Exploring Sever's Disease

Sever's disease, despite its name, is not actually a disease but rather a common condition affecting children during periods of rapid growth. Also known as calcaneal apophysitis, Sever's disease occurs when the growth plate at the back of the heel bone becomes inflamed due to repetitive stress or overuse. This condition commonly affects active children and adolescents, particularly those involved in sports like running or jumping. Symptoms of Sever's disease typically include heel pain, tenderness, and swelling, which may worsen with physical activity and improve with rest. Although Sever's disease is temporary and does not cause long-term damage, it can be debilitating and affect a child's participation in sports and daily activities. With proper care and management, most children recover from Sever's disease within a few weeks to months, allowing them to resume their normal activities pain-free. If your child has heel pain and participates in sporting activities, it may be possible Sever’s disease has developed. It is suggested that you consult a podiatrist who can help you to manage this condition.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from Pennsylvania Foot & Ankle. 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 one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Definition and Causes of Foot Stress Fractures

Foot stress fractures, although often underestimated, can pose significant challenges to individuals, particularly those engaged in high-impact activities or sports. These fractures occur when excessive and repetitive stress is placed on the bones of the foot, leading to small cracks or fissures. Common causes of foot stress fractures include sudden increases in physical activity, wearing inadequate footwear, improper training techniques, and underlying conditions such as osteoporosis or nutritional deficiencies. Athletes and military personnel, who frequently engage in activities that subject their feet to repetitive stress, are especially susceptible to stress fractures. Symptoms of foot stress fractures typically include localized pain, swelling, tenderness, and difficulty bearing weight on the affected foot. If left untreated, stress fractures can worsen over time and lead to more severe complications. Therefore, early recognition of symptoms and prompt medical evaluation are essential for effective treatment and prevention of further injury. If you have endured a stress fracture, it is suggested that you schedule an appointment with a podiatrist who can effectively treat this condition.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact one of our podiatrists from Pennsylvania Foot & Ankle. Our doctors can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

  • Gender – They are more commonly found in women compared to men.
  • Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
  • Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
  • Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
  • Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

If you have any questions please contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek professional help and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

Insights into Children's Foot Development

During infancy, a child's feet are pliable and mostly made of cartilage, gradually ossifying into bones over time. Until the age of six, children's feet are still forming, with the arches gradually developing. It is normal for children to have flat feet during this period, as the arches develop and muscles strengthen. Additionally, children's feet grow rapidly, often requiring new shoes every few months during growth spurts. As they become more active, ensuring proper footwear fit is essential to support their growing feet and prevent discomfort or injury. Children's feet may appear pigeon-toed or have other gait abnormalities as they learn to walk and run. Most of these issues resolve on their own as they develop coordination and muscle strength. Regular monitoring of children's foot health and providing adequate support through appropriate footwear can contribute to their overall well-being and comfort. If you have questions or concerns about your child’s feet, it is suggested that you contact a podiatrist who can provide you with the information you are seeking.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact one of our podiatrists of Pennsylvania Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

  • Make sure their shoes fit properly
  • Look for any signs of in-toeing or out-toeing
  • Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
  • Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
  • Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
  • Cut toenails straight across to avoid ingrown toenails
  • Keep your child’s foot clean and dry
  • Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

If you have any questions, please feel free to contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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When to See a Doctor for Heel Pain

Experiencing heel pain can significantly impact your daily life, making even simple tasks like walking or standing uncomfortable. Podiatrists, medical professionals specializing in foot and ankle health, can diagnose and treat heel pain. These types of doctors understand the complex structure of the foot and can identify the underlying causes of heel pain. Included are overuse injuries like plantar fasciitis, bone spurs, or Achilles tendonitis. Targeting the underlying cause of heel pain is important for appropriate care. It is especially important to seek the advice of a podiatrist if you have persistent pain, and if the pain comes suddenly or after an injury. A podiatrist can offer a personalized treatment plan that may include specialized exercises, custom orthotics, medication, or advanced therapies designed to alleviate pain and promote healing. Podiatrists can also provide valuable guidance on footwear choices and lifestyle modifications to prevent future pain. If you are suffering from heel pain, it is suggested you seek the help of a podiatrist for diagnosis and care. 

