November 2023

Sever's disease, despite its name, is not an illness but a common heel condition affecting growing children, particularly those engaged in sports or activities that involve repetitive stress on the heel bone. Commonly observed in children aged 8 to 14, Sever's disease arises from the inflammation of the growth plate in the heel, where the Achilles tendon attaches. Recognizing the symptoms is vital for early intervention. Affected children may experience heel pain, swelling, and tenderness, especially during or after physical activity. As bones grow faster than muscles and tendons during this age range, the tightness and strain on the heel's growth plate become more pronounced. Factors such as rapid growth, high-impact sports, or wearing inadequate footwear contribute to vulnerability. Understanding Sever's disease and its symptoms equips parents, coaches, and young athletes to navigate this temporary, but uncomfortable condition with informed care and appropriate preventive measures. If your active child has heel pain, it is strongly suggested that he or she is under the care of a podiatrist who can effectively diagnose and treat this condition.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dr. Eugenio Rivera from Calo Foot & Ankle Specialists. 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 Bellaire, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

Heel bone spurs, or calcaneal spurs, are abnormal bone growths that look like hard lumps on the back of or underneath the heel. These formations are caused by persistent irritation or stress on the heel bone. This prompts the cells responsible for bone growth to produce excess calcium deposits over time. One of the causes of heel spurs is tightness in soft tissues like ligaments, muscles, and tendons. When these tissues are under increased tension, they exert excessive force on the attached bone, leading to inflammation and the development of bone spurs. Conditions such as plantar fasciitis, characterized by heightened tension in the plantar fascia under the sole of the foot, can also be a factor. Wearing shoes that are too tight, lack support, or have an improper shape create repetitive friction on different foot areas. The back of the heel is particularly susceptible to this friction, resulting in the accumulation of calcium deposits and the subsequent formation of calcaneal bone spurs. Women, who frequently wear tight fitting shoes that have high heels or pointed toes, are at a higher risk of developing such heel bone spurs. If you believe you may have developed a heel bone spur, it is suggested that you make an appointment with a podiatrist for a comprehensive evaluation. 

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Dr. Eugenio Rivera from Calo Foot & Ankle Specialists. Our doctor will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions feel free to contact our office located in Bellaire, TX . We offer the latest in diagnostic and treatment technology to meet your needs.

Achilles tendon bursitis is a painful condition that involves inflammation of the fluid filled sac, or bursa, located between the skin of the heel. Posterior Achilles tendon bursitis affects the back of the heel, while anterior Achilles tendon bursitis, also called retromalleolar bursitis, is felt in front of the attachment of the Achilles tendon to the heel bone. Symptoms include swelling, warmth, pain, and a tender spot at the back of the heel. Diagnosis by a podiatrist begins with a discussion of symptoms and a medical history, followed by a physical examination to identify signs of inflammation and tenderness. X-rays may be used to rule out other potential causes of heel pain, and in some cases, an ultrasound or MRI may provide more detailed views. The primary goal is to relieve inflammation and reduce pain. Treatment approaches may vary based on the severity and location of the pain. In rare cases, surgical intervention may be considered. For help in relieving the pain of Achilles tendon bursitis, it is suggested that you make an appointment with a podiatrist.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Dr. Eugenio Rivera of Calo Foot & Ankle Specialists. 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 Bellaire, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Gout is not only about discomfort. If not addressed, especially when it is ongoing, it can evolve into major health challenges over the years. There are formations called tophi, which essentially are hardened clusters of urate crystals. These can emerge in various areas, including the feet. Even though they might not always be painful, neglecting them can harm your bones, cartilage, and joints. With prolonged gout, individuals often experience regular joint inflammation. This consistent swelling, combined with tophi, can result in permanent joint alterations and rigidity. In extreme situations, surgical intervention might be necessary to rectify or even replace damaged joints. Additionally, gout raises the likelihood of kidney stone formation. This happens because urate crystals can accumulate in the urinary system. Over time, if these stones block your kidneys, it can lead to scarring and damage. There's a belief that this kind of kidney damage, if not treated, can progress to chronic kidney ailments. Moreover, the persistent pain due to chronic gout can be mentally taxing. It can hinder daily activities like walking and working, leading to emotional strain. If you have gout, it is strongly suggested that you make a n appointment with a podiatrist to get treatment for this painful affliction before it takes more of a toll on your body and mind.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Eugenio Rivera from Calo Foot & Ankle Specialists. Our doctor 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 our office located in Bellaire, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.