
Understanding Sever’s Disease

Pediatric calcaneal apophysitis, commonly known as Sever's disease, is a condition affecting the growth plate in the heel of children, typically between the ages of eight and 14. As children engage in physical activities and sports, the Achilles tendon exerts repetitive tension on the heel's growth plate, causing inflammation and pain. This condition is more prevalent during periods of rapid growth when the bone is susceptible to mechanical stress. Recognizing pediatric calcaneal apophysitis is vital as it causes heel pain, tenderness, and swelling, particularly after physical activities. Rest and reduced activity levels are primary components of managing Sever's disease, allowing the inflamed growth plate to heal. Wearing supportive footwear with adequate cushioning and heel cups can alleviate symptoms, while stretching exercises may help improve flexibility and reduce tension on the Achilles tendon. If your active child has heel pain, it is suggested that you schedule an appointment with a podiatrist who can provide an accurate diagnosis and a tailored treatment plan.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Renee Rodriquez, DPM from Foot Clinic of South Texas. 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 Brownsville, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.
Sever's Disease
Sever's disease, also known as calcaneal apophysitis, is a medical condition that causes heel pain in children’s feet while they’re growing. Sever's disease occurs most commonly in boys and girls between the ages of 8 and 14.
Sever's disease occurs when the child’s growth plate, or the calcaneal epiphysis, an area attached to the Achilles tendon, is injured or when the muscles and tendons of the growing foot do not keep pace with bone growth. The result is constant pain experienced at the back of the heel and the inability to put any weight on the heel. This forces the child to bear weight on their toes while walking. When a toe gait develops, the child must change the way they walk to avoid placing weight on the painful heel. If this is not properly addressed, this can lead to further developmental problems.
The most common symptom of Sever's disease is acute pain felt in the heel when a child engages in physical activity such as walking, jumping or running. Children who are active athletes are among the group most susceptible to experiencing Sever's disease. This is due to the extreme stress and tension placed on their growing feet. The rolling movement of the foot during walking or running and obesity are both additional conditions linked to causing Sever's disease.
The first step in treating Sever's disease is to rest the foot and leg and avoid physical activity. Over the counter pain-relieving and anti-inflammatory medications can be helpful for reducing the amount of heel pain. A child with Sever's disease should also wear shoes that properly support the heel and the arch of the foot. Consider purchasing orthotic shoe inserts which can help support the heel and foot while it is healing. Most patients with Sever's disease symptoms report an eventual elimination of heel pain after wearing orthotic insoles that support the affected heel.
Sever's disease may affect either one heel or both. It is important for a child experiencing heel pain to be examined by a foot doctor who can apply the squeeze test. The squeeze test compresses both sides of the heel in order to determine if there is intense pain. Discourage any child diagnosed with Sever's disease from going barefoot as this can intensify the problem. Apply ice packs to the affected painful heel two or three times a day for pain relief.
Exercises that help stretch the calf muscles and hamstrings are effective at treating Sever's disease. An exercise known as foot curling has also proven to be very effective at treating Sever's disease. When foot curling, the foot is pointed away from the body, then curled toward the body to help stretch the muscles. The curling exercise should be done in sets of 10 or 20 repetitions and repeated several times throughout the day.
Treatment methods can continue for at least 2 weeks and as long as 2 months before the heel pain completely disappears. A child can continue doing daily stretching exercises for the legs and feet to prevent Sever’s disease from returning.
Definition of and Educational Pathways for Podiatrists
A podiatrist, known as a foot and ankle specialist, is a healthcare professional dedicated to the diagnosis, treatment, and prevention of conditions affecting the lower extremities. With an emphasis on maintaining optimal foot health, podiatrists address a diverse array of issues, including but not limited to, bunions, ingrown toenails, and biomechanical abnormalities. Becoming a podiatrist involves a rigorous educational journey. Aspiring professionals typically embark on a Doctor of Podiatric Medicine, or DPM program, which encompasses comprehensive studies in anatomy, physiology, and clinical rotations focusing on podiatric medicine and surgery. This extensive education equips podiatrists with the knowledge and skills necessary to provide specialized care for foot and ankle ailments. The dedication to this unique branch of healthcare ensures that podiatrists are well-versed in the complexities of lower limb conditions. If you have foot or ankle problems or are interested in pursuing podiatry as a career choice, it is suggested that you confer with this type of doctor who can provide care and information sought.
If you are dealing with pain in your feet and ankles, you may want to seek help from a podiatrist. Feel free to contact Renee Rodriquez, DPM from Foot Clinic of South Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Podiatrist?
A podiatrist is a doctor of podiatric medicine who diagnoses and treats conditions of the foot, ankle, and related structures of the leg. Your podiatrist may specialize in a certain field such as sports medicine, wound care, pediatrics, and diabetic care. Podiatrists have the ability to become board certified through training, clinical experience, and then taking an exam.
