Sever’s disease causes heel pain in growing children, especially those who are physically active. It usually develops between ages eight and 14, when the heel bone is going through a period of growth. The condition affects the growth area where the Achilles tendon attaches to the heel bone. This area is still developing from cartilage into mature bone. Repeated stress from running or jumping can irritate it and cause pain. Symptoms include heel pain with exercise, increased pain after activity, and limping. Some children also walk on their toes to reduce pressure on the painful heel. One or both heels can be affected.

Growth and activity levels can influence the development of Sever’s disease. A child can experience symptoms after increasing the amount or intensity of sports participation. Starting a new sport can also place different demands on the heel. Activities that involve frequent running and jumping are strongly linked with symptoms. Changes in height and weight can contribute as the body develops. Foot structure can play a role as well. Children with flat-foot posture can have a slightly greater risk. Certain shoes, especially those with a low heel, can place added strain on the growth area by increasing tension through the Achilles tendon.

A podiatrist can evaluate heel pain by discussing symptoms and examining the child’s feet and legs. X-rays are generally not used to diagnose Sever’s disease, although imaging can sometimes help rule out another cause of heel pain. Treatment focuses on reducing pain while managing activity appropriately. A podiatrist can recommend activity changes, heel raises, or custom orthotics based on the child’s needs. The condition rarely causes long-term problems once the growth area 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 solutions.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from Advanced Foot Specialists. 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 Rockwall, Greenville, Dallas, Sachse, and Lewisville, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Clubfoot is a congenital foot deformity in which one or both feet are turned inward and downward. The medical term is talipes equinovarus. The affected foot may appear smaller than expected, with the heel turned inward and the front of the foot angled toward the opposite leg. The ankle may also have limited movement. Clubfoot is usually present at birth and can be identified during a routine newborn examination. In some cases, it can be seen during a prenatal ultrasound. Although the foot may look significantly different, clubfoot is treatable, and early care can help a child develop a functional foot for walking.

The exact cause of clubfoot is not always known. It may involve a combination of genetic and environmental factors that affect the development of the muscles, tendons, and connective tissues of the foot. Having a family history of clubfoot can increase risk. Symptoms are primarily related to the foot position and stiffness rather than pain in a newborn. Without treatment, the child may eventually have difficulty placing the foot flat on the ground and developing a normal walking pattern.

The Ponseti method is a widely used treatment for clubfoot. Treatment usually begins soon after birth and involves gentle manipulation followed by a series of casts that gradually guide the foot into a more appropriate position. A podiatrist changes the cast regularly while monitoring correction. The foot is then maintained in its corrected position with a brace according to the treatment plan.

Follow-up care is important because clubfoot can return as a child grows. The podiatrist monitors foot position, flexibility, and development during follow-up visits. Parents are given instructions about brace use and are encouraged to attend scheduled appointments so changes can be identified early. If your child has clubfoot, it is suggested that you consult a podiatrist who can help support healthy foot development.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Advanced Foot Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

If you have any questions, please feel free to contact our offices located in Rockwall, Greenville, Dallas, Sachse, and Lewisville, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Pickleball combines quick starts, sudden stops, and sharp changes in direction on a hard court. These movements place heavy stress on the feet and ankles. An ankle sprain can occur when the joint rolls and stretches or tears its supporting ligaments. Other injuries related to pickleball include plantar fasciitis, Achilles tendon tears, and stress fractures. Plantar fasciitis causes pain where the thick band beneath the foot becomes irritated. Repeated impact can also lead to heel pain or pain in the ball of the foot. Poor balance, fatigue, and shoes that lack proper support can raise the risk of injury.

Symptoms vary with the injured area and damage. An ankle sprain can cause pain, swelling, and bruising. Achilles tendon trouble can produce stiffness above the heel and pain when pushing off. A stress fracture can cause focused pain that grows worse with activity, while plantar fasciitis usually creates sharp heel pain after rest. Sudden inability to bear weight, a visible change in shape, or a popping sound requires prompt attention. Continuing to play through pain can worsen an injury and change the way a player moves. This can strain the opposite foot and legs.

