Sever’s disease, also known as calcaneal apophysitis, is an overuse injury of the growth plate in the heel bone. This condition typically affects children between the ages of 8 and 14 who participate in sports or running and jumping activities. It is thought to be caused by the Achilles tendon pulling repetitively on the heel’s growth plate, creating tiny injuries that can become inflamed and painful. Sever's disease can affect either one foot or both feet at the same time. It affects both feet in about sixty percent of cases. This condition is typically treated with rest, footwear and activity modifications, and over the counter anti-inflammatory medications. If your child complains of heel pain, it is suggested that you take them to see a podiatrist right away.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. 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 Chelan, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

Heel pain can have a variety of causes that range from bone damage like a bone bruise or stress fracture, to structural issues like plantar fasciitis or Achilles tendonitis. Plantar fasciitis is the most common cause of heel pain, and this occurs when the plantar fascia, which connects the heel to the toes along the bottom of the foot, becomes inflamed or torn. Children who are experiencing heel pain may be suffering from Sever’s disease. Sever’s disease occurs in active teenagers when the growth plate in the heel becomes inflamed. Patients who are struggling with heel pain should consult with a podiatrist for diagnosis. Upon diagnosis, a proper treatment method will be provided by your podiatrist.

Many people suffer from bouts of heel pain. For more information, contact John Horlebein, DPM of Northern Cascades Foot & Ankle, LLC. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our office located in Chelan, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Contusions occur when an injured blood vessel leaks blood into the surrounding areas. On your skin, this typically means that a bruise will appear, with skin discoloration, tenderness, and pain. But did you know that you can also bruise a bone? Bones are made of tissues and blood vessels. An injury to the area, from a car accident, fall, or high impact sport for example, could make a blood vessel leak, creating a contusion. Symptoms of a bone contusion include stiffness, swelling, tenderness, difficulty using the affected area, and pain that lasts longer than the pain caused by a bruise elsewhere on the body. Bone bruises can take anywhere from a few days to a few months to heal, and recommended treatments vary based on the severity of the injury. If you are experiencing any foot or ankle pain, it is suggested that you consult with a podiatrist.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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

Poor circulation in the lower limbs can be a sign of peripheral artery disease (PAD). This is a serious condition that can cause leg cramps, muscle weakness, numbness, tingling, foot and ankle wounds, and difficulty walking. Older individuals and those with a history of cardiovascular problems are said to be particularly at risk. Your podiatrist can play a major role in detecting, diagnosing, and helping you manage PAD. Podiatrists can perform diagnostic vascular tests in the clinic. These tests are safe and noninvasive ways to assess blood flow in your lower limbs. Frequently used tests include the Ankle-Brachial Index test and Doppler ultrasonography. To learn more about PAD and to get tested, schedule an appointment with a podiatrist near you.  

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, consult with John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Vascular Testing?

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.

How Is it Conducted?

Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.

 The most common tests include:

• Ankle-Brachial Index (ABI) examination
• Doppler examination
• Pedal pulses

These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.

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

The big toe is most commonly affected when an ingrown toenail develops. An ingrown toenail is defined as the nail growing into the skin instead of over it. This can develop for several reasons including a recent toe injury, wearing shoes that do not fit properly, or from trimming the toenails incorrectly. A common symptom of this condition is pain in the big toe and surrounding areas, followed by redness and swelling. Mild relief may be found when the affected toe is soaked in warm water, and this can make it easier to gently pull the skin away from the toenail. It is also beneficial to wear shoes that have ample room for the toes to move freely in, in addition to refraining from putting pressure on the ingrown toenail. If you have symptoms of an ingrown toenail it is strongly suggested that you meet with a podiatrist who can effectively treat this condition.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact John Horlebein, DPM of Northern Cascades Foot & Ankle, LLC. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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