What is Sever’s Disease?

Sever’s disease, also known as calcaneal apophysitis, is a common condition that affects growing children and adolescents, typically between the ages of 8 and 15. It occurs when there is inflammation or irritation of the growth plate in the heel bone, where the Achilles tendon attaches.

Sever’s disease is often associated with sports or activities that involve running, jumping, or other repetitive impact on the feet, such as basketball or soccer. It may also be more common in children who have flat feet or high arches, or who wear shoes that do not provide adequate support.

Symptoms of Sever’s disease may include:

  1. Pain or tenderness in the heel, particularly during physical activity
  2. Swelling or redness in the affected area
  3. Stiffness or limping
  4. Difficulty walking or running
  5. Discomfort when the heel is squeezed or pressed

Symptoms may vary in severity depending on the extent of the inflammation or injury, and may worsen with continued activity or if left untreated. Treatment for Sever’s disease typically involves rest, ice, and over-the-counter pain medications to help manage pain and inflammation.

Peak incidences are:
Girls: 8 to 10 years old.
Boys: 10 to 12 years old.

How is Sever’s Disease Diagnosed?

Sever’s disease is typically diagnosed through a physical examination and medical history. Your healthcare provider will likely ask about your child’s symptoms, medical history, and physical activities, as well as conduct a physical examination of the affected foot.

During the physical examination, your healthcare provider may:

  1. Press on the heel to check for tenderness or swelling
  2. Ask your child to walk, run, or jump to assess for pain or discomfort
  3. Check for limited range of motion in the ankle or foot
  4. Look for signs of flat feet or high arches

In some cases, your healthcare provider may order imaging tests, such as an X-ray or MRI, to help confirm the diagnosis or rule out other possible causes of heel pain.

It’s important to seek medical attention if your child experiences persistent or severe symptoms, as early diagnosis and treatment can help prevent further damage and improve the likelihood of a full recovery.

What’s the Treatment for Sever’s Disease?

Sever’s disease treatment should be based on eliminating pain and restoring normal foot and leg biomechanics.

Phase 1 – Early Injury Protection: Pain Relief & Anti-inflammatory Tips

As with most soft tissue injuries the initial treatment is Rest, Ice, and Protect.
In the early phase you’ll most likely be unable to walk pain-free. Our first aim is to provide you with some active rest from pain-provoking activities.

“No Pain. No Gain.” does not apply in Sever’s disease. If it hurts your child is doing too much exercise. Your child should reduce or cease any activity that causes heel pain.

Ice is a simple and effective modality to reduce your pain and swelling. Please apply for 20-30 minutes each 2 to 4 hours during the initial phase or when you notice that your injury is warm or hot.

Most children can tolerate paracetamol as a pain reducing medication. Check with your doctor.

To support and protect your heels, you may need to be wear shock absorbing heel cups or a soft orthotic. Kinesio foot taping may help to provide pain relief.

Your physiotherapist will guide you and utilise a range of pain relieving techniques including joint mobilisations for stiff ankle or subtalar joints, massage or electrotherapy to assist you during this pain-full phase.

Phase 2: Regain Full Range of Motion

Your physiotherapist will identify stiff joints within your foot and ankle complex that they will need to loosen to help you avoid overstress. A sign that you may have a stiff ankle joint can be a limited range of ankle bend during a squat manoeuvre. Your physiotherapist will guide you.

Phase 3: Restore Foot Arch Muscle Control
Your foot arch is dynamically controlled via important foot arch muscles, which be weak or have poor endurance. These foot muscles have a vital role as the main dynamically stable base for your foot and prevent excessive loading through your plantar fascia.

Any deficiencies will be an important component of your rehabilitation. Your physiotherapist is an expert in the assessment and correction of your dynamic foot control. They will be able to help you to correct your normal foot bio mechanics and provide you with foot stabilization exercises if necessary.

Phase 4: Restore Normal Calf & Leg Muscle Control

You may find it difficult to comprehend, but all of your leg (calf, thigh and hip) muscles play an important role in controlling your foot arch and its normal function.are very important in the rehabilitation of shoulder pain and injury. Your physiotherapist will assess your leg muscle function and provide you with the necessary treatment or exercises as required.

Phase 5: Restore Normal Foot Bio mechanics

Your foot biomechanics are the main predisposing factor to Sever’s disease. After a biomechanical assessment you may be recommended a soft orthotic or a custom made orthotic prescribed by a podiatrist.

Phase 6: Improve Your Running and Landing Technique
In order to prevent a recurrence as you return to sport, your physiotherapist will guide you with technique correction and exercises to address these important components of rehabilitation to both prevent a recurrence and improve your sporting performance.

