’s important to know and recognize the symptoms of a sprain and get the appropriate treatment. 

Ankle sprains occur when a sudden injury causes one or more of the ligaments that support the ankle to overstretch or tear. The symptoms that you may face depend on the severity of the injury. A mild, grade 1 sprain usually involves minimal pain, swelling, tenderness, and bruising, with no difficulty walking. A moderate, grade 2 sprain may be significantly more painful, with visible swelling and bruising, ankle instability, and a limited range of motion in the ankle. Walking or bearing weight on the affected ankle can be difficult. A severe, grade 3 sprain is characterized by intense pain, swelling, bruising, ankle instability, and a severely limited range of motion. Walking with a grade 3 sprain is often impossible. 

A chiropodist can diagnose an ankle sprain by asking for your medical history and carefully examining the affected ankle. They may order an X-ray to rule out a fracture. Treatment for the sprain depends on its severity. Milder ankle sprains can often be treated with conservative methods such as resting, icing, elevating, and compressing the ankle. More severe sprains may require wearing a brace or other orthotic device to take pressure off of the injured ankle. Over-the-counter medications are typically sufficient for managing pain. In very rare cases, surgery may be needed to repair a ligament that is not healing properly. 

A sprained ankle needs to heal fully and properly in order to avoid reinjury and other complications. If you have sprained your ankle, please seek the care of a chiropodist. 

Symptoms and Treatment for Ankle Sprains

Ankle sprains, a common injury, can occur when the ligaments connecting the bones in the ankle stretch or tear due to sudden twisting or rolling movements. Symptoms of an ankle sprain include pain, swelling, and tenderness around the affected area. Bruising may develop, and walking can be challenging, if not impossible. Prompt treatment is essential, and can begin with rest and wrapping the affected foot, and elevating it to reduce the swelling. Performing gentle exercises and stretches can help regain strength and flexibility. Depending on the severity, a medical professional might recommend braces, crutches, or physical therapy. Restoring full functionality involves diligent adherence to the prescribed rehabilitation plan. Understanding the symptoms and promptly seeking appropriate care can facilitate a smoother recovery from this discomforting setback. It is suggested that you see a chiropodist if you suffer from an ankle sprain.

When one or more ligaments in the ankle overstretch or tear due to injury, an ankle sprain occurs. If you would like to learn more about ankle sprains, please consult with one of the chiropodists from The Footcare Centre. Our chiropodists can help you maintain the health of your lower limbs and your mobility. 

Symptoms of an ankle sprain vary depending on the severity of the injury, but may include: 

  • Pain

  • Swelling

  • Bruising

  • Tenderness

  • Difficulty walking

  • Ankle instability

  • A reduced range of motion in the ankle 

Treatments for an ankle sprain may consist of: 

  • Resting the injured ankle

  • Applying ice

  • Elevating the ankle

  • Compressing the ankle

  • Over-the-counter pain medications

  • Ankle braces or other devices to take weight off of the ankle

  • Ankle exercises 

  • Surgery (in rare cases) 

It’s important for the sprained ankle to heal correctly and fully in order to avoid repeated injury. If you have any questions, please feel free to contact our office located in . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Ankle Sprains

Foot Pain

If you’re suffering from foot pain, it’s important to note the locations and quality of your foot pain. Pain can affect any part of the foot, including the top, bottom, side, heel, or toes. The pain may be sharp, stabbing, dull, achy, burning, or stinging, and can come on suddenly or develop gradually over time. 

Pain in the top, bottom, or side of the foot can have many causes. In addition to the type of pain and its location, it’s also important to note when the pain started, what you were doing at the time, and what aggravates the pain. For example, pain in the top of the foot that worsens with physical activity or weight-bearing, that has gradually gotten worse over time, and is accompanied by swelling and tenderness could be indicative of a stress fracture. 

Pain in the heel is a frequent concern, especially among patients who participate in sports, run, or wear high heels. Plantar fasciitis, an inflammation of the ligament that runs along the bottom of the foot and connects the heels to the toes, can cause stabbing heel pain. The pain is usually at its worst upon taking your first few steps in the morning or after a long rest and can radiate to the arch of the foot. Plantar fasciitis is also often associated with heel spurs, bony outgrowths on the heel bones that can be painful if they poke into the surrounding tissues. 

Foot pain can be caused by not only injuries but also problems with the biomechanics of the feet and underlying health problems, like diabetes or peripheral neuropathy. If you’re experiencing foot pain, please seek the care of a chiropodist near you. 

Tired, Achy Feet

Tired and achy feet, while not a medical condition in and of itself, often result from overworked foot muscles. Our feet endure substantial pressure and movement, causing fatigue. This sensation can affect daily activities and slow us down. Various factors contribute to tired and achy feet. Overuse, such as prolonged standing or walking, is a significant cause. Inadequate footwear, especially lacking arch support and cushioning, can lead to foot discomfort. Walking on hard surfaces, high or fallen arches, excess weight, and foot conditions like heel spurs or plantar fasciitis can intensify these feelings. Relief and prevention of tired and achy feet can include rest, foot soaks, massage, stretching and strengthening exercises, and wearing shoes with adequate arch support and shock absorption with insoles or orthotics. If you have tired, achy feet, it is suggested that you make an appointment with a chiropodist to see if the underlying cause can be identified and treated.

Foot pain is a common problem treated by chiropodists. If you have foot pain, please consult with one of the chiropodists from The Footcare Centre. Our chiropodists can help you maintain the health of your lower limbs and your mobility. 

When you are experiencing foot pain, it’s important to note the type of pain and its location, as this can help determine a diagnosis. 

Pain in the top of the foot may be caused by:

  • Stress fractures

  • Sinus tarsi syndrome

  • Extensor tendonitis

  • Tibialis anterior tendonitis

  • Gout

  • Athlete’s foot

  • Ganglion cysts

Pain in the bottom of the foot may be caused by:

  • Plantar fasciitis

  • Foot cramps

  • Tarsal tunnel syndrome

  • Plantar fibromatosis

  • Posterior tibial tendonitis

  • Stress fractures

  • Flat feet

Pain on the side of the foot may be caused by:

  • Ankle sprain

  • Cuboid syndrome

  • Peroneal tendonitis

  • Stress fractures

  • Bunions

  • Corns or calluses

  • Posterior tibial tendonitis

Heel pain may be caused by:

  • Plantar fasciitis

  • Achilles tendonitis

  • Bone spurs

  • Heel fractures

  • Retrocalcaneal bursitis

  • Sever’s disease 

Pain in the toes may be caused by:

  • Gout

  • Hammertoe

  • Turf toe 

  • Bunions

  • Ingrown toenails

  • Blisters 

  • Arthritis

These and many more conditions can be treated by a chiropodist. If you have any questions, please feel free to contact our office located in . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot Pain

Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

Connect With Us