A podiatrist can examine the painful area, test joint movement, and evaluate foot mechanics. X-rays can reveal broken bones or changes in joint alignment. Other imaging can help identify damage to tendons, ligaments, or soft tissue. Treatment depends on the diagnosis and the demands placed on the foot. A podiatrist can provide immobilization, bracing, or custom orthotics to protect the injured area and improve support. The podiatrist can also recommend court shoes with proper cushioning and side-to-side stability. For serious injuries, the treatment plan can include surgery. Evaluation guides a safe return to pickleball. If you have sustained a foot or ankle injury from playing pickleball, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

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 one of our podiatrists from Advanced Foot Specialists. Our doctors 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 contact our offices located in Rockwall, Greenville, Dallas, Sachse, and Lewisville, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Bunions are a common foot condition that develops gradually as the big toe joint becomes misaligned, forming a prominent bump along the side of the foot. This structural change can affect balance, walking ability, and overall foot health. Bunions are known to increase in frequency with age and are especially common in women due to both biological and lifestyle factors. Recognizing how these elements contribute to bunion formation can help individuals take proactive steps to protect their feet.

The symptoms of bunions often begin with mild discomfort and progress to more noticeable pain, swelling, and stiffness in the big toe joint. The area may become tender, particularly when wearing shoes that press against the bunion. Over time, the big toe may shift toward the other toes, leading to crowding and difficulty finding comfortable footwear. These symptoms can limit mobility and reduce quality of life if not properly managed.

Risk factors for bunions include inherited foot structure, aging-related joint changes, and footwear choices. As people age, ligaments may lose strength, making the foot more prone to misalignment. Women are at higher risk due to frequent use of narrow or high-heeled shoes that concentrate pressure on the forefoot. Additional causes include repetitive stress on the feet, flat arches, and improper gait patterns. These factors work together to increase strain on the big toe joint and contribute to bunion development.

Preventive strategies include wearing supportive shoes with a wide toe box, maintaining healthy foot mechanics, and avoiding excessive pressure on the forefoot. Early attention to symptoms can help slow progression and improve comfort. Taking a proactive approach to foot care supports long-term mobility and well-being. If you have a bunion or notice worsening symptoms, it is suggested that you consult a podiatrist for effective relief and management solutions.

If you are suffering from bunions, contact one of our podiatrists of Advanced Foot Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Podiatrists often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your provider.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

If you have any questions, please feel free to contact our offices located in Rockwall, Greenville, Dallas, Sachse, and Lewisville, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Peripheral neuropathy develops when nerves outside the brain and spinal cord become damaged. These nerves carry messages between the brain, feet, and the rest of the body. When the nerves do not work correctly, they can send the wrong signals or fail to send signals at all. This problem frequently affects the feet first because the longest nerves travel to the toes. Symptoms include numbness, burning pain, or sharp discomfort. Some patients also notice weakness or a reduced ability to feel heat, cold, or pressure. Balance can become less steady because the feet cannot sense the ground as well while walking. Among the leading causes of peripheral neuropathy is high blood sugar from diabetes. 

A podiatrist plays an important role in diagnosing peripheral neuropathy and preserving foot health. Diagnosis begins with a medical history and a careful foot examination. The podiatrist checks sensation, strength, and circulation. Additional testing can help measure how well the nerves are working or identify another condition causing the symptoms. Regular foot evaluations help detect skin changes, pressure areas, and small injuries before they become more serious. Early diagnosis also helps reduce the risk of infections and other complications that can threaten foot health. Patients with reduced feeling benefit from professional monitoring because even minor foot problems can become more difficult to manage when sensation is limited.

Treatment focuses on the cause of the nerve damage and protecting the feet from further problems. A podiatrist provides routine foot care and treats wounds. This foot doctor also recommends custom orthotics or shoes that provide proper support while reducing pressure on sensitive areas. Additionally, the podiatrist monitors changes in sensation and foot structure while helping lower the risk of ulcers and other complications. Consistent podiatric care supports comfort, mobility, and safer movement while walking. If you have symptoms of peripheral neuropathy, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with one of our podiatrists  from Advanced Foot Specialists. Our doctors will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

If you have any questions, please feel free to contact our offices located in Rockwall, Greenville, Dallas, Sachse, and Lewisville, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Children’s shoes should support natural growth while protecting developing feet. This calls for wearing soft, flexible footwear that allow freedom to move. For infants who are not yet walking, shoes are not needed for proper development. Barefoot movement allows the foot to strengthen and adapt naturally to surfaces. Pre-walkers benefit from minimal interference, as restrictive footwear may limit muscle activation and coordination. This early stage sets the foundation for balance, posture, and healthy walking patterns.

As children begin taking early steps, footwear needs begin to change. Flexible shoes are recommended during this transition stage to allow natural bending and movement. A proper shoe should feel light, with a soft sole that supports without restricting motion. Symptoms of improper footwear may include difficulty walking, irritation, or visible pressure marks on the skin. Shoes that are too rigid can alter natural gait patterns and create unnecessary strain. Choosing the right design helps maintain comfort and supports early mobility.

