Tuesday, 01 October 2024 00:00

Definition and Risk Factors of Sever’s Disease

Sever's disease, medically known as calcaneal apophysitis, is a common condition affecting children and adolescents, particularly those who are active in sports. Coined by Dr. Warren Sever in 1912, this condition involves inflammation of the growth plate at the heel, causing heel pain and discomfort. It typically occurs during periods of rapid growth when the Achilles tendon pulls on the developing heel bone. Risk factors for Sever's disease include engaging in high-impact sports, improper footwear, and participating in activities that involve frequent jumping or running. The condition is often characterized by pain and tenderness at the back of the heel, which can worsen with physical activity. If your active child has heel pain, it is suggested that you schedule an appointment with a podiatrist who can accurately 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 Dr. Ronald K. Olm from Grand Traverse Foot & Ankle Center. 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 one of our offices located in Traverse City and Kalkaska, MI . 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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Sunday, 29 September 2024 00:00

Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek professional help and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

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Tuesday, 24 September 2024 00:00

Foot Exercises for Balance and Strength

Maintaining strong and balanced feet is essential for overall stability and mobility. One effective exercise is toe raises, which involves lifting your heels off the ground while standing on your toes to strengthen the calf muscles and improve balance. Another beneficial exercise is the toe and heel walk, where you walk on your toes for a few steps and then switch to walking on your heels. This helps enhance both strength and coordination. Foot doming is also useful. While sitting, try to create an arch in your foot by lifting the middle of the foot and keeping your toes and heel on the ground. Lastly, resistance band exercises like pulling the band with your toes while seated, can strengthen the foot’s intrinsic muscles. If you have sustained an injury due to weak foot muscles, it is suggested that you contact a podiatrist who can offer the correct treatment options.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. If you have any concerns about your feet, contact Dr. Ronald K. Olm from Grand Traverse Foot & Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Exercise for Your Feet

Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.

Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctor to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual.

Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.

If you have any questions please feel free to contact one of our offices located in Traverse City and Kalkaska, MI . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Exercise for Your Feet

Foot and ankle pain can be a nuisance in a person’s life, especially if it happens frequently. The best way to prevent this type of pain, is to exercise often. Regular exercise of the foot includes stretching and strength exercises. Stretching exercises can help prevent injuries such as a sprained ankle, while strength exercises can prevent ailments such as plantar fasciitis.

Stretching exercises can help improve flexibility and the foot and ankle’s range of motion. These exercises can certainly help with those who participate in high-energy activities such as sports. Many athletes routinely perform foot and ankle exercises to prevent injuries like sprained ankles, which are common injuries where the tendons in the ankle are over stretched. Strength exercises help develop foot muscles for better support and protection.

Most exercises are simple and can be done at home, either standing or sitting. One chair exercise is called “limber up”. In this exercise, a person would start by sitting down with their feet flat on the floor. Then lift one leg up so the feet are not touching the floor, then rotate your foot clockwise 15-20 times, and 15-20 times counterclockwise. Repeat the same process with the opposite leg. Another sitting exercise helps stretch the back of your heel and requires an exercise band. It begins by looping the band around a heavy piece of furniture, or something stable that will not be moved when the band is tugged or pulled. Then sit directly in front of it, and slide one foot into the loop, so that the band curves around the forefoot. Start by pulling the forefoot back and holding it for 5-10 seconds. Doing this 10-15 times on each foot, will stretch the back of your heel, increasing your flexibility.

Foot exercises that require standing are also just as easy and simple. Referred as the “Achilles Stretch”, this exercise stretches the Achilles tendon, making it more flexible, helping prevent foot, ankle, and leg pain. It begins by first standing and facing the wall, with the arms outstretched and the palms on the wall. Then place one foot behind another keeping the back leg straight, and the forward leg bending at the knee. Make sure both heels are flat on the floor and adjust your stance accordingly. With your hips, lean forward to feel the stretch, you can also adjust the distance from your feet to feel the stretch in various parts of the calf. Make sure to hold the stretch for about 30 seconds and repeat the same process 3 times with each leg. An even easier foot exercise is simply walking on sand. Walking barefoot on sand both strengthens and stretches your feet.