Your physiotherapist will discuss your goals, time frames and training schedules with you to optimise you for a complete return to sport.

Phase 7: Footwear Analysis

Poorly designed footwear that can predispose to the injury. Seek the professional advice of your healthcare practitioner.

What about Orthotics or Heel Cups?

Occasionally, an orthotic may need to be prescribed for temporary or long-term correction of their foot biomechanics (eg flat feet or high arches).
During the acute phase of Sever’s disease, a small heel rise or shock-absorbing heel cup placed under the heel pad of your child’s foot may help to ease the symptoms.
Your podiatrist or physiotherapist can assess your child’s arch and guide you in the best management of your child’s condition. We recommend that your child should never go barefooted during the painful stages of Sever’s disease.

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Diabetic Foot & Foot Care, Treatments

What is Diabetes?

Diabetes is a medical condition that affects how the body uses glucose (sugar), which is the main source of energy for cells. Glucose comes from the food we eat and is transported through the bloodstream to cells throughout the body. Insulin, a hormone produced by the pancreas, helps to regulate the amount of glucose in the bloodstream by allowing cells to absorb and use glucose for energy.

In people with diabetes, the body either doesn’t produce enough insulin or can’t effectively use the insulin it does produce, leading to elevated levels of glucose in the bloodstream. This can cause a range of symptoms and health problems, including:

  1. Increased thirst and urination
  2. Hunger
  3. Fatigue
  4. Blurred vision
  5. Slow healing of cuts and wounds
  6. Numbness or tingling in the hands or feet
  7. Increased risk of infections and other health problems, such as heart disease, kidney disease, and nerve damage.

There are several types of diabetes, including type 1 diabetes, type 2 diabetes, and gestational diabetes. Treatment for diabetes typically involves lifestyle modifications, such as a healthy diet, regular exercise, and maintaining a healthy weight, as well as medications, such as insulin or oral medications, to help regulate blood sugar levels.

Symptoms of Diabetes

The symptoms of diabetes may vary depending on the type of diabetes, and some people with diabetes may not experience any symptoms at all. However, common symptoms of diabetes may include:

  1. Increased thirst and urination
  2. Fatigue or weakness
  3. Blurred vision
  4. Slow healing of cuts and wounds
  5. Numbness or tingling in the hands or feet
  6. Frequent infections, such as gum or skin infections
  7. Unintentional weight loss (in type 1 diabetes)
  8. Increased hunger, even after eating (in type 2 diabetes)
  9. Dry mouth and itchy skin
  10. Nausea and vomiting

It’s important to note that these symptoms may also be associated with other health conditions, so it’s important to seek medical attention if you experience persistent or severe symptoms. If left untreated, diabetes can lead to a range of health problems, including heart disease, kidney disease, nerve damage, and blindness.

Symptoms of Diabetes

Risk factors that Cause Diabetes

There are several risk factors that can increase the likelihood of developing diabetes, including:

  1. Family history: Having a close relative, such as a parent or sibling, with diabetes increases the risk of developing the condition.
  2. Obesity: Being overweight or obese can increase the risk of developing type 2 diabetes.
  3. Sedentary lifestyle: Lack of physical activity or a sedentary lifestyle can increase the risk of developing type 2 diabetes.
  4. Age: The risk of developing type 2 diabetes increases with age, particularly after the age of 45.
  5. Race or ethnicity: Certain racial and ethnic groups, including African Americans, Hispanic/Latino Americans, and Native Americans, have a higher risk of developing diabetes.
  6. Gestational diabetes: Women who develop gestational diabetes during pregnancy have a higher risk of developing type 2 diabetes later in life.
  7. Polycystic ovary syndrome (PCOS): Women with PCOS, a hormonal disorder that affects the ovaries, have a higher risk of developing type 2 diabetes.
  8. High blood pressure: Having high blood pressure, or taking medications to treat high blood pressure, can increase the risk of developing type 2 diabetes.
  9. High cholesterol: Having high levels of LDL (“bad”) cholesterol or low levels of HDL (“good”) cholesterol can increase the risk of developing type 2 diabetes.
  10. Smoking: Smoking cigarettes can increase the risk of developing type 2 diabetes and other health problems.

It’s important to note that having one or more of these risk factors does not necessarily mean that a person will develop diabetes, and there are also people who develop diabetes without any known risk factors. However, understanding these risk factors can help individuals make lifestyle modifications or seek appropriate medical care to help reduce their risk of developing diabetes.

Checklist for Managing the Symptoms of Diabetes

Check the footwear– Everyone should wear shoes that fit well and support their feet. The shoes should be low-heeled, supportive, and wide enough so that they can accommodate the foot. In addition to this, one needs to make sure that they don’t rub or pinch any area of the foot. Ideally, they must be lined with a soft and seamless interior. Worn-out shoes or those which do not fit properly often lead to foot complications.

