Tuesday, 13 February 2024 00:00

Heel Pain in Active Children May Indicate Sever's Disease

Active children often experience heel pain, a common ailment that can stem from various factors related to growth and physical activity. One prevalent condition associated with heel pain in children is Sever's disease, also known as calcaneal apophysitis. This condition occurs when the growth plate at the back of the heel becomes inflamed due to repetitive stress and strain, typically during periods of rapid growth. Signs of Sever's disease include heel pain, particularly during physical activities like running or jumping, as well as tenderness and swelling in the affected area. Children may also exhibit a limp or reluctance to participate in sports and activities they once enjoyed. Parents and caregivers need to recognize these signs and seek appropriate medical attention to manage symptoms and prevent further complications. With proper rest, supportive footwear, and guided physical activity, children can recover from Sever's disease and resume their active lifestyles with minimized discomfort. If your active child has heel pain, it is strongly suggested that a podiatrist is contacted who can diagnose and treat Sever’s disease.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from APEX Foot & Ankle Center. 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 Fort Myers, Cypress Cove, Shellpoint, Naples, and Carlisle, FL . 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 common bone disorder that occurs during childhood. The disease is defined as an inflammation of the growth plate in the heel. When a child has a growth spurt, his heel bone grows faster than the muscles, tendons, and ligaments in his leg. This disease is a result of overuse. The people who are most likely to be affected by this disease are children who are in a growth spurt, especially boys who are from the ages of 5 to 13 years old. 60% of children with Sever’s disease have both heels involved.

Symptoms of this disease are heel pain that intensifies during running and jumping activities. The pain is typically localized to the posterior part of the heel. Symptoms may be severe, and they can easily interfere with daily activities. Children who play soccer, baseball, and basketball are more likely to develop Sever’s disease.

Your doctor will diagnose your child based on his or her symptoms, x-rays are generally not helpful in diagnosing this disease. Your doctor may examine both heels and ask your child questions about his or her activity level in sports. Your doctor may then use the squeeze test on your child’s heel to see if there is any pain. Nevertheless, some doctors might still use x-rays to rule out any other issues such as fractures, infections, and tumors.

Sever’s disease can be prevented by maintaining good flexibility while your child is growing. Another prevention method is to wear good-quality shoes that have firm support and a shock-absorbent sole. Sever’s disease can be treated by ceasing any activity that causes heel pain. You should apply ice to the injured heel for 20 minutes 3 times a day. Additionally, orthotics should be used for children who have high arches, flat feet, or bowed legs.

If you suspect your child has Sever’s disease, you should make an appointment with your podiatrist to have his or her foot examined. Your doctor may recommend nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen to relieve pain. In more severe cases, your child may need a cast to rest his or her heel. Fortunately, Sever’s disease does not cause long-term foot problems. After treatment, your child should start to feel better within two weeks to two months.

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Wednesday, 07 February 2024 00:00

It's Time for Beautiful Feet

You don't need an excuse to have beautiful nails. Step outside without worrying about the appearance of your feet.

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Tuesday, 06 February 2024 00:00

Proper Footwear for a Productive Workday

In the hustle and bustle of our daily lives, the importance of wearing appropriate shoes often takes a backseat. However, the effect of choosing the right footwear for your workday cannot be overstated. The shoes you wear play a pivotal role in supporting your feet and maintaining overall well-being. Wearing ill-fitting or improper shoes can lead to a cascade of issues, from discomfort and fatigue to more severe problems like joint pain and posture issues. Investing in the right pair of shoes tailored to your work environment is an investment in your health and productivity. The correct shoes provide adequate support, preventing strain on your feet and lower limbs throughout the day. By prioritizing proper footwear, you not only enhance your physical comfort but also contribute to a more focused and effective work routine, setting the foundation for a successful and pain-free professional journey. If you experience any type of foot pain as a result of the shoes you wear while working, it is suggested that you consult a podiatrist who can offer treatment options.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact one of our podiatrists from APEX Foot & Ankle Center. Our doctors will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen.

