Sever’s disease is a painful heel condition that affects growing children and teenagers. It develops when repeated stress irritates the growth plate at the back of the heel. A growth plate is an area of developing tissue near the end of a bone. During a growth spurt, the heel bone can grow faster than nearby muscles and tendons. This can create tension where the Achilles tendon attaches to the heel. Children who participate in running or jumping activities can place repeated pressure on this area, making irritation and pain more likely.

Heel pain is the main symptom of Sever’s disease. The pain can affect one heel or both heels and can become worse with physical activity. The heel can also feel tender when squeezed. Some children develop swelling or redness around the painful area. They can begin limping or walking on their toes to avoid pressure on the heel. Sports that involve frequent running and jumping can increase the risk. Tight calf muscles and a tight Achilles tendon can also place more stress on the heel. Sever’s disease does not cause permanent damage to the growth plate.

A podiatrist can evaluate heel pain and determine whether Sever’s disease is responsible for the symptoms. The examination can include checking the heel for tenderness and assessing how the foot and ankle move. A podiatrist can also evaluate walking patterns and foot structure to identify factors that place extra stress on the heel. Treatment focuses on reducing irritation and protecting the growth plate while it heals. A podiatrist can recommend activity changes, supportive devices, or appropriate stretches based on the child’s condition. Care can help relieve pain and support a safe return to normal activities. If your active child has heel pain, it is suggested that you consult a podiatrist who can accurately diagnose and offer effective relief tips for Sever's disease. 

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Jim Maxka, DPM from South Penn Foot & Ankle Associates. 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 Hanover, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

An ankle sprain happens when the strong bands of tissue that support the ankle, called ligaments, are stretched or torn. The injury often occurs when the foot suddenly rolls inward, placing excess force on the ligaments along the outside of the ankle. A sprain can happen while playing sports, landing from a jump, or stepping on an uneven surface. Symptoms include pain, swelling, and tenderness. Patients can also have limited ankle movement or a feeling that the joint is unstable. Pain can become more noticeable when standing or putting weight on the injured foot.

Ankle sprains range from mild to severe based on the amount of ligament damage. A Grade I sprain involves slight stretching and minor damage to ligament fibers. A Grade II sprain involves a partial tear, while a Grade III sprain involves a complete tear. More serious injuries can cause greater swelling and loss of function. Some patients have difficulty walking because the ankle cannot comfortably support their weight. A previous ankle injury can also increase the risk of another sprain. Proper evaluation is important because fractures, tendon injuries, and other problems can produce symptoms that resemble an ankle sprain.

A podiatrist can examine the injured ankle and determine which tissues have been affected. The evaluation can include checking ankle movement, stability, and the patient's ability to place weight on the foot. Imaging can be recommended when a fracture or another injury is suspected. Treatment can focus on protecting the injured ligaments and restoring normal ankle function. A podiatrist can also guide patients through appropriate movement and strengthening as healing progresses. Proper care can improve stability and help reduce the risk of repeated sprains. If you have symptoms of an ankle sprain, it is suggested that you schedule an appointment with a podiatrist for diagnosis and treatment.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Jim Maxka, DPM from South Penn Foot & Ankle Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

• Pain at the sight of the tear
• Bruising/Swelling
• Ankle area is tender to touch
• In severe cases, may hear/feel something tear
• Skin discoloration

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

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

Weak ankles can make uneven sidewalks, rocky trails, and sports feel risky. The ankle may roll easily, feel unsteady, or give way without warning. Previous sprains are a leading cause, because an injured ligament may not support the joint. In addition, weak muscles surrounding the foot and ankle can reduce control. Some people have loose ligaments or a foot shape that places extra strain on the ankle. Repeated instability can lead to more sprains, ongoing pain, and joint damage. A podiatrist can identify why the ankle feels weak and whether an unhealed injury is contributing. Ankle-strengthening exercises can improve stability, balance, and control. 

A podiatrist may recommend gentle resistance exercises that move the foot up, down, and from side-to-side. Calf raises strengthen the muscles that support the ankle while standing. Balance exercises, including standing on one foot, help the body respond when the ground shifts. These exercises should begin at a safe level and should not cause sharp pain. After a recent sprain, the injured tissues need to heal before harder exercise begins. Starting too soon can increase pain or lead to another injury. A podiatrist can explain which movements are appropriate and how often they should be performed.

A podiatrist can examine ankle motion, muscle strength, and balance to build a suitable plan. Treatment includes guidance on safe exercises and supportive shoes. Custom orthotics may improve foot alignment and reduce strain on an unstable ankle. A brace can provide support for sports or demanding activities, but it does not replace strengthening. The podiatrist can monitor progress and adjust the plan as control improves. Imaging tests may be ordered when pain, swelling, or repeated sprains suggest ligament or bone damage. Severe instability that continues despite conservative treatment may require surgery to repair damaged tissue or correct a structural problem. If you have ankle weakness, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. If you have any concerns about your feet, contact Jim Maxka, DPM from South Penn Foot & Ankle Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.

Exercise for Your Feet

Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.

Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctor to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual. 

Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.

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

An injury that causes pain, swelling, and difficulty moving may be an ankle sprain or a fracture. A sprain occurs when the ligaments are stretched or torn. These strong bands of tissue connect bones and help keep the ankle stable. A fracture is a crack or break in an ankle bone. Either injury can result from a fall, sudden twist, or hard impact. Since an accident can damage both bones and ligaments, symptoms alone may not identify the injury.

Sprains and fractures can both cause pain, bruising, and swelling. Pain from a sprain is usually centered in the softer tissue around the joint, while fracture pain can be strongest directly over a bone. A cracking sound, unusual angle, or exposed bone can indicate a fracture. Some patients with a sprain can put weight on the ankle, but walking can be painful. A fracture can make standing or walking impossible. However, the ability to move the ankle or bear weight does not rule out a broken bone. Because these signs can overlap, a professional examination is important. An injury that is not treated correctly can lead to lasting pain, weakness, or ankle instability.

A podiatrist asks how the injury happened, examines the painful area, and checks the ankle’s movement. X-rays can show most fractures and reveal whether the bones remain properly aligned. Other imaging tests may be needed to diagnose a sprain and determine the extent of ligament damage. Treatment depends on the location and severity of the injury. A podiatrist can stabilize the ankle with a brace, splint, or cast. Severe fractures can require surgery to restore the position of the bones. A major ligament tear can also require surgery when the ankle remains unstable. Follow-up visits allow the podiatrist to monitor healing and adjust the treatment plan. If you have injured your ankle, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Jim Maxka, DPM from South Penn Foot & Ankle Associates. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendonitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions please feel free to contact our office located in Hanover, PA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.