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July 8, 2025

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.

July 8, 2025

Sever’s Disease and the Role of a Podiatrist

Sever’s disease, also called calcaneal apophysitis, is a common cause of heel pain in growing children, especially those who are active in sports. It occurs when the growth plate in the heel becomes inflamed due to repetitive stress or overuse. Causes include running, jumping, and improper footwear. Symptoms include heel pain during activity, limping, or tenderness when the heel is squeezed. Risk factors include rapid growth spurts, high-impact sports, and flat or high-arched feet. A podiatrist can diagnose the condition through examination and recommend treatments such as rest, stretching, and shoe modifications. If your active child complains of heel pain, it is suggested that you schedule a visit with a podiatrist who can provide an accurate diagnosis and treatment.

Sever’s disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from Foot & Ankle Doctors, Inc. . our doctors 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 Beverly Hills, Encino, Los Angeles, Los Alamitos, CA Pasadena, CA and Rolling Hills Estates CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

Solutions for Cracked Heels

Cracked heels may make you want to think twice about showing off your feet in warmer weather. However, cracked heels may be harmful to more than just the appearance of your feet. If deep fissures and cracks develop in your heels, they may make walking and standing painful for you. Additionally, these openings make way for germs to enter through your skin and cause infection.

There are several different causes of cracked heels. One of the most common reasons for this ailment is dry skin. This problem may make your keeps feel rough tight and itchy. Dry skin may be caused by cold air, extremely hot water, harsh soaps, and aging. Skin disorders such as eczema and psoriasis may eventually lead to dry skin. In some cases, complications may arise from cracked heels. Some of these complications are a loss of feeling in the heel, cellulitis, or a diabetic foot ulcer.

There are ways you can try to prevent getting cracked heels. One of the best ways to do so is to avoid wearing flip flops and sandals because these shoes increase your risk of drying out your feet. You should also avoid wearing shoes with a tall skinny heel, because these shoes cause your heel to expand sideways. At night, you should slather on a thick moisturizing cream on your feet and then cover them in socks to keep your feet moisturized overnight. Drinking water to stay hydrated is also a good way to ensure that your skin doesn’t become dry.

If you suffer from a severe case of cracked feet, you should make an appointment with your podiatrist to see what treatment methods are best for you.

July 1, 2025

Understanding and Treating Cracked Heels

Cracked heels, also known as heel fissures, occur when the skin on the heels becomes dry, thickened, and splits open. One common cause is a deficiency in essential nutrients like vitamin E, which helps maintain skin health. Other contributing factors include dry skin, harsh soaps that strip natural oils, poor foot hygiene, wearing improper footwear, and age-related skin thinning. Cracked heels can become painful and lead to infections if left untreated. A podiatrist can evaluate the severity, recommend moisturizing treatments, offer debridement of thick skin, and suggest proper footwear or custom inserts. Cracked heels can be painful. If this applies to you, it is suggested that you schedule a visit with a podiatrist who can provide expert care and tailored solutions for your foot health needs.

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, contact one of our podiatrists from Foot & Ankle Doctors, Inc. . our doctors can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

Invest in a good foot cream
Try Using Petroleum Jelly
Ease up on Soaps
Drink Plenty of Water

Ways to Prevent Cracked Heels

Moisturize After Showering
Skip a Shower
Keep Shower Water Lukewarm
Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need.

June 24, 2025June 30, 2025

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.

June 24, 2025June 30, 2025

Buildup of Tophi in Gout

Tophi are firm, swollen deposits that form under the skin when uric acid crystals collect around joints, most commonly in the feet, ankles, or toes. These growths develop over time in people with long-standing gout, a condition in which uric acid builds up in the blood and forms sharp crystals in the joints. The most common locations for tophi are the big toe joint, the heel, and the Achilles tendon. Factors that contribute to tophi buildup include persistent high uric acid levels, delayed treatment, and repeated gout attacks. In the early stages of gout, tophi are not usually present. However, if gout progresses over many years without proper care, these deposits may develop and begin to interfere with joint movement, causing pain and stiffness. In some cases, surgery may be needed to remove large tophi that restrict mobility or damage surrounding tissue. If you have symptoms of tophi buildup associated with gout, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment options.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Foot & Ankle Doctors, Inc. . our doctors 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.

