April 2019

Sever’s disease only affects children because it involves the growth plate in the heel, which is not fully developed in childhood. The growth plate is weaker than the rest of the bone, so continual pressure or injury can lead to swelling and irritation. Therefore, sports are a common cause for children developing Sever’s disease. Symptoms of this condition are swelling and redness of the heel, stiffness in the feet, limping, and heel pain. Symptoms tend to become worse during or after activities, then get better with rest. If a child participates in sporting activities, then develops Sever’s disease, they should wait until after being treated to resume those activities. If you think your child may have Sever’s disease, then it is recommended you bring them to a podiatrist in order to receive appropriate 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 Piedmont Foot & Ankle Clinic. 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 Cary, Apex, Dunn, and Benson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

The heel of the foot is sometimes referred to as the “hindfoot", and consists of various types of tissues. If damage should occur to these group of tissues, the result may be heel pain. Research has indicated there are several kinds of heel pain, including plantar fasciitis, Achilles tendonitis, and nerve disorders. The former will often cause pain that is typically worse as the first steps are taken in the morning and may improve if proper foot stretches are performed. The Achilles tendon connects the calf muscles to the heel. If this should become torn as a result of an injury, Achilles tendonitis will develop. This is often treated with physical therapy, or by wearing orthotics. It is common for many diabetic patients to experience nerve disorders, and heel pain can develop as a result of having peripheral neuropathy. If you have any type of heel pain, it is suggested to counsel with a podiatrist who can perform a proper diagnosis and begin correct treatment techniques.

Many people suffer from bouts of heel pain. For more information, contact one of our podiatrists of Piedmont Foot & Ankle Clinic. 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 contact one of our offices located in Cary, Apex, Dunn, and Benson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

There are two bones that are located under the joint at the bottom of the big toe. These are referred to as the sesamoid bones. If they should suffer an injury or become inflamed from overuse, a condition known as sesamoiditis may occur. The symptoms associated with this ailment may include pain while walking or running, and discomfort when the big toe is pulled upward. An X-ray is often performed to obtain a correct diagnosis, as this may be helpful in determining if the sesamoid bones have become fractured. Additional tests that can be performed may include bone scans or an MRI. If you feel you have sesamoiditis, it is strongly recommended that you consult with a podiatrist who can advise you on proper treatment options.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact one of our podiatrists of Piedmont Foot & Ankle Clinic. Our doctors will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

• Sudden increase in activity
• Increase in physically strenuous movement without a proper warm up or build up
• Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

If you have any questions please feel free to contact one of our offices located in Cary, Apex, Dunn, and Benson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A blister is the body’s natural defense mechanism in protecting the top layer of the skin after it has been damaged. It is a small bubble of fluid that forms over the affected area of skin, and provides the necessary cushioning for the damaged tissue. The majority of blisters will drain once the healing process is completed, and this may take several days. There are different reasons why blisters may form, including medical conditions such as impetigo, allergic reactions to insect bites, sunburn, or frostbite. Blisters that occur on the feet are often caused by friction. This may come from wearing shoes and socks that do not fit correctly, in addition to having feet that are sweaty for the majority of the day. If you have a blister that will not heal or has become infected, it is advised to seek the counsel of a podiatrist who can guide you toward proper treatment.

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, contact one of our podiatrists of Piedmont Foot & Ankle Clinic. Our doctors can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

Symptoms

(Blister symptoms may vary depending on what is causing them)

• Bubble of skin filled with fluid
• Redness
• Moderate to severe pain
• Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

If you have any questions, please feel free to contact one of our offices located in Cary, Apex, Dunn, and Benson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Athlete’s foot may affect the majority of the population sometime in their lives. Uncomfortable symptoms may include dry and itchy skin, and may often be noticed between the toes. The bottom of the foot may also be affected, and patients may notice bleeding or cracked skin. This type of fungus thrives in warm and moist environments, and is considered to be contagious. These areas may include public pools and locker rooms, in addition to shower room floors. Preventive measures can be implemented which may prevent athlete’s foot from occurring. These may include washing and drying the feet thoroughly, wearing appropriate shoes while in public areas, and changing shoes and socks often. If you are afflicted with athlete’s foot, it is strongly advised that you seek the counsel of a podiatrist who can offer proper treatment techniques.

Athlete’s Foot

Athlete’s foot is often an uncomfortable condition to experience. Thankfully, podiatrists specialize in treating athlete’s foot and offer the best treatment options. If you have any questions about athlete’s foot, consult with one of our podiatrists from Piedmont Foot & Ankle Clinic. Our doctors will assess your condition and provide you with quality treatment.

What Is Athlete’s Foot?

Tinea pedis, more commonly known as athlete’s foot, is a non-serious and common fungal infection of the foot. Athlete’s foot is contagious and can be contracted by touching someone who has it or infected surfaces. The most common places contaminated by it are public showers, locker rooms, and swimming pools. Once contracted, it grows on feet that are left inside moist, dark, and warm shoes and socks.

Prevention

The most effective ways to prevent athlete’s foot include:

• Thoroughly washing and drying feet
• Avoid going barefoot in locker rooms and public showers
• Using shower shoes in public showers
• Wearing socks that allow the feet to breathe
• Changing socks and shoes frequently if you sweat a lot

Symptoms

Athlete’s foot initially occurs as a rash between the toes. However, if left undiagnosed, it can spread to the sides and bottom of the feet, toenails, and if touched by hand, the hands themselves. Symptoms include:

• Redness
• Burning
• Itching
• Scaly and peeling skin

Diagnosis and Treatment

Diagnosis is quick and easy. Skin samples will be taken and either viewed under a microscope or sent to a lab for testing. Sometimes, a podiatrist can diagnose it based on simply looking at it. Once confirmed, treatment options include oral and topical antifungal medications.

If you have any questions, please feel free to contact one of our offices located in Cary, Apex, Dunn, and Benson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.