March 2024

Tuesday, 26 March 2024 00:00

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.

Tuesday, 26 March 2024 00:00

Definition and Risk Factors of Sever’s Disease

Sever's disease, also known as calcaneal apophysitis, is a common condition affecting children and adolescents, particularly those engaged in physical activities such as running or jumping. It occurs when the growth plate at the back of the heel bone becomes inflamed due to repetitive stress or tension. The growth plate, known as the calcaneal apophysis, is a vulnerable area where new bone forms as children grow. Common causes of Sever's disease include overuse, rapid growth spurts, and participation in high-impact sports that place excessive strain on the heel bone. Symptoms typically include heel pain, especially during physical activity or when pressing the affected area. Children may also experience swelling and tenderness at the back of the heel. Those participating in sports or activities involving repetitive pounding on hard surfaces are at higher risk of developing Sever's disease. If you notice your active child has heel pain or is limping, it is suggested that you consult a podiatrist who can diagnose and treat Sever’s disease and other foot problems.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Kellvan Cheng, DPM from Elite Foot & Ankle. 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 Carrollton, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

Tuesday, 19 March 2024 00:00

Flatfoot

Flatfoot is a foot disorder that is not as straightforward as many people believe. Various types of flatfoot exist, each with their own varying deformities and symptoms. The partial or total collapse of the arch, however, is a characteristic common to all types of flatfoot. Other signs of flatfoot include:

“Toe drift,” or the pointing outward of the toes and the front part of the foot
The tilting outward of the heel and the tilting inward of the ankle
The lifting of the heel off the ground earlier when walking due to a tight Achilles tendon
Hammertoes
Bunions

One of the most common types of flatfoot is flexible flatfoot. This variation usually starts in childhood and progresses as one ages into adulthood. Flexible flatfoot presents as a foot that is flat when standing, or weight-bearing. When not standing, the arch returns. Symptoms of flexible flatfoot include:

Pain located in the heel, arch, ankle, or along the outside of the foot
Overpronation, or an ankle that rolls in
Shin splint, or pain along the shin bone
General foot aches or fatigue
Pain located in the lower back, hip, or knee

Your podiatrist will most likely diagnose flatfoot by examining your feet when you stand and sit. X-rays may be taken to define the severity and help determine the treatment option best for your condition. Nonsurgical treatments can include activity modification, weight loss, orthotics, immobilization, medications, physical therapy, shoe modifications, and ankle foot orthoses (AFO) devices. If nonsurgical methods prove ineffective, surgery may be considered. Multiple surgical procedures can correct flatfoot; and depending on your specific condition, one may be selected alone or combined with other techniques to ensure optimal results.

Tuesday, 19 March 2024 00:00

Athletes and Flat Feet

Athletes often face various challenges in their pursuit of excellence, and flat feet can present an additional hurdle to overcome. Flat feet, or fallen arches, occur when the arch of the foot collapses, causing the entire sole to make contact with the ground. This condition can lead to discomfort, instability, and an increased risk of injury during physical activity. However, many athletes with flat feet have found effective ways to cope and excel in their sports. One important strategy involves wearing supportive footwear with proper arch support and cushioning to help distribute weight evenly and reduce strain on the feet. Additionally, incorporating exercises to strengthen the muscles surrounding the feet and ankles can improve stability and alignment, enhancing overall performance and reducing the risk of injury. Seeking guidance from a podiatrist can also provide valuable insights and personalized recommendations for managing flat feet while pursuing athletic goals. If you have flat feet and participate in sporting activities, it is suggested that you consult a podiatrist who can offer you additional relief strategies.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.

Symptoms

Pain around the heel or arch area
Trouble standing on the tip toe
Swelling around the inside of the ankle
Flat look to one or both feet
Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle.

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

Tuesday, 12 March 2024 00:00

Achilles Tendon Injuries

The Achilles tendon is the largest tendon in the body; it is a tough band of fibrous tissue that stretches from the bones of the heel to the calf muscles. This tendon is what allows us to stand on our toes while running, walking, or jumping, it is common for this tendon to become injured. In severe cases, the Achilles tendon may become partially torn or completely ruptured. However, this tendon is susceptible to injury because of its limited blood supply and the high level of tension it endures.

The people who are more likely to suffer from Achilles tendon injuries are athletes who partake in activities that require them to speed up, slow down, or pivot. Consequently, athletes who engage in running, gymnastics, dance, football, baseball, basketball, or tennis are more likely to suffer from Achilles tendon injuries. Additionally, there are other factors that may make you more prone to this injury. People who wear high heels, have flat feet, tight leg muscles or tendons, or take medicines called glucocorticoids are more likely to have Achilles tendon injuries.

