Dakota Foot & Ankle Clinic Blog

Posts for tag: 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


-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

Causes of plantar fasciitis


If your heel hurts and it is more noticeable right when you stand up, you might have plantar fasciitis.  What causes this?  There are many things that may cause plantar fasciitis.  One thing that may cause it is if the structure of your foot is not right.  This may mean a person with either really flat feet or really high arches.  Another cause of plantar fasciitis may be the shoes you’re wearing.  They may not be supportive enough, especially if you are on your feet for long periods of time on a surface that is hard and flat such as cement.

When you come in to see Dr. Brian Gale about the pain in your heel he may ask you some questions, such as:

What type of feet do you have? (Flat arch, high arch)

How much activity do you do, and what kind of activity?

How much time do you spend standing?

What type of surface are you standing on?

What kind of insoles do you have in your shoe?

What type of shoe do you wear?

Dr. Brian Gale may also ask you to bring in the shoes you typically wear so he can make sure they are the right size and fit for you.


If you’re having heel pain make sure you call to set up an appointment with Dr. Brian Gale at Dakota Foot and Ankle Clinic.  701-255-3338.

Plantar Fasciitis/Heel Pain/Heel Spur-What’s In a Name?


Plantar Fasciitis, Heel Pain, and Heel Spurs are all the same thing.   There are many things that cause heel pain, but if you wake up in the morning and your heels hurt when you take your first step you might be suffering from Plantar Fasciitis.  What is plantar fasciitis?  It is when the ligament that goes from the heel to the toe becomes irritated and inflamed and that is the pain you feel.  The ligament becomes irritated because there are little tears in it where is attached to the heel and this causes the pain.  The tears in the ligament result in inflammation and long term inflammation can cause a heel spur.  The pain can be just on the bottom of the heel and is usually the worst right after waking up in the morning or getting up after sitting for a period of time.  This pain can be decreased by stretching (gently) this tissue.    Walking can help make the pain go away for a little bit, but if you are on your feet for long periods of time the pain may come back.  Dr. Gale sees patients with this problem every day at the Dakota Foot and Ankle Clinic.