What Do Podiatrists Do?
On a daily basis, a podiatrist may perform the following activities:
- Diagnose foot ailments such as ulcers, tumors, fractures, etc.
- Use innovative methods to treat conditions
- Use corrective orthotics, casts, and strappings to correct deformities
- Correct walking patterns and balance
- Provide individual consultations to patients
It is very important that you take care of your feet. It’s easy to take having healthy feet for granted, however foot problems tend to be among the most common health conditions. Podiatrists can help diagnose and treat a variety of feet related conditions, so it is crucial that you visit one if you need assistance.
If you have any questions please feel free to contact our office located in Brownsville, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
What is a Podiatrist?
A podiatrist is a Doctor of Podiatric Medicine who treats the foot, ankle, and related structures of the leg. If you are having any pain, injuries, or abnormalities in these areas, it is best that you seek help from a podiatrist.
Podiatrists complete four years of training in a podiatric medical school. Their training is like that of other physicians, and they may go on to complete a fellowship training after a residency training. Some podiatrists are board certified meaning they have advanced training, clinical experience, and have taken an exam to prove their skills. Certifying boards for podiatry are the American Board of Foot and Ankle Surgery and the American Board of Podiatric Medicine. Podiatrists may work in private practices, hospitals, clinics, or they may even become professors at colleges of podiatric medicine.
While in college, those who want to be podiatrists often take biology, chemistry, and physics classes in preparation for podiatry school. In podiatry school, students study how the bones, nerves, and muscles work together to help you move around. Additionally, they study injuries and how to properly diagnose and treat them. Admittance into podiatric medical school requires the completion of 90 semester hours of undergraduate study with a good grade point average, and acceptable scores on the MCAT (Medical College Admission Test)
Podiatrists treat many different conditions such as: aching feet, ankle pain, bunions, corns, hammertoes, fungus, ingrown toenails, plantar fasciitis, sprains and more. Common forms of treatment for these conditions are physical therapy, drugs, or surgery. Podiatrists may also recommend corrective shoe inserts, custom-made shoes, plaster casts, and strappings to correct deformities.
Even if you are someone whose feet are in generally good condition, you should still visit a podiatrist to have your feet properly exfoliated and maintained, or to make sure you are looking after your feet properly.
Common Causes of Plantar Fasciitis Unveiled

Plantar fasciitis, a commn cause of heel pain, is a condition that occurs when the plantar fascia, a thick band of tissue that connects the heel bone to the toes, becomes inflamed and irritated. Several common factors contribute to the development of plantar fasciitis. One primary cause is excessive or repetitive strain on the feet. This often results from activities that place a significant burden on the plantar fascia, like prolonged standing, walking, or running, especially on hard surfaces. Footwear with inadequate arch support or cushioning can exacerbate the condition. Sudden weight gain or obesity is another contributing factor, as it places additional pressure on the feet. Tight calf muscles and Achilles tendons can also lead to plantar fasciitis by altering the mechanics of the foot, affecting the way it absorbs shock and distributes weight. Understanding these common causes is essential for both preventing and managing plantar fasciitis. If you have heel pain, it is strongly suggested that you are under the care of a podiatrist who can effectively diagnose and treat this condition.
Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Renee Rodriquez, DPM from Foot Clinic of South Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is Plantar Fasciitis?
Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.
What Causes Plantar Fasciitis?
- Excessive running
- Having high arches in your feet
- Other foot issues such as flat feet
- Pregnancy (due to the sudden weight gain)
- Being on your feet very often
There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.
Prevention
- Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
- Maintain a healthy weight
- If you are a runner, alternate running with other sports that won’t cause heel pain
There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.
If you have any questions, please feel free to contact our office located in Brownsville, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Plantar Fasciitis
Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is the thick band of tissue that connects the heel bone to the toes. When this band of connective tissue becomes inflamed, plantar fasciitis occurs. Fortunately, this condition is treatable.
There are several factors that may put you at a greater risk for developing plantar fasciitis. One of the biggest factors is age; plantar fasciitis is common in those between the ages of 40 to 60. People who have jobs that require them to be on their feet are also likely to develop plantar fasciitis. This includes factory workers, teachers, and others who spend a large portion of their day walking around on hard surfaces. Another risk factor is obesity because excess weight can result in extra stress being placed on the plantar fascia.
People with plantar fasciitis often experience a stabbing pain in the heel area. This pain is usually at its worst in the morning, but can also be triggered by periods of standing or sitting. Plantar fasciitis may make it hard to run and walk. It may also make the foot feel stiff and sensitive, which consequently makes walking barefoot difficult.
