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Sever’s disease is a common cause of heel pain in growing children and teens. It develops when the growth plate in the heel becomes swollen and irritated. A growth plate is an area of cartilage near the end of a bone where much of its growth occurs. Because this area is weaker than mature bone, it can be more vulnerable to injury. Sever’s disease typically occurs during the growth spurt of puberty, often between ages nine and 14. Heel pain or tenderness may affect one or both feet. Swelling, redness, and stiffness can also occur, and some children may limp because of discomfort.

During a growth spurt, bones and surrounding soft tissues may grow at different rates. Muscles and tendons can become tight and pull on the heel’s growth plate. Running and jumping can place additional stress on this area, leading to irritation and pain. For this reason, Sever’s disease is often seen in active children who participate in sports, especially activities performed on hard surfaces. Symptoms generally become worse during or after physical activity. Less commonly, prolonged standing can place constant pressure on the heel and contribute to the condition.

A podiatrist can evaluate a child’s heel pain and determine whether Sever’s disease may be responsible. Diagnosis usually involves discussing the child’s activities and carefully examining the heel. X-rays do not show Sever’s disease itself, but they may sometimes be used to rule out other causes of heel pain. Podiatric treatment may include supportive shoe inserts or a walking boot, when appropriate. More severe or persistent symptoms may require additional treatment. Fortunately, Sever’s disease usually improves without causing lasting problems, and it no longer occurs once the heel’s growth plate finishes developing. If your child has persistent heel pain that affects walking or sports participation, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

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 Podiatry Associates. 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 Greenville, and Easley, SC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A foot stress fracture is a small crack in a bone caused by repeated pressure and overuse. Runners, dancers, and athletes are particularly susceptible because their activities place repeated stress on the feet. Stress fractures can affect several bones, but they commonly develop in the foot. One of the first signs is localized pain without an obvious injury. The discomfort may begin as a dull ache and become stronger during activity. Some people experience deep aching, tenderness, or weakness around the affected area. Unlike a complete fracture, a stress fracture may not prevent normal movement. Swelling can be mild or absent, and bruising may not occur, making the injury easy to overlook.

Pain from a stress fracture often becomes more noticeable during running, dancing, or sports. Continuing activities that repeatedly stress the affected bone can worsen the injury and delay healing. Stress fractures vary in severity, and some occur in bones that heal more easily than others. A podiatrist can evaluate symptoms, examine the foot, and order imaging tests when necessary to determine whether a stress fracture is present. Treatment depends on the affected bone, fracture severity, and activity level.

Treatment commonly involves reducing pressure on the foot and using supportive footwear, immobilization, or other measures to protect the injured bone while it heals. Some stress fractures may require more extensive treatment, and surgery may occasionally be necessary. A gradual return to normal activities is recommended after adequate healing has occurred.

Persistent or increasing foot pain should not be assumed to be a minor sprain. Stress fractures can develop without a major accident or direct blow, particularly in people who participate regularly in high-impact activities. Early evaluation can help prevent the injury from becoming more serious and support proper healing. If you have localized foot pain or symptoms of a stress fracture, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact one of our podiatrists from Piedmont Podiatry Associates. Our doctors can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

• Runners                                
• People affected with Osteoporosis
• Tennis or basketball players
• Gymnasts
• High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

If you have any questions please contact one of our offices located in Greenville, and Easley, SC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Diabetic limb salvage focuses on treating serious foot and lower-limb complications with the goal of preserving as much healthy tissue and function as possible. Diabetes can damage nerves and reduce circulation to the feet, making injuries harder to notice and slower to heal. A small wound can sometimes develop into a diabetic foot ulcer or serious infection. When these problems progress, tissue damage may place the foot or limb at risk. Limb-salvage care brings together careful wound management, infection treatment, and evaluation of blood flow. Early professional attention is important because timely treatment may improve healing and reduce the risk of limb loss.

Several factors can make diabetic foot wounds more difficult to treat. Nerve damage may reduce sensation, while poor circulation can limit the oxygen and nutrients needed for healing. Infection can further damage tissue and may spread if it is not treated promptly. A diabetic limb-salvage evaluation focuses on the wound and the overall condition of the foot. Depending on the situation, additional testing may be needed to evaluate circulation or determine whether infection has reached deeper tissues. More advanced cases may require coordinated care from multiple medical specialists to protect the patient’s health and preserve function.

A podiatrist plays an important role in diabetic limb salvage by identifying and treating foot problems before they become more severe. Podiatric care may include professional wound treatment, removal of damaged tissue, or methods to reduce pressure on vulnerable areas. A podiatrist can also monitor healing and work with vascular or other specialists when circulation problems require additional care. Treatment is based on the severity of the wound and the patient’s overall health. The goal is to control complications, support healing, and preserve mobility whenever possible. If you have diabetes and develop a non-healing wound, infection, or concerning changes in your foot, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Diabetic Limb Salvage

Diabetic limb salvage can be an effective way in preventing the need for limb amputation. If you have a foot ulcer and diabetes, consult with one of our podiatrists from Piedmont Podiatry Associates. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Diabetic Limb Salvage?

Diabetic limb salvage is the attempt of saving a limb, such as the foot, that has an infected ulcer, from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.

Diabetes is the number one cause of non-traumatic amputations in the United States. Amputation has been found to lead to higher mortality rates. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.

Diagnosis and Treatment

Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated. 

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

Gout is a form of inflammatory arthritis that develops when uric acid builds up in the blood and forms sharp crystals in the joints. This condition often affects the big toe, a problem known as podagra, because this joint is more vulnerable to crystal formation. The big toe is located far from the heart, which can result in slightly lower temperatures that encourage crystal deposits. In addition, the joints in the big toe have repeated stress from walking and standing, which can make it more prone to inflammation and pain.

Symptoms of gout usually appear suddenly and may include intense pain, swelling, and redness. Warmth and tenderness also occur. The affected joint may feel stiff and extremely sensitive to touch, even from light pressure such as bed sheets. These flare-ups can last for several days and may return if uric acid levels remain elevated. Risk factors include a diet high in purine rich foods, obesity, and dehydration. Alcohol use, certain medications, and family history are other factors. They can increase uric acid production or reduce its elimination from the body.

Gout develops when excess uric acid forms crystals that settle in the joint, leading to inflammation. The big toe is often the first site affected because of its frequent movement, which can trigger irritation. Eating the right foods plays an important role in managing gout and lowering uric acid levels. A balanced diet that limits red meat, processed foods, and sugary drinks helps. Hydration, fruits, vegetables, and whole grains also can help reduce flare ups and support joint health.

Managing gout involves controlling uric acid levels and reducing inflammation to prevent future attacks. Lifestyle changes such as maintaining a healthy weight, staying hydrated, and following a gout-friendly diet can make a meaningful difference. If you have symptoms of gout, it is suggested that you are under the care of a podiatrist who can help you to manage this painful condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Piedmont Podiatry Associates. 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.

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