Sever's disease, also known as calcaneal apophysitis, is a common condition affecting children and adolescents during growth spurts. It involves inflammation of the growth plate in the heel bone, typically occurring in active children aged eight to 14. Symptoms can include heel pain that worsens with activity, limping, and tenderness when pressing on the back of the heel. Factors contributing to Sever's disease include repetitive stress from sports activities like running and jumping, as well as tight Achilles tendons or flat feet. Finding relief involves reducing activity levels that exacerbate symptoms, using heel cushions or orthotic inserts to support the heel, and performing stretching exercises to improve flexibility in the calf muscles and Achilles tendon. Wearing proper footwear with adequate cushioning and support can also alleviate discomfort. If your child has heel pain and enjoys participating in sporting activities, it is suggested that you consult a podiatrist who can provide an accurate diagnosis and treatment.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Deann Hofer Ogilvie, DPM from Ascend Foot & Ankle Center. Our practitioner 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 Lafayette, CO . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

Wearing shoes that are too big or too small can lead to various foot problems. Tight shoes can cause blisters, bunions, and calluses due to constant friction and pressure. On the other hand, shoes that are too loose can result in foot instability, increasing the risk of sprains and strains. To find the right shoe size, measure your feet at the end of the day when they are most swollen. Ensure there is enough room in the toe box for your toes to move freely, and the shoe should fit snugly around the heel without slipping. Trying on shoes with the type of socks you plan to wear with them can also help achieve a proper fit. If you have developed foot conditions from wearing the wrong size shoes, it is suggested that you speak to a podiatrist who can treat various foot ailments and provide education for proper foot measurement. 

It is important to find shoes that fit you properly in order to avoid a variety of different foot problems. For more information about treatment, contact Deann Hofer Ogilvie, DPM from Ascend Foot & Ankle Center. Our practitioner will treat your foot and ankle needs.

Proper Shoe Fitting

Shoes have many different functions. They cushion our body weight, protect our feet, and allow us to safely play sports. You should always make sure that the shoes you wear fit you properly in order to avoid injuries and deformities such as: bunions, corns, calluses, hammertoes, plantar fasciitis, stress fractures, and more. It is important to note that although a certain pair of shoes might be a great fit for someone else, that doesn’t mean they will be a great fit for you. This is why you should always try on shoes before buying them to make sure they are worth the investment. Typically, shoes need to be replaced ever six months to one year of regular use.

Tips for Proper Shoe Fitting

• Select a shoe that is shaped like your foot
• Don’t buy shoes that fit too tight, expecting them to stretch to fit
• Make sure there is enough space (3/8” to ½”) for your longest toe at the end of each shoe when you are standing up
• Walk in the shoes to make sure they fit and feel right
• Don’t select shoes by the size marked inside the shoe, but by how the shoe fits your foot

The shoes you buy should always feel as good as they look. Shoes that fit properly will last longer, feel better, and improve your way of life each day.

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

Gout is a form of inflammatory arthritis that leads to sudden and intense joint pain, often affecting the big toe and usually occurring at night. It can also target the other toes as well as the ankles. Gout arises from having high levels of uric acid in the blood. This substance forms from the breakdown of purines found in foods like red meat, organ meats, certain seafood, sugary sodas, and beer. Excess uric acid can form needle-like crystals in the joints that cause severe pain and swelling. Men are three times more likely to develop gout than women, particularly after age 40. Women become more susceptible post-menopausal because of a decrease in estrogen levels. Risk factors for gout include a diet high in purine-rich foods, high-fructose corn syrup, excessive alcohol consumption, obesity, and a family history of gout. Chronic conditions like diabetes, kidney disease, and certain high blood pressure medications are other factors. A podiatrist can diagnose gout through joint fluid analysis, blood tests, and imaging to detect uric acid crystals. If you have sudden and severe pain in the big toe that may be due to gout, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Deann Hofer Ogilvie, DPM from Ascend Foot & Ankle Center. Our practitioner will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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

Pronation is the natural side-to-side movement of the foot during walking or running. It is essential for shock absorption and navigating uneven surfaces. However, problems arise when this movement is excessive. Overpronation, where the foot rolls too far inward, can cause prolonged ground contact and increased stress on the leg's alignment. This may lead to injuries like plantar fasciitis, shin splints, and knee pain. Conversely, underpronation, or insufficient inward roll, causes the foot to remain rigid, failing to absorb shock effectively. This places undue stress on the outer edge of the foot, increasing the likelihood of stress fractures. Identifying pronation issues can often be done through a professional gait analysis conducted by a podiatrist. In some cases, a podiatrist might recommend custom orthotics to provide additional support and correct alignment issues. Selecting appropriate footwear and strengthening foot and ankle muscles can help manage pronation-related problems. If you experience foot pain linked to pronation, it is suggested that you make an appointment with a podiatrist for an exam and treatment.

If you have any concerns about your feet, contact Deann Hofer Ogilvie, DPM from Ascend Foot & Ankle Center. Our practitioner can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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

The choice of children's shoes can significantly impact their gait or the way they walk. Improper or unsupportive shoes can lead to issues with foot alignment, discomfort, and even pain during walking. Footwear that is excessively tight or narrow can limit the natural movement of the foot, whereas shoes lacking proper support may not offer the stability required for healthy gait development. Children’s shoes should fit properly, have cushioning, and allow room for growth as a way to promote healthy gait patterns. Small changes in routine, such as replacing shoes as children grow, ensure optimal foot health and development. The wrong shoes can also contribute to issues like flat feet or toe deformities in children, which also can affect their gait. High-quality, comfortable fitted shoes with support can aid in a balanced gait pattern, promoting better posture and reducing the risk of injuries. It is suggested that you visit a podiatrist who can provide guidance on optimal gait development and the long-term foot health of your child.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Deann Hofer Ogilvie, DPM of Ascend Foot & Ankle Center. Our practitioner can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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