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

If you have any questions please feel free to contact our offices located in Fort Myers, Cypress Cove, Shellpoint, Naples, and Carlisle, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 06 February 2024 00:00

How to Handle a Long Work Day on Your Feet

In 2014, the American Podiatric Medical Association surveyed 1,000 American adults and found that half of all respondents lived with foot pain. Fortunately, there are ways to avoid foot problems such as following a daily footcare routine and wearing proper footwear at work.

If you have a job that requires you to be on your feet, it is best that you do not wear flat sole shoes. Your heel should be slightly elevated (less than 2 inches, but at least ¼-inch) if you are going to be standing for a prolonged period. You should also make sure that the shoes you wear are not too small. Tight shoes may cut off circulation to your feet, which will result in pain and blisters. It is always best to purchase fitted shoes later in the day, because the feet tend to swell as the day progresses. It may also be helpful to buy shoes a half size larger if you plan on wearing custom orthotics or arch supports.

Your muscles may become stiff when you are constantly standing up. It is important to take breaks every hour to stretch and relax. One tip is to perform calf raises, because this exercise will help improve your circulation. To perform this stretch, you first need to stand on the edge of a step with your abdominal muscles pulled inward. You then need to grip the step with the balls of your feet with your heels hanging over the edge. Next, try to raise your heels above the step by a few inches while standing on your tiptoes; hold this pose for a second. You should then lower your heels back even to the platform. These calf raises should be done ten times for full effectiveness.

You should also take care of your feet while you are at home. One of the best ways to prepare your feet for a long day of work is to soak them in ice water. Doing so for 20 minutes will help fight the swelling and inflammation that results from being on your feet at work.

Nevertheless, if you are experiencing pain in your feet, you should seek help from your podiatrist. Your doctor will help treat any ailments you may have in addition to helping you prevent any other ailments from developing in the future.

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Tuesday, 30 January 2024 00:00

Causes of Gout and How It Is Diagnosed

Gout, a form of inflammatory arthritis, develops when there is an excess buildup of uric acid in the body, leading to the formation of needle-like crystals in the joints. The primary cause of gout lies in the body's inability to metabolize uric acid efficiently, resulting in its accumulation. Dietary factors, such as consuming purine-rich foods like organ meats and certain seafood contribute to elevated uric acid levels. Additionally, genetic predispositions and underlying health conditions, such as kidney dysfunction, may increase the risk of gout. Diagnosis involves a comprehensive examination by podiatrists, considering symptoms like sudden, intense joint pain, swelling, and redness. Blood tests may be conducted to measure uric acid levels, and imaging studies such as X-rays or ultrasound can aid in visualizing joint damage. If you have been afflicted with gout, it is strongly suggested that you are under the care of a podiatrist who can help you to successfully manage this condition.

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

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.

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Tuesday, 23 January 2024 00:00

How Is Hammertoe Diagnosed?

Hammertoe, a common toe deformity, occurs when there is an imbalance in the muscles, tendons, or ligaments responsible for keeping the toe straight. This leads to a bending or curling of the toe, resembling a hammer. Identifying hammertoe involves a comprehensive understanding of its characteristic symptoms, which include abnormal bending at the joints, corns or calluses due to friction against footwear, and discomfort during movement. Diagnosing hammertoe typically begins with a physical examination by a podiatrist who assesses the toe's appearance and mobility. An X-ray may be employed to determine the severity and underlying causes, such as arthritis or joint inflammation. Timely recognition allows for tailored interventions, ranging from lifestyle adjustments to surgical options, ensuring effective management and relief from the challenges posed by hammertoe. If you are afflicted with hammertoe, it is strongly suggested that you are under the care of a podiatrist who can determine the best course of treatment for you.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists from APEX Foot & Ankle Center. Our doctors will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

Pain in the affected toes
Development of corns or calluses due to friction
Inflammation
Redness
Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

If you have any questions please contact our offices located in Fort Myers, Cypress Cove, Shellpoint, Naples, and Carlisle, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

What Are Hammertoes?