Doing these exercises regularly can help prevent many foot and ankle problems. Other foot exercises can even relieve pain. For example, those affected with plantar fasciitis can simply sit down on a chair, and then place a tennis ball below their affected foot. By rolling the ball under the foot, and increasing or decreasing pressure, pain will be relieved. With any exercise, it is always important to do a small warmup such as walking a few laps around the house to get the blood flowing. If after doing an exercise to relieve pain such as the tennis ball exercise, or are unsure that your execution is correct, be sure to contact a podiatrist for further instruction.

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Tuesday, 17 September 2024 00:00

Symptoms and Transmission of Plantar Warts

Plantar warts are benign growths that appear on the soles of the feet due to a viral infection caused by the human papillomavirus, or HPV. These warts often develop on weight-bearing areas, such as the heels or balls of the feet, that make walking uncomfortable. Symptoms typically include small, rough, and grainy lesions that may have tiny black dots within them. They can also cause pain or discomfort when standing or walking. Plantar warts spread through direct contact with the virus, which thrives in warm, moist environments, like swimming pools or communal showers. The virus enters the skin through small cuts or abrasions. Maintaining good foot hygiene and avoiding walking barefoot in public places can help reduce the risk of contracting and spreading plantar warts. If you have developed a plantar wart, it is suggested that you schedule an appointment with a podiatrist who can treat it accordingly.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Dr. Ronald K. Olm from Grand Traverse Foot & Ankle Center. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

Lesions on the bottom of your feet, usually rough and grainy
Hard or thick callused spots
Wart seeds, which are small clotted blood vessels that look like little black spots
Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

Freezing
Electric tool removal
Laser Treatment
Topical Creams (prescription only)
Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

Plantar Warts

Plantar warts are growths that typically appear on the heels or other weight-bearing areas of the feet. These warts are caused by the human papillomavirus (HPV). The virus enters the body through breaks in the skin, such as cuts, that are on the bottom of the feet. Plantar warts are more likely to affect children and teenagers, people with weakened immune systems, people who have a history with plantar warts, and people who walk barefoot in environments exposed to a wart-causing virus.

If you suspect you have plantar warts, you may have the following symptoms: pain or tenderness while walking, a lesion that interrupts the ridges in the skin of your foot, small fleshy lesions on the bottom of the foot, or a callus where a wart has grown inward over a well-defined spot on the skin.

HPV causes plantar warts to form and is very common. There are more than 100 kinds of the virus in existence. However, only a few of them cause warts on the feet. The other types of HPV are likely to cause warts on other parts of the body.

If you have plantar warts, your podiatrist may try different treatment methods depending on your specific case. Some treatments for plantar warts are peeling medicines (salicylic acid), freezing medicines (cryotherapy), or surgical procedures. Laser treatments and vaccines are also used to treat plantar warts.

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Tuesday, 10 September 2024 00:00

Risk Factors for Plantar Fasciitis

Plantar fasciitis, a common cause of heel pain, often results from strain on the plantar fascia, a thick band of tissue that supports the foot's arch. Various risk factors can contribute to plantar fasciitis, including excessive foot pronation, where the foot rolls inward too much, or high arches that put extra stress on the fascia. Tightness in the Achilles tendon can limit ankle movement, which in turn increases strain on the plantar fascia. Weak foot muscles may also contribute to overstretching the plantar fascia. Physical activity levels, whether too much or too little, can also influence the development of plantar fasciitis. Prolonged standing, obesity, and training errors, such as sudden increases in exercise intensity, are additional risk factors. Addressing these issues early with a podiatrist can help prevent the condition from worsening. If you have persistent or worsening heel pain, it is suggested that you promptly schedule an appointment with a podiatrist to determine whether plantar fasciitis is the problem.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Ronald K. Olm from Grand Traverse Foot & Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

