
Custom made orthotics provide essential support and alignment for athletes and active individuals, helping to improve performance and reduce injury risk. By correcting abnormal foot mechanics, these devices promote efficient movement patterns and reduce strain on muscles and joints. Proper alignment can lead to better shock absorption and stability, which is especially important during high-impact activities. Custom orthotics also address specific needs, including arch support, pressure distribution, and control of excessive motion. This personalized approach allows for greater comfort and endurance during physical activity. Whether for running, jumping, or quick directional changes, custom orthotics serve as a key tool in optimizing movement and maintaining long-term physical health for active individuals. If you have foot pain from leading an active lifestyle, it is suggested that you consult a podiatrist who can prescribe the right type of orthotics for your needs.
Custom orthotics and shoe inserts are not just for cushioning the soles; they are about supporting the foundation of our body - our feet. The advantages extend far beyond immediate relief from discomfort. These personalized solutions, that Our doctor can prescribe, can significantly impact a person’s posture, alleviate pain in various parts of the body, and even enhance athletic performance.
As we lace up our shoes each day, having the right support can make a world of difference. Custom orthotics are like tailored suites for our feet, offering a bespoke solution to address our unique biomechanical needs. They provide stability where it is lacking, correct imbalances, and ensure that every step is a confident and pain-free one.
Custom orthotics and shoe inserts offer long-term health benefits. By addressing issues such as overpronation or underpronation, heel pain, plantar fasciitis, etc. orthotics can help prevent injuries and mitigate the progression of existing conditions. It’s an investment not just in the present, but in the future health of your feet and consequently, your overall well-being.
If you have any questions please contact our office located in Dallas, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Sever's disease, also known as calcaneal apophysitis, is an inflammatory condition that affects the growth plate in the heel bone. It is typically seen in children and adolescents who are experiencing growth spurts and engaging in repetitive physical activity. The causes in young patients include overuse, excessive running or jumping, and wearing poor footwear. In adults, Symptoms often involve heel pain, tenderness, and stiffness, especially after activity. Sever's disease is extremely rare because the growth plates close after puberty. When heel pain occurs in adults, it is usually caused by other conditions, such as plantar fasciitis or Achilles tendinitis, rather than true Sever's disease. It is suggested that adults with similar heel pain symptoms consult a podiatrist to determine the correct diagnosis and begin an appropriate treatment plan.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Richard Galperin, DPM from Texas. 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 Dallas, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

Hiking with ankle pain requires extra care and thoughtful planning to prevent further injury and enjoy the experience. Choosing smaller, well-maintained trails can help reduce stress on the ankle by providing even surfaces and shorter distances to manage. It is important to wear supportive hiking shoes or boots that stabilize the ankle and cushion each step. Carrying light loads can make a big difference, as heavy backpacks place added pressure on the joints and increase fatigue. Maintaining a healthy weight also supports the ankles by easing the strain placed on them during movement. Taking breaks when needed and using trekking poles for balance can enhance comfort and reduce the risk of aggravating the pain. If you enjoy hiking and have developed ankle pain, it is suggested that you consult a podiatrist who can offer effective management tips, providing a more enjoyable hiking experience.
Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Richard Galperin, DPM from Texas. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.
Causes
The most common causes of ankle pain include:
- Types of arthritis (rheumatoid, osteoarthritis, and gout)
- Ankle sprains
- Broken ankles
- Achilles tendinitis
- Achilles tendon rupture
- Stress fractures
- Tarsal tunnel syndrome
- Plantar fasciitis
Symptoms
Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.
Diagnosis
Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.
Treatment
Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.
If you have any questions, please feel free to contact our office located in Dallas, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Cycling is a great low-impact exercise, but it can still lead to foot pain due to repetitive motion and pressure. Common types of foot pain from cycling include burning sensations, numbness, and sharp pain, often felt in the ball of the foot, arches, or toes. One major cause is wearing cycling shoes that are too tight or lack proper support. Cleat position and pedal pressure can also contribute by placing too much stress on certain areas of the foot. Long rides without adequate breaks or poor bike fit may lead to nerve compression or overuse injuries. Additionally, poor circulation or underlying foot conditions can be aggravated during cycling. If you enjoy cycling but have developed foot pain, it is suggested that you schedule an appointment with a podiatrist who can offer effective relief and treatment solutions.
Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Richard Galperin, DPM from Texas. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Common Injuries
The most common injuries that occur in sporting activities include:
- Achilles Tendonitis
- Achilles Tendon Rupture
- Ankle Sprains
- Broken Foot
- Plantar Fasciitis
- Stress Fractures
- Turf Toe
Symptoms
Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.
Treatment
Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.
If you have any questions, please feel free to contact our office located in Dallas, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Runners, meet your game-changer: Custom Orthotics. Every stride matters, and with Custom Orthotics, you can ensure optimal foot alignment, reducing stress on joints and muscles. They help absorb shock, protect against injuries, and can even enhance your running efficiency. Whether you're sprinting short distances or conquering marathons, Custom Orthotics provide the support and balance your feet crave. Call today for more information.

A broken toe might seem minor, but it can be surprisingly painful and disruptive. Toe fractures happen from direct impact, like stubbing a toe on furniture, dropping something heavy on it, or even excessive stress from repetitive movements. There are different types of toe fractures. A stress fracture develops over time from repeated strain, common in runners and athletes. A non-displaced fracture means the bone has cracked but remains aligned, while a displaced fracture occurs when the bone shifts out of place. A comminuted fracture involves multiple breaks in the same bone, and an open fracture means the bone has pierced the skin, requiring immediate medical attention. Treatment depends on severity, ranging from taping the injured toe to its neighbor for stability to wearing a stiff-soled shoe. Severe cases may require a splint or even surgery to ensure proper healing. If you have severe pain from a broken toe, it is strongly suggested that you schedule an appointment with a podiatrist for appropriate treatment.
A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Richard Galperin, DPM from Texas. Our doctor will treat your foot and ankle needs.
What to Know About a Broken Toe
Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).
Symptoms of a Broken Toe
- Throbbing pain
- Swelling
- Bruising on the skin and toenail
- The inability to move the toe
- Toe appears crooked or disfigured
- Tingling or numbness in the toe
Generally, it is best to stay off of the injured toe with the affected foot elevated.
Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.
If you have any questions please feel free to contact our office located in Dallas, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.