Heel pain is one of the most frequent complaints in young soccer players, often linked to the growth plate in the heel bone. This area, called the calcaneal apophysis, is soft and more vulnerable to stress during growth. When leg bones lengthen faster than the heel bone, extra tension develops, sometimes leading to inflammation known as calcaneal apophysitis, or Sever’s disease. Symptoms usually include throbbing or aching pain at the back of the heel, which may worsen with running, jumping, or wearing certain cleated shoes. Turf cleats generally provide better cushioning and reduce strain compared to grass cleats, which can put extra stress on the heel. A podiatrist can evaluate the cause of heel pain, recommend proper footwear, and provide treatment options that allow young athletes to remain active safely. If your child exhibits signs of heel pain after sports activities, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment.

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 care needs.

Ingrown toenails occur when the edge of the nail grows into the surrounding skin, causing pain, redness, and swelling. If left untreated, the area can become infected and make walking uncomfortable. Podiatrists are specially trained to manage this condition safely and effectively. Treatment depends on the severity of the problem. In mild cases, the nail edge may be gently lifted and trimmed to relieve pressure. For more advanced or recurring cases, a minor in-office procedure may be performed to remove a small part of the nail or the underlying nail root to prevent regrowth in that area. Proper cleaning, antibiotic care, and protective bandaging help the toe heal quickly. A podiatrist also provides guidance on trimming techniques and footwear to reduce future problems. If you have a painful ingrown toenail, it is suggested that you seek prompt professional care from a podiatrist who can help restore comfort and prevent further complications.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Richard Galperin, DPM of Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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.

Rheumatoid arthritis is an autoimmune condition that can cause inflammation in the small joints of the toes, leading to pain, stiffness, swelling, and deformity. It occurs when the immune system mistakenly attacks the lining of the joints, resulting in joint damage over time. In the toes, this may feel like a deep aching pain, often worse in the morning or after periods of rest. The toes may appear swollen, red, and may develop visible deformities, such as hammertoes or bunions. Walking can become painful, and wearing shoes may be difficult due to pressure on the joints. A podiatrist can assist with diagnosis through a clinical evaluation, medical history, and lab tests or imaging. Treatment may include custom orthotics, footwear modifications, and anti-inflammatory medications. In advanced cases, surgery may be considered. To manage symptoms and preserve mobility, it is suggested that you make an appointment with a podiatrist.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Richard Galperin, DPM of Texas. Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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.

Custom insoles for bunion care are a specialized solution for individuals struggling with the discomfort and structural challenges posed by bunions. These insoles are meticulously designed to redistribute pressure away from the bunion, a protrusion at the base of the big toe, which often results from a misalignment of the toe joint. By providing targeted cushioning and support, custom insoles alleviate the direct pressure on the bunion area, reducing pain and preventing further aggravation of the condition. The unique feature of custom insoles lies in their tailored fit. They are crafted based on an individual's specific foot contours and the severity of the bunion, ensuring optimal effectiveness. This personalized approach not only eases current discomfort but also aids in slowing the progression of the bunion. Additionally, these insoles help in correcting any abnormal walking patterns caused by bunions, thereby improving overall foot function and comfort. If you are suffering from bunions, it is suggested that you make an appointment with your podiatrist to discuss whether custom insoles can manage your pain.

Custom orthotics are often an effective solution for people experiencing heel pain, offering both comfort and correction for the underlying causes of discomfort. Heel pain commonly develops when the natural support of the foot becomes strained or imbalanced, leading to inflammation and irritation in the heel area. Conditions such as plantar fasciitis, heel spurs, or flat feet can all contribute to chronic heel pain that worsens with walking or standing. Custom orthotics are designed to fit the exact shape of your foot, providing the support and alignment necessary to reduce stress on the heel and surrounding tissues.

By redistributing pressure and improving overall foot mechanics, custom orthotics allow the heel to function more efficiently during movement. They cushion each step, absorb shock, and correct abnormal gait patterns that may be contributing to pain. Over time, this consistent support can ease inflammation, protect against re-injury, and enhance comfort during both daily and athletic activities.

Unlike prefabricated insoles, custom orthotics are created from a detailed evaluation that may include digital scans or molds of your feet. This ensures a precise and individualized fit that addresses your specific condition. They can be used in various types of footwear, from athletic shoes to dress styles, making them a versatile option for ongoing relief.

If heel pain is limiting your comfort or activity level, it is suggested that you call our office for more information or to schedule an appointment.

If you have any questions please contact our office located in Dallas, TX .