Treatment for plantar fasciitis depends on the severity of the specific case of the condition. Ice massage applications may be used to reduce pain and inflammation. Physical therapy is often used to treat plantar fasciitis, and this may include stretching exercises. Another treatment option is anti-inflammatory medication, such as ibuprofen.
If you suspect that you have plantar fasciitis, meet with your podiatrist immediately. If left untreated, symptoms may lead to tearing and overstretching of the plantar fascia. The solution is early detection and treatment. Be sure to speak with your podiatrist if you are experiencing heel pain.
Causes and Risk Factors of Ankle Sprains

Ankle sprains are common injuries that can occur during various activities in everyday life. Ankle sprains can be caused by walking on uneven terrain or engaging in sports that involve rapid changes in direction or sudden stops, starts, and pivots. A sprain can also be caused by falling while keeping the foot planted on the ground. This exerts sudden and excessive force on the ankle, causing it to twist. Choice of footwear can play a role in ankle health. Wearing high-heeled or unsupportive shoes can increase the risk of instability and make ankle sprains more likely. A history of ankle sprains is a significant risk factor. If a previous ankle injury was not effectively rehabilitated, weakened ligaments may not provide the support they once did, increasing the risk of reinjury. Symptoms of a sprained ankle include immediate pain, swelling, discoloration, or bruising around the sprained area. Additionally, weakness can make it challenging or impossible to bear weight. In severe cases where ankle ligaments are torn, you may feel a popping or snapping sensation during the sprain. If you suspect you have sprained your ankle, it is suggested that you make an appointment with a podiatrist as quickly as possible following the injury.
Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Renee Rodriquez, DPM from Foot Clinic of South Texas. 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 Brownsville, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Ankle Sprains
Although ankle sprains may not be as serious as a broken ankle, they should be given immediate attention and care. An ankle sprain can lead to a significant amount of pain, as well as limited mobility. They are often characterized by the swelling and discoloration of the skin. This occurs when the ligaments are stretched beyond their limits.
The simple act of walking can sometimes cause a sprain, which makes ankle sprains a very common injury that can happen to anyone. They occur when the ankle twists in an awkward way or rolls over itself, causing a pop or snap in the tendons around the ankle. Some people are more at risk than others. These include athletes who continually push their bodies to the limits and also people who have previously suffered accidents to the feet, ankles, or lower legs.
Most of the time, an ankle sprain is not severe enough for hospital attention. There are many at-home treatment options available, including propping the leg up above your head to reduce blood flow and inflammation, applying ice packs to the affected area as needed, taking over-the-counter pain relievers and anti-inflammatory medication, using an ACE bandage to wrap and support the injured ankle, and most importantly, remaining off your feet until the ankle has fully healed.
Despite this, an ankle sprain can turn into a severe injury that might require hospitalization. If the ankle ligaments or muscles are damaged from a tear or rip, that is one sign that the sprain is severe enough for hospital attention and possibly for surgery. Even after the surgery, the recovery process can be long. You may need to have rehabilitation sessions administered by your podiatrist to get your ankle back to full health.
The severity of your sprain might become apparent if you are unable to stand or walk, consistent pain occurs over a prolonged period of time, swelling is much more severe than initially present, or if you start to experience tingling or numbness. These signs may indicate that your ankle sprain might actually be a broken ankle, an injury that requires immediate medical attention.
Although they are not completely avoidable, ankle sprains can be curbed with some preventative treatment measures. These include wearing appropriate-fitting shoes that not only provide a comfortable fit, but also ankle support. It is also recommended to stretch before doing any kind of physical activity, as this will help lower your body’s chance for an injury.
Foot Stretches to Relieve Arch Pain

Managing arch pain can be a hindrance to your daily activities, but specific types of exercises can help to alleviate this discomfort and strengthen the arches of your feet. One effective exercise is the arch stretch. This can help foot conditions such as plantar fasciitis Simply sit on the floor and place a tennis ball under the arch of your foot. Roll the ball gently, allowing it to massage the arch area. Another helpful foot stretch is toe tapping. While seated, lift your foot off the ground and tap your toes on the floor, starting slowly and gradually increasing the speed. Towel curls are excellent for strengthening the muscles of the arch. These are done by sitting on a chair with your foot on a towel placed on the floor, and scrunching the towel using your toes. Regularly performing these exercises can relieve arch pain and contribute to stronger, more resilient feet. If you would like additional foot stretches to perform for relieving arch pain, it is suggested that you consult a podiatrist.
Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Renee Rodriquez, DPM from Foot Clinic of South Texas. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Stretching the Feet
Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.
- Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
- Similar to the previous one, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
- Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
- Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.
It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising and ice and rest the foot. It is advised to then see a podiatrist for help.
If you have any questions, please feel free to contact our office located in Brownsville, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.