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Sever’s disease is a common cause of heel pain in growing children, especially those who are physically active. It occurs when the growth plate in the heel becomes inflamed due to repetitive stress during periods of rapid bone development. The condition often affects children involved in running or jumping activities, as the heel bone grows faster than the surrounding muscles and tendons can stretch. Symptoms include heel pain during or after activity, tenderness, and difficulty walking or running. Pain may worsen with pressure on the back of the heel. Risk factors include participation in sports, poor footwear, tight calf muscles, and a recent growth spurt. If your active child has heel pain, it may be Sever’s disease, and it is suggested that you consult a podiatrist who can accurately diagnose and offer relief tips for this condition.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Jeffrey Parrett, DPM from Parrett Podiatry. 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 Waxahachie, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

Gait problems in children often begin with noticeable issues in the feet, toes, or ankles. These may include in-toeing or out-toeing. In-toeing happens when the feet point inward while walking and is often seen in younger children. It may be caused by a curved shape of the foot or the way the leg bones twist inward. Out-toeing, when the feet point outward, is more common in older children and may be due to outward twisting of the leg bones. Some children may also appear flatfooted, meaning the arches of the feet are low or missing, although the foot usually stays flexible. A podiatrist can examine how your child stands and walks to see if their walking pattern falls within normal growth changes. Many children outgrow these issues, but a podiatrist can track their progress to determine if treatment is needed. In rare cases, surgery may be recommended if the gait problem is severe and affects movement. If your child exhibits an unusual or abnormal gait, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and  appropriate treatment.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Jeffrey Parrett, DPM of Parrett Podiatry. Our doctor 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 Waxahachie, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The feet play a vital role in athletic performance by providing shock absorption, stability, and propulsion. They absorb impact forces during activities such as running and jumping, reducing stress on the joints and muscles. Proper foot alignment enhances stability, allowing athletes to maintain balance and control movement efficiently. The way the feet strike the ground affects energy transfer and can influence speed and endurance. A strong push-off from the toes generates power for sprinting, jumping, and sudden changes in direction. Foot mechanics also determine how effectively an athlete can pivot and accelerate. Strengthening the muscles of the feet and wearing appropriate footwear can enhance performance and reduce injury risk. If you participate in sporting activities and have injured your foot or ankle, it is suggested that you contact a podiatrist who can treat various foot conditions, and offer effective injury prevention methods.

If you have any concerns about your feet, contact Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor 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 Waxahachie, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Diabetic neuropathy affects the nerves in the feet, toes, and ankles due to prolonged high blood sugar levels. This nerve damage can cause numbness, tingling, burning pain, and muscle weakness, making walking more difficult. Since people with diabetic neuropathy may not feel injuries, even minor cuts or blisters can go unnoticed and lead to serious complications, including infections and foot ulcers. Poor circulation, another complication of diabetes, can slow the healing process and increase the risk of added problems. A podiatrist can assess nerve function, monitor for foot deformities, and recommend appropriate footwear to prevent pressure sores. Regular checkups with this type of doctor can help by detecting issues early, reducing the risk of complications that may require wound care or surgery. A podiatrist may also provide guidance on managing calluses, toenail problems, and dry skin to prevent infections. If you struggle with the effects of diabetic neuropathy, it is suggested that you schedule an appointment with a podiatrist for regular checkups and appropriate care.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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

Plantar fasciitis is a major cause of heel pain. It occurs when the plantar fascia, a thick band of tissue along the bottom of the foot, undergoes degeneration at its attachment on the heel. This often leads to sharp pain near the heel, especially when standing up after rest. Plantar fasciitis is linked to excessive foot pronation, high or low arches and prolonged standing. Other factors include running, wearing improper footwear, and being overweight, along with tight calf muscles and a stiff Achilles tendon. A podiatrist can assess your foot structure, gait mechanics, and risk factors to determine the best course of treatment. Supportive footwear, custom orthotics, and stretching exercises may help reduce strain on the plantar fascia. If symptoms persist, a podiatrist may suggest corticosteroid injections to relieve inflammation or night splints to keep the fascia stretched. Surgery is considered when pain does not improve with other treatments. If you have symptoms of plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Jeffrey Parrett, DPM  from Parrett Podiatry. 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 our office located in Waxahachie, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Walking barefoot on the beach feels refreshing, but it can take a toll on your feet in ways you might not expect. Known as beach feet, this condition refers to the stress and strain caused by prolonged barefoot walking on sand. While sand provides a natural exfoliation, it also lacks support, forcing the foot muscles and tendons to work harder, which can lead to soreness, fatigue, and even arch pain. Hot sand can burn the soles, while tiny shell fragments and rough grains may cause cuts, blisters, or abrasions. Walking unevenly on soft sand can also contribute to instability, potentially aggravating conditions like plantar fasciitis or hammertoes. To protect your feet, wear supportive water shoes when needed, moisturize after exposure, and check for injuries. If pain or discomfort persists, it is suggested that you schedule an appointment with a podiatrist who can help prevent further issues.

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 Jeffrey Parrett, DPM from Parrett Podiatry. 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 Waxahachie, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Heel pain in one foot can result from several conditions that affect the structures supporting the foot. Plantar fasciitis is a common cause, occurring when the band of tissue along the bottom of the foot becomes inflamed due to overuse or strain. Achilles tendinitis can also lead to pain, particularly at the back of the heel, as a result of repetitive stress on the tendon. A heel spur, which is a bony growth on the heel bone, may develop from prolonged tension and pressure. Nerve compression, such as tarsal tunnel syndrome, can cause sharp or tingling sensations in one heel. Wearing unsupportive footwear or standing for extended periods can also contribute to discomfort. If you have heel pain, it is suggested that you promptly consult a podiatrist who can determine what the cause is, and offer appropriate treatment solutions.

Many people suffer from bouts of heel pain. For more information, contact Jeffrey Parrett, DPM of Parrett Podiatry. 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 Waxahachie, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Tarsal tunnel syndrome is a condition where the posterior tibial nerve, which runs along the inside of the ankle, becomes compressed or irritated as it passes through a narrow passageway called the tarsal tunnel. This compression can result from various causes, including injury, inflammation, or structural abnormalities like flat feet. Symptoms often include pain, tingling, burning sensations, or numbness in the foot and ankle, which may worsen with activity. Diagnosing tarsal tunnel syndrome typically involves a physical examination, medical history review, and tests such as nerve conduction studies or imaging to evaluate nerve function and detect any underlying issues. If you have pain in this part of your foot, it is suggested that you contact a podiatrist who can provide timely treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Jeffrey Parrett, DPM of Parrett Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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