Sever's disease is one of the most frequent causes of heel pain in active children. It occurs when repetitive stress affects the growth plate in the heel, leading to irritation and discomfort. As children grow, their bones develop quickly, while muscles and tendons may remain tight. This creates increased tension at the heel, particularly during sports and physical activity. The condition is most often seen in children between 8 and 14 years old who are involved in activities that require running and jumping.

Common symptoms include heel pain that worsens with activity and improves with rest. Children may complain of soreness after sports or physical education. Limping or favoring one foot is also common, especially after prolonged activity. The heel may feel tender to the touch, and pressure can increase discomfort. These symptoms may come and go but tend to return if the underlying cause is not addressed.

Several risk factors increase the likelihood of developing Sever's disease. Rapid growth during adolescence is a primary factor, as it affects the balance between bones and soft tissues. High impact sports, tight calf muscles, and lack of proper shoe support can all contribute. Children with flat feet or high arches may place uneven stress on the heel, increasing irritation. Understanding these risks can help guide prevention and early care.

Treatment focuses on relieving stress on the heel and promoting healing. Rest, stretching, and wearing supportive shoes are key components of recovery. Heel cushions and orthotic devices can provide additional support and reduce impact. Early management allows children to remain active while minimizing discomfort. If your active child has heel pain, it is suggested that you consult a podiatrist for an accurate diagnosis and effective relief and management tips.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Emmanuel Bustos, DPM from New York. 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 the Upper West Side and New York City, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Shoes play an important role in foot health, yet many people have footwear that causes pain and other problems. Shoes that are too tight can squeeze the toes and place pressure on the front of the foot. This can lead to bunions, which are bony bumps that develop near the big toe joint. Tight shoes can also contribute to hammertoes, a condition in which the toes bend abnormally. Pointed-toe shoes are another concern because they push the toes together and reduce the space needed for normal movement. Footwear that does not fit properly can also change the way a person walks, creating strain on the feet and ankles.

Worn-out shoes can be just as harmful as shoes that fit poorly. The bottoms of shoes gradually wear down, especially around the heel. When this happens, the foot can become unbalanced while walking. Running shoes also lose their cushioning after repeated use. Less cushioning means the feet absorb more impact with every step. This can lead to discomfort in the feet, ankles, knees, and hips. Another common mistake is buying shoes without trying them on first. Shoe sizes can vary between brands, and a shoe that looks comfortable may not fit well once it is worn.

The time of day when shoes are purchased can also make a difference. Feet naturally swell after standing and walking for several hours. Shoes that feel comfortable early in the morning may become tight later in the day. It is also important to spend several minutes walking in new shoes before buying them. A podiatrist can evaluate foot structure, discuss footwear choices, and recommend supportive shoes or orthotics when needed. If you have foot pain from the shoes you wear, it is suggested that you make an appointment with a podiatrist for an exam and diagnosis.

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 Emmanuel Bustos, DPM from New York. Our doctor 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 contact our office located in the Upper West Side and New York City, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Falls in older adults are a major health concern that can lead to serious foot and ankle injuries, reduced mobility, and loss of independence. A fall is defined as an unintentional descent to the ground or a lower level, often caused by a loss of balance or stability. As the body ages, changes in muscle strength, joint flexibility, and coordination can increase the likelihood of falling. These changes make it important to understand both the causes and the prevention of falls to support long term health.

Symptoms associated with falls may include immediate pain, swelling, bruising, or difficulty walking. Many older adults experience foot and ankle injuries, such as sprains or fractures, after a fall. In some cases, individuals may feel unsteady even after the incident, which can lead to a fear of falling again. This fear may reduce physical activity, further weakening muscles and increasing the risk of future falls. Recognizing early warning signs such as balance issues or frequent stumbling can help prevent serious injury.

Several risk factors contribute to falls in older adults. Age-related muscle loss and decreased bone density play a significant role. Chronic conditions, such as arthritis, diabetes, or nerve disorders, can affect balance and sensation in the feet. Medications that cause dizziness, drowsiness, or changes in blood pressure can also increase fall risk. Environmental hazards such as poor lighting, loose rugs, and uneven surfaces add to the danger. Wearing footwear that does not fit properly or lacks support can further reduce stability and increase the chance of falling.

Preventing falls requires a comprehensive approach that includes strengthening exercises, proper footwear, and home safety improvements. Balance training and regular physical activity can help maintain coordination and muscle strength. Wearing well-fitted shoes with supportive soles can improve stability. Keeping living spaces free of clutter and ensuring proper lighting are simple but effective steps. Regular foot evaluations can also identify issues that may affect balance. If you have had a foot or ankle injury from falling or want guidance on prevention, it is suggested you consult a podiatrist for effective relief and prevention tips.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Emmanuel Bustos, DPM from New York. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

If you have any questions, please feel free to contact our office located in the Upper West Side and New York City, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ankle arthritis is a condition where the cartilage in the ankle joint gradually wears down, leading to pain, stiffness, and reduced movement. It can develop from previous injuries such as fractures or sprains, or from long-term wear and tear on the joint. Inflammatory conditions like rheumatoid arthritis may also contribute to its development. Common symptoms include swelling, aching pain when walking, and stiffness that is often worse in the morning or after rest. Some people may notice difficulty with daily activities like climbing stairs or standing for long periods. Risk factors include aging, repetitive joint stress, obesity, and prior ankle trauma. Over time, the condition can progress and affect mobility if not properly managed. A podiatrist can evaluate joint damage, order imaging, and provide treatments to reduce pain and improve function. If you have symptoms of ankle arthritis, it is suggested that you consult a podiatrist who can offer appropriate relief and management tips. 

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Emmanuel Bustos, DPM from New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

• Exercises that stretch the foot can prevent further pain and injury and increase mobility
• Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
• Massages can help temporarily alleviate pain.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your feet.

If you have any questions please feel free to contact our office located in the Upper West Side and New York City, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

A diabetic foot ulcer is an open sore that develops on the foot, often in people with diabetes due to poor circulation and nerve damage. This condition can begin with a small cut, blister, or pressure point that goes unnoticed because of reduced sensation. Over time, the area may break down and form a wound that is slow to heal. Symptoms can include redness, swelling, drainage, and, in some cases, a foul odor. Risk factors include long term diabetes, wearing improper footwear, high blood sugar levels, and previous foot injuries. If not treated early, the ulcer can deepen and lead to serious complications. A podiatrist can examine the wound, assess circulation, and provide specialized care to promote healing and prevent infection. If you have diabetes and have developed a foot ulcer, it is strongly suggested that you are under the care of a podiatrist who can effectively treat the wound and help you manage this serious condition.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Emmanuel Bustos, DPM from New York. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions please contact our office located in the Upper West Side and New York City, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.