Protect feet- One must protect their feet both inside and outside the home. Always wear slippers with a hard sole or sandal to protect the feet from any injury. Furthermore, it is also suggested to wear socks for added protection.

Examine the toes and feet daily- Check the skin regularly for any redness, blisters, cracks or dry patches. Inspect the toenails for cracks, sharp edges or any other changes

Maintain a healthy lifestyle– Healthy eating, management of blood glucose level, and weight control are three essential factors for successful diabetes management. Consult a dietician, family doctor or a diabetes care specialist for more information.

Diabetic foot care center in Delhi For custom foot orthotics

A custom orthotic is the most effective tool for preventing foot injury in people with diabetes. Unlike other conditions, where orthotics are used for correction or control, orthotics for diabetes require redistributing pressure along the soles of feet for reduction of areas where the patient experiences excessive pressure, friction, or shear.

At www.superfeetinsole.com, we offer custom orthotics that are manufactured specifically for you by using a 3D cast of your foot. Our foot experts design the orthotics with materials and additions in accordance with your needs. The orthotics are designed to offer you maximum convenience and comfort. As the best diabetic foot care we make sure our custom-made orthotics provide the most comfort and relief of symptoms. we also offer our services in allover India by using 3D technology.

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Achilles Tendonitis and Tendinitis

Achilles Tendonitis and Tendinitis

Achilles tendonitis and tendinitis are both conditions that involve inflammation of the Achilles tendon, which is the largest tendon in the body and connects the calf muscles to the heel bone.

Achilles tendonitis is a condition in which the Achilles tendon becomes inflamed and irritated, usually due to overuse or repetitive strain. It often causes pain, stiffness, and swelling in the affected area, and may be accompanied by a limited range of motion or difficulty walking.

Tendinitis is a more general term that refers to inflammation of a tendon, which can occur in any part of the body. In the case of the Achilles tendon, tendinitis is often caused by repetitive strain or sudden increases in activity, and may also cause pain, swelling, and stiffness.

Both conditions are treated similarly, with a combination of rest, ice, compression, and elevation to reduce inflammation and pain. Physical therapy, stretching, and strengthening exercises may also be recommended to help improve flexibility and reduce the risk of future injury. In some cases, non-steroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections may be prescribed to help reduce pain and inflammation. In severe cases, surgery may be necessary to repair a damaged Achilles tendon.

What Causes Tendon Pain?

Tendon pain can be caused by a variety of factors, including overuse, injury, or medical conditions.

Overuse or repetitive strain is a common cause of tendon pain, particularly in athletes or people who engage in activities that involve repetitive movements, such as running or jumping. Over time, this can lead to tiny tears in the tendon, which can cause pain and inflammation.

Injury or trauma can also cause tendon pain. This may include sudden movements or impact, such as in a fall or sports injury, which can cause a tendon to tear or rupture. It may also include more gradual damage from repetitive strain or chronic overuse.

Medical conditions can also contribute to tendon pain. For example, conditions that affect the joints, such as arthritis or gout, can also affect the tendons. Some infections or metabolic disorders can also lead to inflammation or damage to the tendons.

Most Health professionals use different terms to describe a tendon injury. You may hear:

Tendonitis (or Tendinitis): Although this term means “inflammation of the tendon”, inflammation rarely causes tendon pain.

Tendinosis: The tiny tears in the tissue in and around the tendon caused by overuse lead to tendinosis

What are the Symptoms of Achilles Tendonitis?

The symptoms of Achilles tendonitis may include:

  1. Pain or stiffness in the Achilles tendon, which may be worse in the morning or after periods of inactivity
  2. Swelling or tenderness around the Achilles tendon
  3. A thickening or enlargement of the tendon
  4. A popping or snapping sound when the tendon is stretched or moved
  5. Limited range of motion in the ankle or foot
  6. A feeling of weakness or instability in the ankle or foot
  7. Redness or warmth in the affected area, in more severe cases

Symptoms may vary in severity depending on the extent of the injury or inflammation, and may worsen with continued activity or if left untreated.

How is Achilles Tendonitis Diagnosed?

Contact Splendidpathfinder Clinic in Delhi to connect with our doctor to get the best treatment for Achilles Tendonitis. We have a team of highly skilled Professionals doctors who usually confirm the diagnosis of Achilles tendonitis in the clinic. The diagnosis will be based on your history, symptom behavior and clinical tests. Reach out to us to book an appointment for the treatment of Achilles Tendonitis today. Call us -+91 9650873715

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