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Drexel Hill (484) 521-0233
West Chester (610) 436-5883

December 2020

Monday, 28 December 2020 00:00

Sever's Disease and Heel Pain in Children

Sever’s disease is a common issue that leads to heel pain in children between the ages of 8 and 14. Sever’s disease occurs when the bones in the calves grow faster than the Achilles tendon, which connects the heel bone to the calf muscle. This causes the tendon to tighten and the heel to become swollen and sore. Sever’s disease symptoms are typically most prominent during running or jumping activities. However, there is usually no long term damage caused by Sever’s disease as the child continues to grow. Common symptoms include limping, tenderness in the heel, especially after exercise, and swelling in the heel bone. If you believe that your child is struggling with Sever’s disease, consulting with a podiatrist is suggested.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Julie Siegerman, DPM from Dr. Siegerman & 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 one of our offices located in Drexel Hill and West Chester, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

Read more about Sever's Disease
Monday, 21 December 2020 00:00

What Can Cause Ankle Swelling?

Swelling in the ankles can be caused by conditions that specifically affect the ankle or by systemic conditions that affect the whole body. Often, the cause of swelling in an ankle is an injury, such as a strain or a sprain. Strains are the result of overstretched muscles or tendons in the affected area, whereas sprains occur when the ligaments in the ankle are overstretched or torn. Diseases of the joints, such as arthritis, can also lead to swelling in the feet or ankles. Pregnancy and obesity may lead to swelling in the ankles due to fluid retention and poor circulation. Treatment for swollen ankles will depend on what is causing the swelling. For more information, please consult with a podiatrist. 

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Julie Siegerman, DPM from Dr. Siegerman & Associates. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

If you have any questions please feel free to contact one of our offices located in Drexel Hill and West Chester, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Systemic Diseases of the Foot

Plantar fasciitis is a condition in which the ligament at the bottom of the foot, the plantar fascia, becomes inflamed due to repetitive stress or injury. It can cause heel pain, which is typically at its worst when first arising in the morning. The goal of plantar fasciitis treatment is to reduce pain and inflammation. Decreasing stress on the plantar fascia may help with this and can be achieved by resting the foot, avoiding activities that aggravate the plantar fascia, such as running or jogging, and wearing shoes or orthotics that provide more support to the arch area. Icing the foot for 15-20 minutes using an ice pack wrapped in a towel can decrease inflammation. Massaging the foot across the width of the plantar fascia can reduce pain from standing. Stretching and strengthening exercises for the foot can help prevent plantar fascia injuries in the future. If you are experiencing plantar fasciitis pain that does not get better with home treatment, it is suggested that you consult with a podiatrist. 

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Julie Siegerman, DPM  from Dr. Siegerman & Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions please feel free to contact one of our offices located in Drexel Hill and West Chester, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Plantar Fasciitis
Monday, 07 December 2020 00:00

Signs of a Fungal Nail Infection

Fungal nail infections can occur in both the toenails and fingernails. These fungi tend to live in warm and moist environments, and they like to feed on the keratin that makes up the toenails. Fungal nail infections can be commonly spread in environments such as locker rooms and public pool areas, but they can also spread from poor foot hygiene. Nails that have been affected typically appear as yellow or brown, and they can become thicker. If the infection worsens, the affected nail could begin to crumble and accumulate debris that smells foul. Toenail fungal infections are difficult to completely heal on their own, so it is important to seek medical attention if you see any signs or symptoms. A podiatrist will provide a proper diagnosis and determine a treatment plan that is best for you. 

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Julie Siegerman, DPM of Dr. Siegerman & Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

  • Warped or oddly shaped nails
  • Yellowish nails
  • Loose/separated nail
  • Buildup of bits and pieces of nail fragments under the nail
  • Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

If you have any questions, please feel free to contact one of our offices located in Drexel Hill and West Chester, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

Read more about Treating Toenail Fungus
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