Excessive running
Having high arches in your feet
Other foot issues such as flat feet
Pregnancy (due to the sudden weight gain)
Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
Maintain a healthy weight
If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

Plantar Fasciitis

The plantar fascia is a connective tissue in the heel that stretches across the bottom length of your foot. Plantar fasciitis occurs when the connective tissue becomes inflamed, causing heel pain and discomfort during physical activity. Although the condition is completely treatable, traditional methods can take up to a year to start becoming effective.

Plantar fasciitis is caused by a number of everyday activities, so understanding the condition is important for managing and treating it. One of the most common causes of plantar fasciitis is excessive running, especially with improper fitting or non-supportive shoes. Too much exercise can lead to the plantar fascia being overworked and overstretched, which can cause tears in the tissue. Along with improper fitting shoes, pronation, the rolling of the feet inward, is a common cause of plantar fasciitis. If not treated properly, the plantar fascia becomes overstretched and starts to tear, causing inflammation.

Despite the common causes of plantar fasciitis, there are many different treatment options. For less severe cases, conservative home remedies include taking anti-inflammatory drugs to alleviate pain, applying ice packs to the bottom of your foot and heel, slowly stretching and exercising your feet to re-strengthen the tissue, and using orthotic devices are all ways to help manage your plantar fasciitis.

For more severe cases, shockwave therapy has become a common solution for plantar fasciitis. Shockwave therapy can effectively break up the tissue on the bottom of your foot which facilitates healing and regeneration. This fights the chronic pain caused by plantar fasciitis. Even if this doesn’t work, surgery is always a final option. Surgery on the tissue itself can be done to permanently correct the issue and stop the inflammation and pain in your heels.

No matter what the case may be, consulting your podiatrist is the first and best step to recovery. Even the slightest amount of heel pain could be the first stage of plantar fasciitis. Untreated symptoms can lead to the tearing and overstretching of tissue. Because the tearing of tissue can be compounded if it remains ignored, it can evolve into a severe case. The solution is early detection and early treatment. Talk to your podiatrist about the possibilities of plantar fasciitis if you’re experiencing heel pain.

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Tuesday, 03 September 2024 00:00

Peripheral Artery Disease in the Feet

Peripheral arterial disease, or PAD, is a condition where narrowed arteries reduce blood flow to the limbs, particularly the lower legs and feet. This reduced circulation can lead to pain, cramping, and fatigue in the legs and feet, especially during physical activities like walking. Over time, PAD can result in more serious complications, such as sores or wounds on the feet that heal slowly, if at all, and an increased risk of infections. Symptoms of PAD include leg pain while walking, numbness or weakness, coldness in the lower leg or foot, and changes in skin color. Causes of PAD are typically related to atherosclerosis, where fatty deposits build up on artery walls. Risk factors include smoking, diabetes, high blood pressure, and high cholesterol. If you experience symptoms of PAD, it is strongly suggested that you visit a podiatrist for early diagnosis and management. Treatment may include lifestyle changes, medication, and, in severe cases, surgery to improve blood flow.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Dr. Ronald K. Olm from Grand Traverse Foot & Ankle Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

Claudication (leg pain from walking)
Numbness in legs
Decrease in growth of leg hair and toenails
Paleness of the skin
Erectile dysfunction
Sores and wounds on legs and feet that won’t heal
Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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Definition and Risk Factors of Sever’s Disease

Sever's Disease

Heel Pain Can Be Treated!

Foot Exercises for Balance and Strength

Exercise for Your Feet

Symptoms and Transmission of Plantar Warts

Plantar Warts

Risk Factors for Plantar Fasciitis

Plantar Fasciitis

Peripheral Artery Disease in the Feet

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