Tuesday, 06 February 2024 00:00

Definition and Symptoms of Sever’s Disease

Sever's disease, despite its name, is not an illness, but a common heel bone disorder that affects children during their growth spurts. Also known as calcaneal apophysitis, this condition occurs when the heel's growth plate experiences inflammation due to repetitive stress and tension. Typically afflicting children aged 8 to 14, Sever's disease emerges as the bones grow faster than the tendons, leading to strain on the heel's growth plate. Young athletes engaged in high-impact sports, such as soccer, basketball, and gymnastics, are particularly susceptible. The symptoms can include heel pain, swelling, and discomfort, which can be worse during physical activities. Recognizing Sever's disease is important, as prompt intervention can alleviate symptoms and prevent long-term complications. If your child has heel pain, and frequently participates in sporting activities, it is suggested that you consult a podiatrist who can accurately diagnose and treat this condition.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Charles Passet, DPM from Forest Hills. 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 Forest Hills, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

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.

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Tuesday, 30 January 2024 00:00

Facts About Pronation of the Feet

Understanding the intricacies of pronation is essential for runners, as it significantly influences shock absorption and the efficiency of push-off during each stride. Pronation, which is simply the natural side-to-side movement of the foot, comes in three main types. Normal or neutral pronation, where the foot rolls naturally inward by approximately15 percent, ensures proper shock absorption and alignment of ankles and legs. Underpronation, or supination, occurs when the foot rolls outward. This is more common among people with higher arches and can lead to injuries like Achilles tendonitis and shin splints. Overpronation involves excessive inward or downward rolling of the foot and is often associated with flat feet. Determining your pronation type is helpful for selecting appropriate footwear, but more importantly, this knowledge can minimize the risk of injuries. A podiatrist can analyze your gait and determine which type of pronation you have, factors that can result in an injury-free and a more enjoyable running experience. For a full assessment, it is suggested that you schedule an appointment with a podiatrist.

If you have any concerns about your feet, contact Charles Passet, DPM from Forest Hills. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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

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Tuesday, 30 January 2024 00:00

The Importance of Biomechanics in Podiatry

Biomechanics and its related study deal with the forces that act against the body and affect things like our movement. In podiatry, biomechanics are studied to determine the movement of the ankle, toes, and the foot, as well as the forces that impact them. Podiatrists who train in this specialty are able to effectively diagnose and treat conditions that affect people’s everyday movement.

Regardless of your lifestyle, age, or any other factors, many people experience foot problems throughout their lives. Twists and turns, improper balance, and added weight are just a few of the things that can add stress to the feet. These issues can also limit our bodies’ mobility that we often take for granted. Pain in the feet and ankles can also trickle up towards the lower legs, knees, hip, and even back area. This affects the way you move around on a daily basis.

Biomechanics and its related study deal with forces that act against the body and affect things like our movement. In podiatry, biomechanics are studied to determine the movement of the ankle, toes, and the foot, as well as the forces that impact them. Podiatrists who train in this specialty are able to effectively diagnose and treat conditions that affect people’s everyday movement.

The history of studying biomechanics dates back to ancient Egypt at around 3000 B.C., where evidence of professional foot care has been recorded. Throughout the centuries, advances in technology, science, and an understanding of the human body led to more accurate diagnosis of conditions such as corns for example. In 1974, biomechanics garnered a large audience when Merton Root founded Root Lab to make custom orthotics. He proposed that corrections of certain conditions could be implemented to gain strength and coordination in the area. Due to his research, we still use his basic principle of foot orthotics to this day.

As technology has improved, so have the therapeutic processes that allow us to correct deficiencies in our natural biomechanics. Computers can now provide accurate readings of the forces, movements, and patterns of the foot and lower leg. Critical treatment options can be provided to patients now who suffer from problems that cause their biomechanics to not function naturally. The best results are now possible thanks to 3D modeling and computing technologies that can take readings and also map out what treatment will do to the affected areas.

