Sever’s disease, also called calcaneal apophysitis, causes pain in the growth plate at the back of the heel, oftentimes affecting children. A growth plate is an area of developing bone found in children and teenagers. Repeated pulling from the Achilles tendon can irritate the growth plate, especially during periods of rapid growth. Heel pain usually becomes worse while walking, running, or participating in sports. The pain can affect one heel or both. Some children also limp or avoid placing full weight on the affected foot because of discomfort. Early evaluation helps identify the condition before pain begins to interfere with school, sports, and other daily activities.

Several factors increase the chance of developing Sever’s disease. Running and jumping sports place repeated stress on the heel. Tight calf muscles can increase pulling on the growth plate. Flat feet or high arches can also change how force is distributed across the foot. Shoes that lack proper support can place additional strain on the heel during activity. A podiatrist diagnoses the condition by discussing symptoms, examining the foot, and checking for tenderness around the back of the heel. Imaging tests are not always necessary, but they can help rule out other causes of heel pain when the diagnosis is uncertain.

A podiatrist creates a treatment plan that reduces stress on the irritated growth plate and improves comfort. Treatment includes custom orthotics, heel cushions, and  wearing supportive shoes. These options help reduce pressure and improve foot alignment while walking. Regular follow-up visits allow a podiatrist to monitor healing and adjust treatment as the child grows. Early care can reduce pain, improve mobility, and support a safe return to normal activities. Most children recover completely once the growth plate matures. If your active child has symptoms of Sever’s disease, it is suggested that you schedule an appointment with a podiatrist for effective relief and management tips. 

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our doctors from New Jersey and New York. Our doctors 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 offices located in Little Silver, NJ and New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Flat feet, also called fallen arches, occur when the arch on the inside of the foot is low or has collapsed, allowing more of the foot to touch the ground. Some people are born with flat feet, while others develop them over time because of aging, injury, or changes affecting the tendons that support the arch. Not everyone with flat feet experiences discomfort, but some develop pain that affects walking and other daily activities. As the arch changes, additional stress may be placed on the feet, ankles, and lower legs. This change in foot mechanics can also affect balance and overall movement. A professional evaluation is important to determine whether flat feet are contributing to pain or limiting normal function. Early podiatry care may help identify related problems before they become more severe.

Symptoms of flat feet vary from person to person. Many individuals experience foot pain, ankle pain, or swelling along the inside of the foot. Others notice fatigue in the feet after standing or walking for extended periods. Some people develop discomfort that spreads into the knees, hips, or lower back because changes in foot alignment affect the way the body moves. In more advanced cases, walking may become difficult because of ongoing pain or reduced stability. Persistent symptoms should not be ignored because untreated problems may continue to affect mobility and quality of life. Early evaluation can help determine the cause of discomfort and guide appropriate treatment.

A podiatrist specializes in diagnosing and treating flat feet and other conditions that affect foot function. During an examination, the podiatrist evaluates the structure of the feet, walking mechanics, and any symptoms that interfere with movement. Treatment is tailored to each patient's needs and focuses on improving foot function, reducing discomfort, and supporting better mobility. Early podiatry care may also help prevent additional strain on the feet and ankles. If you are experiencing foot pain, ankle pain, or difficulty walking because of flat feet, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Flatfoot is a condition many people suffer from. If you have flat feet, contact one of our doctors from New Jersey and New York. Our doctors will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions, please feel free to contact our offices located in Little Silver, NJ and New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Wearing the right shoes plays an important role in protecting foot health and preventing pain. Shoes that fit correctly help support the feet while walking and standing. Poorly fitting shoes can place extra pressure on certain areas of the foot and contribute to problems, such as bunions, corns, calluses, and hammertoes. A hammertoe is a toe that bends abnormally at one of its joints. Shoes with a wide toe box give the toes enough room to move naturally. The toe box is the front part of the shoe that surrounds the toes. Proper shoes also help distribute body weight more evenly across the foot, reducing stress on joints and soft tissues.

Several features make a shoe healthier for the feet. Shoes with low heels place less pressure on the front of the foot than high-heeled shoes. A wide and deep toe box helps prevent crowding of the toes. Breathable materials allow air to circulate around the feet. Lace-up shoes usually provide a more secure fit than slip-on styles. A firm heel counter, which is the back portion of the shoe, helps keep the foot stable. The sole should provide cushioning and support. A shoe should also allow the ball of the foot to rest comfortably in the widest part of the shoe.

A podiatrist can evaluate foot structure, walking patterns, and shoe-related problems. Foot pain sometimes develops because shoes do not match the shape or needs of the feet. A podiatrist can identify pressure points, diagnose shoe-related conditions, and recommend footwear that offers better support and comfort. In some cases, special shoes or custom orthotics worn inside shoes help improve foot function. Professional evaluation can also help prevent existing foot conditions from becoming more serious. If you have foot pain that worsens when wearing shoes, it is suggested that you schedule an appointment with a podiatrist for guidance on how to choose shoes that fit properly. 

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 one of our doctors from New Jersey and New York. Our doctors 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 offices located in Little Silver, NJ and New York, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Plantar heel pain in athletes is a common overuse condition that affects the bottom of the heel and surrounding soft tissues. It often develops in individuals who participate in running, jumping, or high-impact sports that place repeated stress on the foot. The most common underlying issue associated with plantar heel pain is irritation of the plantar fascia, a thick band of tissue that supports the arch of the foot. In athletic populations, this condition is frequently linked to repetitive strain, improper training techniques, and biomechanical imbalances that increase stress on the heel during movement.

Symptoms of plantar heel pain in athletes typically begin gradually and may worsen if not addressed. Early signs include mild discomfort in the heel after physical activity, especially after running or jumping exercises. As the condition progresses, athletes may experience sharp or stabbing pain in the heel, particularly with the first steps in the morning or after periods of rest. Pain may also increase during training sessions and can affect performance, endurance, and overall mobility. Some athletes report tightness in the arch of the foot or a deep aching sensation that persists throughout the day.

Several risk factors contribute to the development of plantar heel pain in athletes. These include high training intensity, sudden increases in activity levels, and inadequate rest between workouts. Footwear that lacks arch support or cushioning can significantly increase stress on the heel. Athletes with flat feet, high arches, or tight calf muscles are also at higher risk due to altered foot mechanics. Running on hard surfaces or uneven terrain may further contribute to repetitive impact and strain on the plantar fascia and heel structures.

The primary causes of plantar heel pain in athletes involve repetitive microtrauma to the soft tissues of the foot. Over time, this repeated stress leads to inflammation, small tears, and irritation of the plantar fascia and surrounding structures. Poor biomechanics, such as overpronation or improper gait patterns, can place additional strain on the heel. Without proper intervention, the condition may become chronic and interfere with athletic performance and daily activities. Early recognition and treatment are essential for preventing long-term damage and maintaining foot health. If you are an athlete with heel pain, it is strongly suggested that you consult a podiatrist for a proper diagnosis and treatment. 

Many people suffer from bouts of heel pain. For more information, contact one of our doctors of New Jersey and New York. Our doctors can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions, please feel free to contact our offices located in Little Silver, NJ and New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.