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.

June 17, 2025June 30, 2025

Types of Achilles Tendon Injuries

Achilles tendon injuries involve damage to the strong band of tissue that connects the calf muscles to the heel bone. These injuries are often caused by overuse, sudden increases in activity, or tight calf muscles. Risk factors include poor footwear, flat feet, and inadequate stretching. Symptoms may include pain, swelling, stiffness, or a feeling of weakness in the back of the ankle. Types of Achilles injuries include inflammation of the tissue surrounding the tendon and degeneration of the tendon itself. A podiatrist can provide targeted treatment through custom-made orthotics and preventive education. If you experience persistent Achilles pain, it is suggested that you consult a podiatrist who can accurately diagnose and treat this condition.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Foot & Ankle Doctors, Inc. . our doctors 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 offices located in Beverly Hills, Encino, Los Angeles, Los Alamitos, CA Pasadena, CA and Rolling Hills Estates CA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

June 10, 2025July 1, 2025

Congenital Foot Problems

A congenital foot problem is a problem affecting the feet, toes, and/or ankle that a child is born with. Several issues with a child’s feet can occur congenitally. Such problems include clubfoot, vertical talus, tarsal coalition, polydactyly, macrodactyly, and cleft foot. Some of these problems have a genetic basis, with someone in their family history having a gene causing the condition, and some are simply an anomaly.

The following are specifics about a few of these conditions:

– Clubfoot, also called congenital talipes equinovarus or talipes equinovarus, is When the tendons of the foot shorten, the bones are of an unusual shape, and the Achilles tendon is tight, causing an inward and downward pointing of the foot. The soles of the feet might also face each other. In most cases of clubfoot, both feet are affected. If not treated, the affected child will walk on the sides of their feet or ankles.

– Polydactyly is a condition where the child has more than five fingers or toes on either or both feet. Presentation usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.

– Vertical talus is where the talus bone forms in the wrong position, other bones in the foot do not line up properly, the front of the foot points up, and the bottom of the foot is stiff, has no arch, and usually curves out. This can occur in one or both feet and if left untreated, can lead to serious disability or discomfort as the child grows.

– Tarsal coalition is when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot. The tarsal bones, located toward the back of the foot and in the heel, are the ones affected. This condition is often present at birth, but signs of the disorder usually come on in early adolescence.

– Cleft foot is a rare condition where the foot has missing toes, a V-shaped cleft, and other anatomical differences. Surgery can often help improve the foot’s function since the heel remains normal and is what is most needed for walking. The main issues with this affliction are whether the affected foot can fit into a shoe and the shape and appearance of the foot.

– Macrodactyly is when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue. Having this condition makes it harder for the child to use the affected foot for certain activities.

June 10, 2025June 30, 2025

Clubfoot Is a Congenital Foot Deformity

Congenital foot deformities are structural abnormalities present at birth that affect the shape or function of a baby’s feet. One of the most common types is clubfoot, where the foot appears twisted inward and downward. Causes may include genetic factors, issues during pregnancy, or unknown developmental conditions. These deformities are usually diagnosed through physical examination and sometimes imaging tests shortly after birth. Early diagnosis is important to begin proper treatment and support normal development. A podiatrist can assist by creating a personalized care plan that may include stretching, casting, bracing, or referral for surgical correction, if needed. If your child has been born with clubfoot, it is suggested that you include a podiatrist on your healthcare team who can provide you with proper advice and guidance.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Foot & Ankle Doctors, Inc. . our doctors can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

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