Dakota Foot & Ankle Clinic Blog

Posts for category: Heel Pain

By Dr. Brian Gale, DPM, FACFAS
January 05, 2015
Category: Heel Pain

Treatment of Heel Pain in Kids

Treatment options for kids vary depending on the severity of pain

Treatment for mild pain includes:

-Reducing or stopping activity that causes pain.

-Adding a cushioned shoe insert to soften the impact during activity and wearing a stiff soled shoe. 

-Wearing a shoe at all times

Treatment for moderate pain includes:

-Anti-inflammatory medication if it is safe to use for the individual.

-Physical therapy

-Orthotic devices.

Treatment for severe pain includes:

-Immobilizing the foot. Using a cast and crutches helps to avoid putting any weight on the foot.

-After immobilizing the foot follow up care may be used such as, custom orthotics, strapping, or physical therapy.

There are steps that can be taken to prevent heel pain and these include

-Weight reduction

-Choosing supportive shoes

-Limiting time wearing shoes with cleats.

Heel pain sometimes returns in children, because they are still growing.  If pain worsens, doesn’t reduce, or returns it is best to seek treatment from a podiatrist like Dr. Brian Gale, DPM, FACFAS.  The patient may needs a new treatment plan or they may need to return to the treatment previously discussed.  If your child has recurring heel pain Contact Us at 701-255-3338 today to make an appointment with Dr. Brian Gale, DPM, FACFAS.

 

photocredit: mcconnmama via pixabay.com

By Dr. Brian Gale, DPM, FACFAS
December 23, 2014
Category: Heel Pain

The Causes of Heel Pain in Kids

Heel pain is common in kids, because the heel bone (calcaneus) is not fully developed until the age of 14.  There are many causes of heel pain in kids, especially because of the stress on the bone that is growing at the growth plate (physis). 

The most common causes of pediatric heel pain include:

-Calcaneal Apophysitis. (Sever’s disease).  It is not a true disease, but is an inflammation of the growth plate due to repetitive stress.  It is common in those children that are active or obese.  It causes the heel to be tender in the back and bottom and is painful to the touch.  It is also the most common cause of heel pain in kids.

-Tendo-Achilles Bursitis.   This is an inflammation in the fluid filled sac that is located between the Achilles tendon and the heel bone.  A few causes of tendo-achilles bursitis include; wearing poorly cushioned shoes, certain disease (juvenile rheumatoid arthritis), or an injury to the heel.

-Overuse Syndrome. Heel pain can be a sign of overuse in kids because the growth plate is sensitive.  It is most common in kids involved in sports such as soccer, basketball, or track.  One syndrome of overuse is Achilles tendonitis which is an inflammation of the tendon common in children over the age of 14.  Plantar fasciitis is another overuse syndrome.  This is an inflammation of the plantar fascia (band of tissue that runs from the heel to the toes).

-Fractures.   Stress fractures occur in kids involved in sports when training intensity changes suddenly.  Acute fractures can occur in children under 10 years old from jumping just 2-3 feet.

 

Diagnosing a child with heel pain can be difficult.  It is best to see a podiatrist, like Dr. Brian Gale, DPM, FACFAS, that is qualified to determine the cause of pain.  Contact Us at 701-255-3338 to set up an appointment today.

 

photocredit: cherylholt via pixabay.com

By Dr. Brian Gale, DPM, FACFAS
December 18, 2014
Category: Heel Pain

Heel Pain in Kids

Heel pain can occur at any age and it should never be ignored.  If a child complains of heel pain it is best to get evaluated by a foot and ankle specialist.   Don’t wait too long!

There are a few signs of heel problems in kids:

-Bottom of heel pain

-back of heel pain

-limping

-walking on tip toes

-having a hard time participating in sports or activities

The most common cause of heel pain in kids is called Calcaneal Apophysitis.  It is most common in ages 8 to 14 years old.  Heel pain can also be a sign of other problems.

Heel pain in kids is different than most heel pain in adults.  One of the most common forms of heel pain in adults is called plantar fasciitis.  The pain is usually worse when getting out of bed in the morning or getting up from a long period of sitting, but gets better as the day goes on and as you walk around.  Pediatric heel pain does not get better as the day goes on, but usually gets worse with more activity.

If your child is complaining of heel pain or is showing any other sign of heel pain, give us a call today!  It is best to Request an appointment with Dr. Brian Gale, DPM, FACFAS to find out the cause right away instead of just hoping it will go away!  Contact Us at 701-255-3338.

 

photo credit: mcconnmama via pixabay.com

Do you have a bump on the side of your big toe joint?

 

This is more than likely a bunion.  But, a bunion is more than just a bump.  Even though you can’t see it a bunion is actually showing that the bones in the front part of the foot are changing.  Instead of pointing straight ahead, the big toe leans toward the second toe.  This causes the bones to move out of alignment and produces the bump that you see.

Bunions are a disorder that progressively worsens.  The big toe slowly starts leaning toward the second toe and as it leans the angle of the bones gradually changes.  As this continues the bump slowly forms and becomes more noticeable.  Bunions are genetic; however, they usually become painful due to shoe pressure.

Some of the patients Dr. Brian Gale, DPM, FACFAS sees with bunions have been putting up with the pain for too long.  You don’t need to be one of these people.  If you are experiencing any pain please give us a call at Our Bismarck Office or go online to schedule an appointment today.

How to help treat your plantar fasciitis.


There are a few things that you can do at home to help relieve your
pain:
•	Get a pair of good, supportive shoes.
•	Avoid walking around without shoes on.  If you walk around without 
shoes it is putting more stress on the ligament and causing pain.
•	Icing your heel a couple times a day can reduce the inflammation.
•	Limit the time you are on your feet and if you are on your feet for 
long periods of time try to take breaks to give your heels some rest.
•	Take an anti-inflammatory drug (ibuprofen) to help reduce the 
inflammation. Make sure you don't take anti-inflammatory medications if you have been advised not to take them in the past. 
•	If you are overweight, losing weight will help reduce the stress on 
your feet.
If these steps aren’t helping and you still have pain make an appointment with a podiatrist who can offer some more help such as:
•	Fitting you with a night splint to help you keep the plantar fascia 
stretched while sleeping.
•	Recommending physical therapy.
•	Fitting you with a walking cast to help relieve some of the stress on 
your foot and help it heel.
•	Fitting you with a different insole in your shoe to provide more 
support
•	Fitting you with custom orthotics to put into your shoes that are 
molded to your feet.
•	Cortisone injections may be used to help reduce inflammation.


If you try the tips to help relieve your pain at home and it is not working, make an appointment with Dr. Brian Gale, DPM, FACFAS today at Dakota Foot and Ankle Clinic.  Give us a call at 701-255-3338 or Request an appointment here.