Hammertoes are painful deformities that frequently form on the second, third, or fourth toe. The condition is often caused by an issue in foot mechanics. This can be caused by the person’s specific gait or the manner in which they walk, or by shoes that do not comfortably fit the deformity. Hammertoes can be formed after wearing shoes that are too narrow or short for the foot or have excessively high heels. Shoes that are not properly sized will force the toes into a bent position for long periods of time. This can cause the muscles to shorten and toes to bend into the deformity of a hammertoe.

Hammertoe can also be caused by complications from rheumatoid arthritis, osteoarthritis, trauma to the foot, heredity, or a cerebral vascular accident. Pain and difficult mobility of the toes, deformities, calluses, and corns are all symptoms of a hammertoe.

Someone who suspects they have the symptoms of a hammertoe should consult with a physician—particularly a podiatrist. Podiatrists diagnose and treat complications of the foot and ankle. If the podiatrist discovers that the affected toes are still flexible, treatment for the hammertoe may simply involve exercise, physical therapy, and better-fitting shoes. Treatment for hammertoes typically involves controlling foot mechanics, such as walking, through the use of customized orthotics.

For more serious cases in which the toes have become inflexible and rigid, surgery may be suggested. During the operation, the toe would receive an incision to relieve pressure on the tendons. A re-alignment of the tendons may then be performed by removing small pieces of bone to straighten the toe. In some cases, the insertion of pins is needed to keep the bones in the proper position as the toe heals. The patient is usually allowed to return home on the same day as the surgery.

If surgery is performed to repair a hammertoe, following the postoperative directions of your doctor is essential. Directions may include several stretches, picking up marbles with your toes, or attempting to crumple a towel placed flat against your feet. Wear shoes that have low heels and a wide amount of toe space to maintain comfort. Closed-toe shoes and high heels should be avoided. Shoes with laces allow the wearer to adjust how fitted he or she may want the shoes to be and also allow for greater comfort. To provide adequate space for your toes, select shoes that have a minimum of one-half inch of space between the tip of your longest toe and the inside of the shoe. This will also relieve pressure on your toes and prevent future hammertoes from forming.

Other preventative measures that can be taken include going shopping for new shoes in the middle of the day. Your feet are its smallest in the morning and swell as the day progresses. Trying on and purchasing new shoes midday will give you the most reliable size. Be sure to check that the shoes you purchase are both the same size. If possible, ask the store to stretch out the shoes at its painful points to allow for optimum comfort.

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Tuesday, 16 January 2024 00:00

Ankle Sprains From Running

For runners, ankle sprains can be a frustrating setback, but understanding the nature of the injury is key to effective recovery. Ankle sprains are classified into three grades, with grades 1 and 2 involving varying degrees of ligament overstretching or partial tearing, while grade 3 signifies a complete tear. The most common type is the lateral or inversion sprain, occurring when the foot rolls outward, injuring the outer ligament that connects the ankle bone to the calf bone. In contrast, the rarer medial ligament sprain happens when the foot rolls inward, affecting ligaments on the inner side of the ankle. Runners may also face the challenge of high ankle sprains, which occur above the ankle in the lower leg. This type of sprain results from a downward pointing and twisting motion. This causes a stretch of the syndesmotic ligaments that connect the tibia and fibula in the lower leg to the top of the foot. It is essential that runners do not ignore such injuries, as failing to heal from an ankle sprain completely can cause chronic weak ankles. For an exam, diagnosis, and treatment options, it is suggested that you schedule an appointment with a podiatrist as quickly as possible after being injured.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact one of our podiatrists of APEX Foot & Ankle Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

Plantar Fasciitis
Plantar Fasciosis
Achilles Tendinitis
Achilles Tendon Rupture
Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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Featured Articles

Heel Pain in Active Children May Indicate Sever's Disease

Sever's Disease

It's Time for Beautiful Feet

Proper Footwear for a Productive Workday

How to Handle a Long Work Day on Your Feet

Causes of Gout and How It Is Diagnosed

Gout

How Is Hammertoe Diagnosed?

What Are Hammertoes?

Ankle Sprains From Running

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