Tuesday, 02 July 2024 00:00

Treatment for Sever’s Disease

Sever's disease, also known as calcaneal apophysitis, is a common cause of heel pain in growing children and adolescents, particularly those involved in sports. It occurs when the growth plate in the heel becomes inflamed due to repetitive stress and overuse. This condition typically affects children between the ages of eight and 14, coinciding with periods of rapid growth. Patients with calcaneal apophysitis often experience pain and tenderness in the heel, which can worsen with physical activity and improve with rest. The pain is usually located at the back of the heel and can be accompanied by swelling and difficulty while walking. Treatment focuses on reducing pain and inflammation, and rest is commonly suggested. Stretching exercises, wearing proper footwear, and orthotic inserts can also help to alleviate symptoms. If your child is complaining of heel pain that persists, it is suggested that you visit a podiatrist for a thorough evaluation and tailored treatment plan.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Amir Shalev, DPM from Complete Foot & Ankle Care. 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 Las Vegas, NV . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

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Tuesday, 02 July 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.

Ingrown toenails account for a significant portion of foot problems, accounting for approximately 20 percent of cases. This condition occurs when the edge of a toenail grows into the surrounding skin, causing pain, swelling, and sometimes infection. Common causes include improper nail trimming, wearing tight shoes, and genetic predisposition. Relief techniques focus on reducing discomfort and preventing further issues. Soaking the affected foot in warm, soapy water can soften the skin and nails, providing temporary relief. Wearing properly fitting shoes with ample toe room and trimming nails straight across, rather than in a curved shape, may help to prevent ingrown toenails. If you have developed this condition, it is strongly suggested that you visit a podiatrist who can successfully treat ingrown toenails, which may include minor surgery for removal.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Amir Shalev, DPM of Complete Foot & Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

  • Improper toenail trimming
  • Genetics
  • Improper shoe fitting
  • Injury from pedicures or nail picking
  • Abnormal gait
  • Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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

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Tuesday, 25 June 2024 00:00

Ingrown Toenail Care

An ingrown toenail is a nail that has curved downward and grows into the skin.  This typically occurs at the nail borders, or the sides of the nail.  As a result, pain, redness, swelling, and warmth may occur in the toe.  If a break in the skin forms due to the ingrown nail, bacteria may enter and cause an infection in the area; this is typically characterized by a foul odor and drainage.

Ingrown toenails have multiple reasons for developing.  In many instances, the condition is a result of genetics and is inherited.  The most common cause, however, is improper trimming; cutting the toenails too short forces the skin beside the nail to fold over.  An ingrown toenail can also develop due to trauma, such as stubbing the toe, having an object fall on the toe, or participating in activities that involve repeated kicking or running.  Wearing shoes that are too tight or too short can also cause ingrown toenails.

Treatment for an ingrown toenail varies between patients and the severity of the condition.  Milder cases that don’t involve infection or other medical conditions can benefit from soaking the feet in room-temperature water and gently massaging the side of the nail.  In most cases, however, it is best to see your podiatrist for thorough and proper treatment.  After examining your toe, your podiatrist may prescribe oral antibiotics to clear the infection if one is present.  Surgical removal of either a portion of the nail or the entire nail may also be considered.  In some cases, complete removal or destruction of the nail root may be required.  Most patients who undergo nail surgery experience minimal pain afterward and can return to normal activity the following day.

Ingrown toenails can be prevented with proper nail trimming and by avoiding improper-fitting shoes.  When cutting the toenails, be sure that you are cutting in a straight line and avoid cutting them too short.  Shoes should not be too short or tight in the toe box.

Friday, 21 June 2024 00:00

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

A broken toe can result from various causes, including direct trauma, stubbing the toe against a hard surface, or dropping a heavy object on the foot. Sports injuries, accidents, and even sudden, forceful movements can also lead to a toe fracture. Common symptoms include severe pain, swelling, bruising, and difficulty walking. While minor fractures may heal with rest and home care, it is important to know when to call a podiatrist. Seek medical attention if there is intense pain, visible deformity, numbness, or if the toe is cold or pale, indicating poor blood flow. Persistent swelling and an inability to move the toe also warrant a professional evaluation. Early diagnosis and appropriate treatment is vital to prevent complications and ensure proper healing of a broken toe. If you have any of the above symptoms and believe you may have fractured your toe, it is suggested that you seek prompt attention from a podiatrist who can diagnose and treat broken toes.

Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact Amir Shalev, DPM from Complete Foot & Ankle Care. Our doctor will treat your foot and ankle needs.

What Is a Broken Toe?

A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.

Symptoms of a Broken Toe

  • Swelling
  • Pain (with/without wearing shoes)
  • Stiffness
  • Nail Injury

Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.

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

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Tuesday, 18 June 2024 00:00

What to Know About a Broken Toe

The forefoot is composed of five metatarsal bones and fourteen phalanges. Each toe has three phalanges except for the big toe which only has two. Our toes play an essential role to the walking process, which is why a broken toe could seriously disrupt one’s ability to move around. Toe fractures are common and can be very painful. Fortunately, these injuries rarely require surgery and usually heal with rest and a change in activity.

