Idiopathic toe walking is a phenomenon where children habitually walk on their toes without any underlying medical condition or known cause. While toe walking is common in toddlers who are learning to walk, persistent toe walking beyond the age of three without any identifiable cause can be a cause for concern. Children with idiopathic toe walking typically walk on their toes with their heels off the ground during most or all of their walking activities. This behavior can affect their balance, coordination, and overall motor development. While the exact cause of idiopathic toe walking remains unclear, it is believed to involve a combination of factors including tightness in the calf muscles, sensory processing issues, or developmental delays. Early intervention is vital in addressing idiopathic toe walking and preventing potential complications such as muscle stiffness or contractions. Treatment may involve specific stretches that can strengthen the calf muscles, orthotic devices to encourage heel contact, and monitoring to track developmental progress and address any underlying issues. If your child has this condition, it is strongly suggested that you seek the advice of a podiatrist who can guide you toward appropriate treatment measures.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, 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.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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.

Sever's disease, also known as calcaneal apophysitis, is a common cause of heel pain in children and adolescents, particularly those who are active in sports. This condition occurs when the growth plate at the back of the heel becomes inflamed due to repetitive stress or tension. As children's bones grow faster than their muscles and tendons, excessive pulling on the heel's growth plate can lead to discomfort, swelling, and tenderness. Identifying Sever's disease typically involves a thorough examination by a podiatrist, including a review of symptoms and a physical assessment. While the condition often resolves on its own once growth plate closure occurs, there are several strategies for managing symptoms and finding relief. These may include rest, stretching exercises, and supportive footwear with cushioning insoles. If your active child has heel pain, it is suggested that you visit a podiatrist who can diagnose if it is Sever's disease, and offer the appropriate treatment method.

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.

Hypophosphatasia, or HPP, is a rare genetic disorder characterized by impaired bone mineralization, leading to skeletal abnormalities and increased susceptibility to fractures. While HPP primarily affects bones throughout the body, including the legs and spine, it can also manifest in the feet, causing a range of complications, including stress fractures. In individuals with HPP, the deficiency of alkaline phosphatase enzyme disrupts the normal bone mineralization process, resulting in weakened bones that are prone to fracture under stress or pressure. Foot stress fractures, particularly in the metatarsal bones or heel, can occur due to repetitive impact or weight-bearing activities, exacerbating the existing skeletal fragility associated with HPP. Recognizing the potential connection between HPP and foot stress fractures is critical for an accurate diagnosis and appropriate management strategies. Early intervention, including wearing supportive footwear, orthotic devices, and lifestyle modifications, can help mitigate the risk of fractures and improve the quality of life for individuals living with this rare genetic disease. If you believe you have a foot stress fracture, it is strongly suggested that you consult a podiatrist who can successfully treat these breaks, and determine if HPP is a contributing factor.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Dr. Eugenio Rivera from Calo Foot & Ankle Specialists. Our doctor 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 feel free to contact our office located in Bellaire, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Podiatrists play a key role when it comes to managing and preventing foot-related complications in diabetes patients. Foot issues are a common occurrence in diabetics, due to the poor blood circulation and nerve damage, or neuropathy, that often accompany the disease. Podiatrists specialize in early detection and treatment of potential foot problems like ulcers, infections, and structural issues. This makes regular check-ups with podiatrists important for someone who is at risk for these issues. During visits, a podiatrist will conduct comprehensive foot exams to look for signs of decreased circulation, changes in foot structure, or nerve damage. This foot doctor can provide guidance on proper foot care practices, such as how to safely trim nails and avoid injuries. Podiatrists may also recommend appropriate footwear to prevent pressure sores and injuries. Additionally, podiatrists can treat any current foot problems to prevent them from escalating into more serious conditions that could lead to amputation. By closely monitoring the health of a diabetic's feet, podiatrists help maintain mobility and prevent life-threatening complications. If you are at risk for foot complications due to diabetes, it is suggested that you add a podiatrist to your regular care team. 

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Dr. Eugenio Rivera from Calo Foot & Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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 needs.

Hammertoe, a condition where one or more toes bend abnormally at the middle joint, can affect children as well as adults. It typically occurs due to an imbalance in the toe muscles, often exacerbated by wearing ill-fitting shoes or genetic predisposition. Children with hammertoe may experience discomfort, corns, or calluses, especially when wearing shoes. Treatment options for hammertoe in kids vary depending on the severity of the condition. Non-invasive measures such as wearing roomier footwear, toe exercises, and custom orthotic inserts can provide relief. In more severe cases, surgical intervention may be necessary to correct toe alignment. If you have a child who appears to be developing a hammertoe, it is suggested that you schedule an appointment with a podiatrist who can assess the severity of the condition in addition to providing interventions and treatment that can help to alleviate discomfort, prevent progression, and ensure optimal foot health.

Hammertoes can be a painful condition to live with. For more information, contact Dr. Eugenio Rivera of Calo Foot & Ankle Specialists. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

• Painful and/or difficult toe movement
• Swelling
• Joint stiffness
• Calluses/Corns
• Physical deformity

Risk Factors

• Age – The risk of hammertoe increases with age
• Sex – Women are more likely to have hammertoe compared to men
• Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
• Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best 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.