Independent walkers require shoes that offer a balance of flexibility and structure. At this stage, supportive soles and secure closures help stabilize the foot while allowing freedom of movement. Risk factors for developing foot issues include narrow shoes, stiff materials, and improper sizing. Pressure on the toes can lead to discomfort and affect walking confidence. Parents should regularly check shoe fit as children grow quickly. 

The causes of many pediatric foot concerns can be traced to poor footwear choices during key developmental stages. Shoes that restrict movement or apply uneven pressure can interfere with natural growth. Selecting stage-appropriate footwear encourages proper alignment and reduces the likelihood of discomfort. A thoughtful approach to shoe selection supports healthy development and active movement. If your child has foot pain, from possibly wearing the wrong type of shoes, it is strongly suggested that you consult a podiatrist who can offer effective relief tips, and guide you on the correct shoes to buy for your child. 

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact one of our podiatrists of Advanced Foot Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

If you have any questions, please feel free to contact our offices located in Rockwall, Greenville, Dallas, Sachse, and Lewisville, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot pain from lupus is a common concern for individuals living with this chronic autoimmune condition. Lupus occurs when the immune system mistakenly attacks healthy tissues, including joints, blood vessels, and nerves in the feet. This can lead to inflammation, reduced circulation, and tissue damage. Many patients experience persistent discomfort that affects mobility and quality of life. Understanding how lupus impacts the feet is essential for early intervention and long term care. Foot pain related to lupus may also overlap with other conditions such as peripheral neuropathy or Raynaud related circulation changes.

Symptoms of foot pain from lupus often include swelling, numbness, and cold feet. Some individuals notice color changes in the toes, especially in response to cold temperatures or stress. Joint stiffness, burning sensations, and tenderness in the soles are also reported. These symptoms may come and go or worsen during lupus flares. Cold sensitivity is especially important, as reduced blood flow can increase discomfort and raise the risk of tissue injury. Paying attention to early warning signs can help prevent complications.

Several risk factors contribute to lupus-related foot pain. These include long standing autoimmune activity, poor circulation, and improper footwear. Cold environments and prolonged standing can worsen symptoms. Causes are primarily linked to inflammation of joints and blood vessels, as well as nerve irritation. Damage to small blood vessels can reduce oxygen supply to tissues, leading to cold feet and delayed healing. This makes proper foot care a critical part of managing lupus.

If you have lupus, caring for your feet involves simple, but consistent habits. Keeping feet clean and dry helps prevent infection. Wearing properly fitted, supportive shoes reduces pressure and improves alignment. Protecting feet from extreme temperatures is essential, especially in cold weather. Regular foot checks can help identify changes early. If foot pain from lupus is present, it is suggested that you consult a podiatrist for effective relief and management solutions.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our podiatrists  from Advanced Foot Specialists. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact our offices located in Rockwall, Greenville, Dallas, Sachse, and Lewisville, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot wounds can develop from cuts, punctures, scrapes, or other injuries that damage the skin. While some wounds may seem minor at first, they can become more serious if healing is delayed or complications develop. Pain, swelling, and redness are common symptoms, while some wounds may also produce drainage or become warm to the touch. People with diabetes, poor circulation, or reduced feeling in their feet often face a greater risk of slow-healing wounds and infection. Because the feet are under constant pressure from standing and walking, even a small wound can interfere with daily activities. A professional evaluation is important to determine the severity of the wound and identify the most appropriate treatment.

Proper wound healing depends on healthy blood flow, clean tissue, and protection from additional injury. If a foot wound remains open for too long, the surrounding tissue may become damaged and the risk of infection can increase. As discomfort worsens, many people begin to change the way they walk, placing extra stress on the ankle, knee, or hip. A thorough podiatry examination helps evaluate the depth of the wound and identify any underlying conditions that may delay healing. In some cases, additional testing may be needed to assess circulation or determine whether an infection is present. Early diagnosis helps reduce the risk of more serious complications and supports better long-term foot health.

A podiatrist specializes in evaluating and treating foot wounds while carefully monitoring the healing process. Professional treatment focuses on protecting healthy tissue, promoting wound healing, and reducing the risk of infection. Care is tailored to each patient's needs and may be adjusted as the wound improves. Regular follow-up visits allow healing to be monitored and any concerns to be addressed promptly. If you have a foot wound that is painful, slow to heal, or showing signs of infection, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

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 one of our podiatrists from Advanced Foot Specialists. Our doctors 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 offices located in Rockwall, Greenville, Dallas, Sachse, and Lewisville, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.