These advanced corrective methods were able to come to light thanks to an increase in both the technologies surrounding biomechanics and also the knowledge of how they work naturally. For example, shoe orthotics are able to treat walking inabilities by realigning the posture deviations in patients caused by hip or back problems. Understanding foot biomechanics can help improve movement and eliminate pain, stopping further stress to the foot. Speak with your podiatrist if you have any of these problems.

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Friday, 26 January 2024 00:00

Do You Suffer From Painful Feet?

Painful deformities, such as hammertoes, can be treated. Stop living with foot pain, and have beautiful feet again!

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Tuesday, 23 January 2024 00:00

Development of Foot Corns and Calluses

Corns and calluses are thickened skin areas caused by pressure, often occurring on the feet. They result from a natural skin defense mechanism called hyperkeratosis. Calluses are flat and spread out, while corns are thick, localized, and can have a conical shape. Corns may appear dry or translucent and are also known as helomas or clavi, while calluses are called tylomas. Common areas for corns to develop can include the sole of the foot, the outside of the pinky toe, and between the 4th and 5th toes. Corns between the toes are termed soft corns, while those in other locations are hard corns. Hyperkeratosis occurs when the skin thickens due to friction or pressure, often related to foot deformities, wearing tight shoes, or abnormal walking patterns. Risk factors include foot anatomy, gait issues, bunions, ill-fitting shoes, and certain occupations. If you have a corn or callus that becomes bothersome or shows signs of infection, it is suggested that you seek the counsel of a podiatrist who can examine the area, provide treatment for relief, and help you find underlying causes for their development.

If you have any concerns regarding your feet and ankles, contact Charles Passet, DPM of Forest Hills. Our doctor will treat your foot and ankle needs.

Corns: What Are They? and How Do You Get Rid of Them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as wearing:

Well-fitting socks
Comfortable shoes that are not tight around your foot
Shoes that offer support

Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Consult with Our doctor to determine the best treatment option for your case of corns.

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

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Tuesday, 23 January 2024 00:00

Corns: What Are They, and How Do You Get Rid of Them

Corns are thickened areas on the skin’s surface, to the point of being irritating and sometimes painful. Commonly found on the feet, corns are circular or cone-shaped. They develop where there are areas of pressure or friction, such as on the little toe when it rubs up against shoes, or on the ball of your foot.

Corns are often confused with a callus, but there is a difference between them. Corns can be raised bumps that are painful to the touch. They consist of a rough, thick area of skin that may be dry or waxy. Corns tend to be surrounded by skin that is inflamed, and are usually much smaller than calluses.

Removing the dead skin that has built up is the key in treating corns. Salicylic acid medication is most common in accomplishing this. The acid works by dissolving keratin, which is the protein that makes up the majority of corns. You can purchase salicylic acid over-the-counter in products such as wart removers. It comes in a variety of forms such as medicated pads, drops, or creams. However, people who are diabetic should not use salicylic acid, but should instead consult their doctor immediately.

According to the product directions, applying the medication directly onto the corn will treat it. The top layer of the corn will begin to turn white after use. When that occurs, the layers of skin can then be peeled away, making the corn smaller. Shaving off corns with razors or other pedicure equipment is never a good idea. This can lead to infection. If your corn gets infected, and is not treated immediately, a visit to the doctor will be necessary.

Another way to treat corns and help prevent their return is by using orthotic inserts, fitted by a podiatrist. Inserts fit right into your shoes and adjusts the way your foot fits into your shoes. This fixes the way you walk. This will lower your chances of getting corns, and eliminate current corns by reducing rubbing from friction.

Surgery is rarely used to treat corns, but does occur on occasion. Surgery actually deals with the underlying issue that causes corns. During surgery, the bone is shaved and any abnormalities are corrected, thus reducing the amount of friction that occurs during walking.

To prevent corns, the first step is reducing friction. Always wear shoes that fit well and don’t rub your feet. Pads can be purchased if you notice rubbing developing. These pads can be purchased over-the-counter, and can be simply placed on the irritated area. Wearing cushioned insoles in your shoes can always reduce the friction, and making sure to wear well-fitting shoes. This will ensure that your foot is not being squeezed awkwardly, and prevent corns from forming in the first place.

