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Sever’s disease is a common cause of heel pain in growing children, especially those who are active in sports. It is a growth-related condition that affects the heel bone, known as the calcaneus. During periods of rapid growth, bones can lengthen faster than the surrounding muscles and tendons, creating tension at the growth plate. Repetitive stress on this sensitive area can lead to inflammation and discomfort, particularly in children who regularly engage in running and jumping activities.

Symptoms of Sever’s disease typically include heel pain that worsens with physical activity and improves with rest. Children may report tenderness at the back or underside of the heel, along with stiffness and difficulty walking or running comfortably. In some cases, a child may limp or avoid placing full weight on the affected foot. The pain can occur in one or both heels and may vary in severity depending on activity level and intensity.

Several risk factors can increase the likelihood of developing this condition. Participation in high-impact sports such as soccer, basketball, or track places repeated strain on the heel. Rapid growth spurts can further contribute by increasing tension in the muscles and tendons attached to the heel bone. Wearing improper footwear that lacks sufficient support or cushioning can worsen symptoms. Additionally, foot structure, including flat feet or high arches, may lead to uneven pressure distribution and added stress on the growth plate.

Managing Sever’s disease focuses on reducing stress on the heel and promoting proper foot mechanics. Rest, supportive footwear, and stretching exercises can help relieve discomfort and support healing. Early attention is important to prevent prolonged symptoms and allow a safe return to activity. If your active child has heel pain, it is suggested that you consult a podiatrist who can offer effective relief and management tips.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dawn Miles, DPM from Florida. 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 Palatka and Saint Augustine, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Extensor tendonitis  is a common foot condition that causes pain along the top of the foot where the extensor tendons are located. These tendons help lift the toes, support foot movement, and maintain proper balance while walking and running. When these tendons become irritated or inflamed from repetitive stress, discomfort and limited mobility can develop. This condition often progresses gradually and may become more difficult to manage if symptoms are ignored.

The most common symptom of extensor tendonitis is pain across the top of the foot that increases during activities such as walking, running, or exercise. Other symptoms may include swelling, tenderness, redness, and occasional bruising. Some individuals experience weakness when lifting their toes or difficulty performing normal daily activities. Wearing shoes that are too tight can place added pressure on the tendons, increasing irritation and delaying recovery.

A major cause of extensor tendonitis is overuse, especially from activities that involve repetitive foot motion. Runners, athletes, and individuals who increase their exercise intensity too quickly may place excessive strain on the extensor tendons. Improper footwear is another common cause, as shoes with a tight toe box or excessive pressure across the top of the foot can restrict movement and contribute to inflammation. Poor foot mechanics, limited flexibility, and inadequate stretching may also increase the risk of developing this condition.

Treatment and prevention focus on reducing stress on the affected tendons and supporting proper foot function. Rest, stretching,  wearing supportive footwear, and activity modification can help improve symptoms. Wearing properly fitted shoes with enough room across the top of the foot can reduce unnecessary pressure. Addressing pain early may help prevent chronic discomfort and recurring injury. If you have pain on the top of your foot and want a proper evaluation, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dawn Miles, DPM from Florida. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact one of our offices located in Palatka and Saint Augustine, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A broken foot occurs when one or more of the bones in the foot fracture. Because the foot contains many small bones that work together to support body weight and movement, a fracture can significantly affect mobility. A broken foot may result from a fall, sports injury, motor vehicle accident, or repetitive stress placed on the bones over time. Common broken foot symptoms include foot pain, swelling, bruising, tenderness, and difficulty walking. Some people may also notice that the foot appears misshapen or that putting weight on it becomes extremely painful. Since foot fractures can vary in severity, obtaining an accurate diagnosis is important for determining the most effective treatment.

Not all broken foot injuries are the same. Some fractures involve a small crack in the bone, while others may cause the bone to shift out of position. In certain cases, a broken foot can be mistaken for a severe sprain because the symptoms are similar. However, untreated foot fractures may lead to ongoing pain, improper healing, reduced mobility, or long-term foot problems. Imaging studies such as X-rays are often used to confirm the diagnosis and identify the location of the fracture. Early evaluation is important because prompt treatment can help support proper healing and reduce the risk of complications.

A podiatrist is a foot and ankle specialist who is trained to diagnose and treat broken foot injuries. During an evaluation, a podiatrist will examine the foot, review symptoms, and assess imaging results to develop an appropriate treatment plan. Depending on the type and severity of the fracture, treatment may involve immobilization, protective devices, fracture management, or surgical care when necessary. Follow-up visits are often important to monitor healing and restore foot function. Seeking timely podiatric care can help improve recovery and reduce the likelihood of future complications. If you are experiencing foot pain, swelling, bruising, or difficulty walking after an injury, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact Dawn Miles, DPM from Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

• Bruising
• Pain
• Redness
• Swelling
• Blue in color
• Numbness
• Cold
• Misshapen
• Cuts
• Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

If you have any questions, please feel free to contact one of our offices located in Palatka and Saint Augustine, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Diabetic foot care is important because diabetes can affect nerves and blood flow in the feet. Nerve damage can reduce feeling, which means a cut, blister, or sore may not hurt right away. Poor blood flow can make it harder for an injury to heal and can increase the risk of infection. These problems can become serious when they are not found early. Warning signs include numbness, redness, and open sores. Other concerns include swelling, drainage, or changes in skin color. A podiatrist can help patients with diabetes protect their feet through regular exams and early treatment. These visits are especially valuable when patients have past wounds or changing foot shape.

A podiatrist checks the nails, circulation, and feeling in the feet. Circulation means how well blood moves through the body. The exam also includes looking for pressure spots that can lead to wounds. Thick toenails, calluses, and corns can create extra stress on the skin. A podiatrist can trim problem nails safely and remove painful thick skin with the right instruments. This is especially important for patients with reduced feeling, because small cuts can lead to infection. The podiatrist can also check whether shoes fit properly and if special inserts or diabetic shoes are needed.

Diabetic foot care is most effective when it is part of ongoing medical care. A podiatrist can treat ulcers, order imaging, and coordinate care when an infection is suspected. An ulcer is an open wound that can be slow to heal. Treatment can include wound cleaning, pressure relief, or medication for infection. Pressure relief means reducing stress on the sore area so healing can occur. Your podiatrist can also monitor changes in walking, foot shape, or skin health. Regular visits help catch problems before they threaten mobility. If you have symptoms of diabetic foot problems, it is suggested that you  are under the care of a podiatrist who can offer effective relief and management solutions.

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 Dawn Miles, DPM from Florida. 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 one of our offices located in Palatka and Saint Augustine, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.