A common symptom of an Achilles tendon injury is pain above the heel that is felt when you stand on your toes. However, if the tendon is ruptured, the pain will be severe, and the area may become swollen and stiff. Other symptoms may be reduced strength in the lower ankle or leg area, and reduced range of motion in the ankle. When the Achilles tendon tears, there is usually a popping sound that occurs along with it. People who have acute tears or ruptures may find walking and standing to be difficult.

If you suspect you have injured your Achilles tendon, you should see your podiatrist to have a physical examination. Your podiatrist will likely conduct a series of tests to diagnose your injury including a “calf-squeeze” test. Calf squeeze tests are performed by first squeezing the calf muscle on the healthy leg. This will pull on the tendon and consequently cause the foot to move. Afterward, the same test will be performed on the injured leg. If the tendon is torn, the foot won’t move because the calf muscle won’t be connected to the foot.

Tuesday, 12 March 2024 00:00

Causes and Risk Factors of Achilles Tendon Injuries

Achilles tendon injuries, debilitating and often painful, stem from a variety of causes and risk factors. One primary cause is overuse or repetitive strain, particularly common among athletes engaged in high-impact sports like running or basketball. Sudden increases in training intensity or frequency can also strain the tendon, leading to microtears or inflammation. Additionally, inadequate stretching or warming up before physical activity can increase susceptibility to injury. Foot problems such as flat feet or high arches can further exacerbate the risk of Achilles tendon issues by altering biomechanics and placing uneven stress on the tendon. Tight calf muscles and poor footwear choices, lacking proper support or cushioning, can also contribute to strain on the Achilles tendon. Recognizing these underlying causes and addressing risk factors through proper conditioning, stretching, and footwear selection are essential steps in preventing Achilles tendon injuries and maintaining overall foot health. If you have endured an Achilles tendon injury, it is suggested that you confer with a podiatrist who can successfully treat this condition.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Kellvan Cheng, DPM of Elite Foot & Ankle. Our doctor 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 office located in Carrollton, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Tuesday, 05 March 2024 00:00

Foot Pain

Our feet are arguably the most important parts of our bodies because they are responsible for getting us from place to place. However, we often don’t think about our feet until they begin to hurt. If you have pain in your feet, you need to first determine where on the foot you are experiencing it to get to the root of the problem. The most common areas to feel pain on the foot are the heel and the ankle.

Heel pain is most commonly attributed to a condition called plantar fasciitis. Plantar fasciitis occurs when the plantar fascia, which is the band of tough tissue connecting the heel bone to the toes becomes inflamed. Plantar fasciitis pain is usually worse in the morning, and it tends to go away throughout the day. If you have plantar fasciitis, you should rest your foot and do heel and foot muscles stretches. Wearing shoes with proper arch support and a cushioned sole has also been proven to be beneficial.

Some common symptoms of foot pain are redness, swelling, and stiffness. Foot pain can be dull or sharp depending on its underlying cause. Toe pain can also occur, and it is usually caused by gout, bunions, hammertoes, ingrown toenails, sprains, fractures, and corns.

If you have severe pain in your feet, you should immediately seek assistance from your podiatrist for treatment. Depending on the cause of your pain, your podiatrist may give you a variety of treatment options.

Tuesday, 05 March 2024 00:00

Foot Pain Causes Among Ballet Dancers

Ballet, renowned for its grace and elegance, demands immense physical strength and flexibility, placing unique stresses on the feet of dancers. Foot pain is a common and often debilitating issue among ballet dancers, stemming from various factors. One primary cause is the repetitive strain endured during training and performances. The intricate footwork, including pointe work and jumps, can lead to overuse injuries such as stress fractures, tendonitis, and ligament strains. The demanding nature of ballet necessitates wearing tightly-fitted shoes, which can exacerbate foot discomfort and deformities like bunions and hammertoes over time. Poor technique or improper alignment during movements can also contribute to foot pain and injury. Additionally, anatomical factors such as foot structure and muscle imbalances play a significant role in predisposing dancers to foot problems. If you enjoy ballet dancing and are experiencing foot pain, it is suggested that you consult with a podiatrist who can offer you successful treatment methods in addition to effective prevention tips.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Kellvan Cheng, DPM from Elite Foot & Ankle. 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 Carrollton, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.