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Tuesday, 16 January 2024 00:00

Common Causes of Heel Pain

Heel pain is a prevalent issue that affects people of all ages, whether you are an athlete, a busy professional, or a parent. Plantar fasciitis is the most common complaint of heel pain. It occurs when excessive pressure on the feet damages the plantar fascia ligament, resulting in pain and stiffness. This condition is often associated with activities that put stress on the feet, like running or standing for extended periods. The next most common causes of heel pain are sprains and strains, which are injuries to the body. These ailments can range from minor to severe and are often the result of physical activities or accidents. A fractured heel can be caused by accidents, falls, or severe trauma. This is considered a medical emergency and requires urgent care. If you experience sudden, severe pain in your heel, in addition to swelling and difficulty bearing weight, it is beneficial to seek immediate medical attention. Achilles tendonitis is another common reason for heel pain, caused when the tendon connecting the calf muscles to the heel becomes inflamed due to overuse injuries. Finally, bursitis is an inflammation of the fluid filled sacs surrounding joints, where tendons, skin, and muscle tissues meet bones. It can lead to heel pain and discomfort. If you have any type of heel pain that inhibits your daily life, it is suggested that you make an appointment with a podiatrist for a diagnosis and treatment options.

Many people suffer from bouts of heel pain. For more information, contact Charles Passet, DPM of Forest Hills. Our doctor 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 contact our office located in Forest Hills, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Heel Pain

Heel pain can be difficult to deal with, especially if you do not know what the underlying cause is. If you ignore your heel pain, the pain can magnify and potentially develop into a chronic condition. Depending on the location of your heel pain, you have developed a specific condition.

One condition is plantar fasciitis. Plantar fasciitis is caused by the inflammation of the plantar fascia, or the band of tissue that connects the heel bone to the base of the toes. The pain from this condition is initially mild but can intensify as more steps are taken when you wake up in the morning. To treat this condition, medication will likely be necessary. Plantar fasciitis is often associated with heel spurs; both require rest and special stretching exercises.

There are various options your podiatrist may suggest for heel pain. Treatment options for heel pain typically include non-steroidal anti-inflammatory drugs (NSAIDS), which may reduce swelling and pain. Other options are physical therapy, athletic taping, and orthotics. In severe cases of heel pain, surgery may be required.

Preventing heel pain is possible. If you are looking to prevent heel pain from developing in the future, be sure to wear shoes that fit you properly and do not have worn down heels or soles. Be sure to warm up properly before participating in strenuous activities or sports that place a lot of a stress on the heels. If you are experiencing any form of heel pain, speak with your podiatrist to determine the underlying cause and receive the treatment you need.

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Tuesday, 09 January 2024 00:00

Flooring and Your Feet

Many people have experienced foot pain from standing all day, either at work or at home. As it turns out, the floors installed around your house may be making the problem worse. Whether you are young or old, aches and pains can easily come from constantly being on your feet so any efforts made to decrease the discomfort can make all the difference in improving your physical and emotional well-being. These efforts begin with making your home as comfortable as possible, as the type of flooring you install can greatly impact your feet as you continue to go about your daily routines. Laminate, linoleum, vinyl, and carpet are just a few examples of floors offering physical benefits to homeowners who are all too familiar with the effects of minor and moderate foot pain. Selecting new floors for your home may seem challenging since each type comes with its own set of advantages and disadvantages. But doing so may help to improve existing foot pain. If you are considering changing the flooring in your home for relief from foot pain, it is suggested that you schedule an appointment with a podiatrist for specialized recommendations that would best suit your needs.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Charles Passet, DPM from Forest Hills. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

Bunions
Hammertoes
Plantar Fasciitis
Bone Spurs
Corns
Tarsal Tunnel Syndrome
Ingrown Toenails
Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
Flat Feet
Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

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