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Sever's disease, also known as calcaneal apophysitis, is a common condition affecting children and adolescents. It occurs due to the inflammation of the growth plate in the heel bone, typically during the growth spurts of puberty. One of the primary causes of Sever's disease is the imbalance between the growth of the heel bone and the Achilles tendon. This imbalance can result from intense physical activities, such as running or jumping, which put excessive stress on the heel area. The common symptoms of Sever's disease include heel pain, especially when walking or participating in sports. Pain is often worse during or after activities, and may be accompanied by limping. Swelling and tenderness in the affected heel are also common. It is essential to recognize these signs early, as a timely intervention may help to manage the condition and prevent long-term complications. If your child experiences persistent heel pain, it is suggested that you consult a podiatrist who can determine the appropriate course of treatment and ensure a healthy, pain-free adolescence.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Vincent, Vess from Fourth River Foot & Ankle. 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 offices located in Pittsburgh, White Oak, and McKeesport,PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Tailor's bunion, also known as a bunionette, is a painful condition that develops on the outer side of the foot, specifically over the fifth metatarsophalangeal joint, or the 5th MPJ. This condition causes pressure pain, the formation of painful calluses, and difficulty when wearing shoes. One cause of tailor's bunion is a biomechanical abnormality where changes in your foot’s structure gradually cause the metatarsal bones to separate and a bunion to form. Conservative treatment options include padding, footwear modification, and custom-made orthotics. This condition is progressive and generally does not improve on its own. Surgical options include ostectomy, which removes the painful bump from the head of the fifth metatarsal. This type of surgery involves cutting the fifth metatarsal bone and realigning it. Surgical intervention may also include the removal of a painful bursa, if present. If tailor's bunion significantly hinders daily activities, causes discomfort while wearing shoes,  or leads to excessive pain, it is suggested that you make an appointment with a podiatrist who can determine what the most appropriate course of action is.

If you are suffering from bunions, contact Vincent, Vess of Fourth River Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

If you have any questions, please feel free to contact our offices located in Pittsburgh, White Oak, and McKeesport,PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Plantar warts, painful growths that appear on the soles of the feet, can be an unwelcome annoyance. However, there are effective ways to treat and prevent this viral infection. To tackle existing plantar warts, salicylic acid prescribed by a podiatrist may gradually help to dissolve the wart tissue. For stubborn or painful warts, a podiatrist can recommend cryotherapy, laser therapy, or surgical removal. To prevent plantar warts, maintaining proper foot hygiene is essential. Keep your feet clean and dry, and avoid walking barefoot in public places to minimize exposure to infection. Wear shoes that fit well, and change your socks daily. If you have a cut or scrape on your foot, cover it with a bandage to prevent the virus from entering. Finally, boost your immune system through a healthy diet, exercise, and stress management, as a strong immune system can help ward off the human papilloma virus, or HPV, responsible for these warts. If you have developed a plantar wart, it is strongly suggested that you are under the care of a podiatrist who can provide appropriate relief treatments.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Vincent, Vess from Fourth River Foot & Ankle. 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.

If you have any questions, please feel free to contact our offices located in Pittsburgh, White Oak, and McKeesport,PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Your profession, while providing livelihood and fulfillment, can significantly affect the health of your feet. For those in physically demanding roles, such as healthcare workers, construction laborers, or retail employees, prolonged periods of standing or walking can lead to fatigue, strain, and an increased risk of conditions like plantar fasciitis or bunions. Conversely, sedentary jobs that require long hours of sitting can contribute to problems like weakened calf muscles, poor circulation, and the development of blood clots in the legs, known as deep vein thrombosis  Additionally, professions that involve wearing inappropriate footwear, like high heels or steel-toed boots, can lead to issues ranging from foot pain to chronic conditions such as ingrown toenails or neuromas. Regular foot care, including proper footwear selection, exercising, and taking periodic breaks to stretch and rest your feet, can mitigate the impact of your job on your feet. It is suggested that you consult a podiatrist for guidance tailored to your profession for advice on specific types of shoes to buy for the overall health of your feet. 

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Vincent, Vess from Fourth River Foot & Ankle. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

If you have any questions please contact our offices located in Pittsburgh, White Oak, and McKeesport,PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.