June 2021

Active children may be more likely to experience heel pain. This pain can be indicative of a condition known as Sever’s disease, and can target children and young adolescents. This uncomfortable ailment affects the growth plate in the heel and can occur as a result of extensive pressure exerted on the area where the Achilles tendon meets the heel. Parents may notice their child may begin to limp, in addition to experiencing a decrease in flexibility if their child is afflicted with Sever’s disease. Prompt treatment generally begins with stopping the activity that caused this condition, and it is beneficial to rest the affected foot. Some children find it may help to perform specific stretches that target the Achilles tendon and calf. If you notice your child has symptoms of Sever’s disease, it is strongly suggested that you schedule a consultation with a podiatrist as quickly as possible who can determine what the most effective treatment is.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from Cascade Foot & Ankle. 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 Yakima and Ellensburg, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

Excessive blisters on the feet can indicate a condition that is known as hand, foot and mouth disease. It is considered to be a viral infection, and generally affects children ten years and younger. Hand, foot, and mouth disease is a contagious medical condition, and can be passed to other people by coughing, sneezing, or from the fluid that is inside the blisters. Some of the symptoms that are associated with hand, foot and mouth disease can consist of small blisters on the bottom of the feet, and the child can be feverish and tired. Many children can develop a rash, which is generally not itchy. It is beneficial to drink plenty of water daily as this may help to accelerate the healing process. If you notice your child has signs of this condition, it is suggested that you schedule an appointment with a podiatrist who can properly diagnose and offer correct treatment techniques.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact one of our podiatrists of Cascade Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

If you have any questions, please feel free to contact our offices located in Yakima and Ellensburg, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

People who enjoy playing golf are often unaware of the importance of wearing the right golf shoes. The wrong shoes can hurt their feet, in addition to negatively affecting their game. Many players are concerned with choosing the right golf clubs, and can often overlook the attention that is needed to choose the right shoes. This can be remedied by measuring the feet using the Brannock device, and it is suggested that you wear the socks that will be worn while playing golf. It is beneficial to wear golf shoes that are wide, as this allows ample room for the toes to move freely. If you would like additional information about how to buy golf shoes that can enhance your game and fit correctly, please consult with a podiatrist. 

Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact one of our podiatrists from Cascade Foot & Ankle. Our doctors will treat your foot and ankle needs.

Proper Shoe Fitting

A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:

• Be sure the shoes fit correctly right away
• Ensure the ball of your foot fits comfortably in the widest portion of the shoes
• Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
• Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity

Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.

If you have any questions please feel free to contact our offices located in Yakima and Ellensburg, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Tarsal tunnel syndrome may not be a commonly known ailment, but have you heard of carpal tunnel syndrome? Carpal tunnel affects the hands while tarsal tunnel syndrome occurs in the feet and can cause pain and discomfort. Research has indicated that people who have arthritis may be prone to developing this condition, in addition to frequently enduring high-stress activities. Some of the symptoms that are associated with this ailment often include tired feet and ankles, and the overall foot may be numb or have tingling sensations. Some patients have pain in the Achilles tendon area, and the ankles may appear swollen. There are several symptoms that can be associated with tarsal tunnel syndrome so it is strongly suggested that you consult with a podiatrist when they first develop. This type of doctor can properly diagnose and effectively treat this condition.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of Cascade Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please feel free to contact our offices located in Yakima and Ellensburg, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

An ankle sprain occurs when ligaments, the fibrous bands of tissue that connect bones to each other and stabilize joints, are overstretched or torn due to an injury. Most ankle sprains are lateral, affecting the ligaments along the outer edges of the ankle. A medial ankle sprain occurs when the ligament along the inner edge of the ankle is overstretched or torn. This is usually caused by a sudden twisting, turning, or rolling inward of the ankle. Symptoms may include pain on the inside of the ankle when moving or placing weight on it, swelling, bruising, and tenderness. If you suspect that you may have sprained your ankle, please see a podiatrist for a proper diagnosis and treatment plan. 

Ankle sprains are common but need immediate attention. If you need your feet checked, contact one of our podiatrists from Cascade Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

If you have any questions please feel free to contact our offices located in Yakima and Ellensburg, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.