Sever's disease, also known as calcaneal apophysitis, is a heel condition affecting children and adolescents during periods of rapid growth. It occurs when the growth plate at the back of the heel bone becomes inflamed due to repetitive stress or tension from activities like running, jumping, or participating in sports. This condition is not a true disease, but is a temporary condition that typically resolves once the growth plate matures and fuses with the rest of the bone. Symptoms of Sever's disease include heel pain, especially during or after physical activity, limping, and discomfort when pressing on the heel. Factors contributing to its development include overuse or excessive strain on the heel bone, tight calf muscles or Achilles tendon, improper footwear, and biomechanical issues, such as flat feet or high arches. It is suggested that any active child that has heel pain be taken to a podiatrist who can expertly diagnose and treat Sever’s disease.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from Princeton Foot & Ankle Associates. Our doctors 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 Princeton and West Windsor, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

Athletes face a unique challenge when dealing with foot stress fractures, as these injuries can significantly impact their performance and training routines. The journey to recovery often requires patience, diligence, and a strategic approach. Athletes must prioritize rest and allow ample time for the fracture to heal, refraining from activities that aggravate the injury. Cross-training activities that minimize the impact on the feet, such as swimming or cycling, can help maintain cardiovascular fitness while reducing stress on the injured foot. Additionally, adhering to a balanced diet rich in calcium and vitamin D promotes bone strength and aids in the healing process. Collaborating closely with podiatrists ensures personalized treatment plans tailored to the athlete's specific needs. If you have endured a foot stress fracture from participating in sporting activities or from an injury, it is suggested that you consult a podiatrist who can help you manage this condition.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact one of our podiatrists from Princeton Foot & Ankle Associates. Our doctors can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

• Runners                                  
• People affected with Osteoporosis
• Tennis or basketball players
• Gymnasts
• High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

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

Measuring shoe size accurately at home ensures a comfortable and well-fitting footwear choice. Begin by gathering a piece of paper, a pen or pencil, a ruler or tape measure, and the pair of socks you intend to wear with the shoes. Place the paper flat on the floor against a wall and stand on it with your heel against the wall. With the pen or pencil held perpendicular to the paper, trace the outline of your foot. Use the ruler or tape measure to measure the longest distance from the heel to the tip of your longest toe. Repeat this process for the other foot as sizes may differ slightly. Compare the measurements to a shoe size chart available online or from shoe retailers to determine your correct size. Foot size may change over time, so it is advisable to measure periodically, especially before making new shoe purchases. If you have developed foot conditions from wearing shoes that do not fit well, it is suggested that you schedule an appointment with a podiatrist who can offer you treatment options, in addition to providing additional information about how to obtain the right shoe size.

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 one of our podiatrists from Princeton Foot & Ankle Associates. Our doctors 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 one of our offices located in Princeton and West Windsor, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.