Broken toes typically result from a traumatic event such as falling, stubbing the toe, or dropping something on the toe. Traumatic toe fractures may be categorized as either minor or severe fractures. At times, one may hear a “pop” or “crack” sound when the bone breaks. Common symptoms of a traumatic toe fracture include pain, throbbing, bruising, swelling, and redness.

Another type of toe fractures is a stress fracture. These injuries usually appear in the form of small hairline breaks on the bone. Stress fractures develop after repetitive activity instead of a single injury. Stress fractures occur when the muscles in the bone become too weak to absorb impact. Consequently, the toe bone becomes vulnerable to any pressure and impact it endures. Symptoms for a stress fracture in the toe include swelling without bruising, tenderness to the touch, pain that goes away with rest, and pain after walking or running.

If you suspect that you have a broken toe, you should make an appointment with your podiatrist. He or she will likely diagnose you by performing a physical exam and an X-ray. Treatment for a broken toe may include the R.I.C.E. method, buddy taping, surgery, or antibiotics. The R.I.C.E. method (Rest, Ice, Compression, and Elevation) is a common treatment method for many injuries because it decreases pain. Buddy tapping involves wrapping the injured toe next to an adjacent toe to keep it supported and protected. These two methods have proven to be effective in the healing process for toe fractures. The estimated healing time for a broken toe is approximately four to six weeks. If the injury becomes infected or requires surgery, the estimated healing time may take eight weeks or more. 

Tuesday, 11 June 2024 00:00

Life Quality With Heel Pain

Plantar fasciitis significantly impacts quality of life, primarily due to persistent heel pain. This condition involves inflammation of the plantar fascia, a thick band of tissue running along the bottom of the foot, often resulting in stabbing pain, particularly during the first steps in the morning or after periods of inactivity. The pain can range from a dull ache to sharp discomfort, making walking, standing, and engaging in daily activities challenging. Symptoms can include heel pain, stiffness, and swelling. Common causes are overuse, wearing improper footwear, obesity, and excessive standing or walking on hard surfaces. Relief options include rest, stretching exercises, proper footwear, and orthotic devices to provide arch support. In severe cases, medical interventions such as corticosteroid injections or surgery might be necessary. If you suffer from plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist to manage it and prevent further complications.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Amir Shalev, DPM  from Complete Foot & Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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

Read more about Plantar Fasciitis
Tuesday, 11 June 2024 00:00

Plantar Fasciitis

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is the thick band of tissue that connects the heel bone to the toes. When this band of connective tissue becomes inflamed, plantar fasciitis occurs. Fortunately, this condition is treatable.

There are several factors that may put you at a greater risk for developing plantar fasciitis. One of the biggest factors is age; plantar fasciitis is common in those between the ages of 40 to 60. People who have jobs that require them to be on their feet are also likely to develop plantar fasciitis. This includes factory workers, teachers, and others who spend a large portion of their day walking around on hard surfaces. Another risk factor is obesity because excess weight can result in extra stress being placed on the plantar fascia.

People with plantar fasciitis often experience a stabbing pain in the heel area. This pain is usually at its worst in the morning, but can also be triggered by periods of standing or sitting. Plantar fasciitis may make it hard to run and walk. It may also make the foot feel stiff and sensitive, which consequently makes walking barefoot difficult.

Treatment for plantar fasciitis depends on the severity of the specific case of the condition. Ice massage applications may be used to reduce pain and inflammation. Physical therapy is often used to treat plantar fasciitis, and this may include stretching exercises. Another treatment option is anti-inflammatory medication, such as ibuprofen.

If you suspect that you have plantar fasciitis, meet with your podiatrist immediately. If left untreated, symptoms may lead to tearing and overstretching of the plantar fascia. The solution is early detection and treatment. Be sure to speak with your podiatrist if you are experiencing heel pain.

Tuesday, 04 June 2024 00:00

Managing Common Sports Injuries

Common sports injuries that affect the ankle and foot include sprains, strains, swollen muscles, and fractures. Acute injuries, such as sprains, occur suddenly due to a specific incident like twisting the ankle. These injuries result in pain, swelling, and instability, often requiring immediate attention. Chronic overuse injuries, like plantar fasciitis, develop over time from repetitive stress and can cause persistent pain and stiffness. Ankle sprains happen when the ligaments supporting the ankle stretch or tear, typically from a sudden twist or impact. Symptoms include pain, swelling, bruising, and difficulty bearing weight. Plantar fasciitis involves inflammation of the plantar fascia, a thick band of tissue running along the bottom of the foot. It causes sharp heel pain, especially in the morning or after prolonged activity. If you have persistent foot or ankle pain from sports participation, it is suggested that you schedule an appointment with a podiatrist for professional guidance. A podiatrist can provide an accurate diagnosis, treatment plan, and preventive strategies to help you recover and return to your sport.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Amir Shalev, DPM of Complete Foot & Ankle Care. Our doctor 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.

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

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