Many people suffer from bouts of heel pain. For more information, contact one of our podiatrists of Pennsylvania Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions, please feel free to contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Women and Gout

Gout, long considered to affect mostly men, is increasingly recognized as a concern for women as well. In fact, gout can affect anyone, regardless of gender. This painful form of arthritis occurs when uric acid crystals accumulate in the joints, leading to inflammation and intense discomfort. Women may experience gout during menopause, due to hormonal changes that affect uric acid levels. Additionally, lifestyle factors, such as diet, obesity, alcohol consumption, and certain medications, can contribute to gout risk in women. Although women are less likely to develop gout than men, their risk increases with age and other health conditions such as hypertension, diabetes, and kidney disease. Recognizing that gout can affect women is essential for timely diagnosis and management. With proper lifestyle modifications, dietary changes, and medication, women can effectively manage gout and minimize its impact on their quality of life. If you suffer from gout flare-ups, it is suggested that you consult a podiatrist who can assess the situation and help manage the condition.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact one of our podiatrists from Pennsylvania Foot & Ankle. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

If you have any questions, please feel free to contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Nutritional Needs for Diabetic Foot Ulcer Recovery

Addressing the nutritional needs of individuals with diabetic foot ulcers is a critical part of promoting healing and preventing more serious problems. Stable blood sugar levels, achieved through monitoring carbohydrate intake on a regular basis, are vital for managing diabetes and promoting optimal healing of foot ulcers. A well-balanced diet is also essential in supporting the body's natural wound healing processes. Protein-rich foods like poultry, fish, eggs, and legumes aid in tissue repair and wound healing. Additionally, vitamins and minerals such as vitamin C, zinc, and vitamin E enhance immune function and collagen synthesis, facilitating wound healing. Fruits, vegetables, whole grains, and healthy fats provide antioxidants and anti-inflammatory compounds to support overall health and reduce infection risk. If you have diabetes and have developed a foot ulcer, it is suggested that you consult a podiatrist to discuss optimal healing methods, including important nutritional needs, tailored to your specific condition.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact one of our podiatrists from Pennsylvania Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions, please feel free to contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Unique Features and Diagnosis of Congenital Foot Conditions

Congenital foot conditions often have unique signs, aiding in the diagnosis of underlying systemic issues. Conditions such as Ellis–van Creveld syndrome, fibrodysplasia ossificans progressiva, and Marfan syndrome show distinct foot abnormalities. For example, Ellis–van Creveld syndrome may feature extra toes, while fibrodysplasia ossificans progressiva can cause deformities in the big toe. Similarly, conditions such as Kniest dysplasia may lead to short and deformed toes, and pseudo- and pseudo-pseudohypoparathyroidism can result in shortened metatarsal bones. Additionally, acromegaly can cause swelling and softness in the feet, while nail-patella syndrome may affect the toenails. Mucopolysaccharidoses often result in widened toe bones and thickened skin on the feet. If your child was born with a foot abnormality, it is strongly suggested that you schedule an appointment with a podiatrist as early as possible. 

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Pennsylvania Foot & Ankle. 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.

If you have any questions, please feel free to contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Understanding Slow Wound Healing in Diabetic Patients

Wound healing is a complex process that can be significantly delayed in diabetic patients due to various physiological factors. High blood sugar levels characteristic of diabetes can impair the body's ability to repair damaged tissue by disrupting the function of immune cells, such as macrophages and neutrophils, responsible for combating infections and initiating the healing process. Additionally, diabetes often leads to poor circulation, reducing the delivery of oxygen and nutrients to the site of the wound, which is essential for tissue regeneration. Peripheral neuropathy, another common complication of diabetes, causes nerve damage and diminishes sensation in the extremities, making it difficult for patients to detect injuries and ulcers in their early stages. Furthermore, compromised immune function and increased susceptibility to infections further hinder the healing process. Managing blood sugar levels, maintaining proper foot care, and seeking prompt medical attention for wounds are crucial steps in minimizing the risk of complications and promoting effective wound healing in diabetic individuals. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can provide you with effective wound prevention tips, in addition to helping you manage this serious condition.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with one of our podiatrists from Pennsylvania Foot & Ankle. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions please contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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