August 2020

If your child complains of foot pain and you take them to the podiatrist, hearing that they have been diagnosed with Sever’s disease can be frightening. Fortunately, Sever’s disease, or calcaneal apophysitis as it is sometimes called, sounds a lot worse than it really is. Rather than being an actual disease, Sever’s disease is an overuse injury. Simply put, it is an injury to the growth plate of the heel bone. Children’s heel bones are typically not done developing until the age of 14. As your child grows, new bone is forming in the heel’s growth plate, a weak area located at the back of the heel. Repetitive stress on this growth plate from participating in sports and activities that involve running and pounding on a hard surface, can cause inflammation and muscle strain. Your child may complain of pain in the back or bottom of the foot, fatigue, or pain while walking or doing sports. With the professional treatment, your child will soon be back on their feet. If you suspect that your child may have Sever’s disease, please visit a podiatrist for a proper diagnosis and treatment.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Corinne R. Kauderer, DPM from Dyker Heights Foot & Ankle. 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 one of our offices located in Brooklyn, NY and Old Bridge, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

The term “flexible flat feet” refers to one of the most common types of flat feet. People with this condition have no visible arches when they are standing, but do have visible arches when they aren’t. This condition usually begins in childhood and continues into the adult years, getting progressively worse over time. The tendons and ligaments of the arch may eventually stretch or tear, becoming inflamed and painful. The typical symptoms of flexible flat feet include pain in the heel, arch, or ankle, feet that roll inward when you walk, pain along the shin, and a general aching or tiredness in the feet or legs. There are a variety of treatment options available for this condition, such as orthotic devices, or activity and shoe modifications. For more information about flexible flat feet, please consult with a podiatrist.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Corinne R. Kauderer, DPM from Dyker Heights Foot & Ankle. Our doctor 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 one of our offices located in Brooklyn, NY and Old Bridge, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Flip-flops are the go-to shoe of the summer, but did you know that your flip-flops may be harming your feet? Because they provide little support to the foot as you walk, they can cause pain in the bottom of the foot or heel, especially if you have flat feet. They may also increase your likelihood of slipping, tripping, or falling as the loose shoes flop around while you walk. The effort required of your toes to keep the shoes on your feet can also lead to various foot deformities, such as hammertoes and bunions. Flip-flops that place a plastic strap between your tender toes can increase your chances of developing painful blisters as you walk. Finally, the porous foam material that most flip-flops are made of can trap fungus inside your shoes, which can eventually infect your feet. For these reasons, it is best to steer clear of flip-flops, or to at least wear them for only short periods of time. For more information on footwear, please speak with a podiatrist.

Flip-flops are not always the best choice of footwear. If you have any concerns about your feet or ankles, contact Corinne R. Kauderer, DPM from Dyker Heights Foot & Ankle. Our doctor will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

When the weather starts warming up, people enjoy wearing flip-flops.  Flip-flops are comfortable, stylish, and easy to slip on and off; they're perfect for any summer beach goer.  However, these shoes can cause harm to the feet.

How Can Flip-Flops Affect Me Long-Term?

• Ankle problems
• Hip problems
• Lower back problems
• Pain in the balls of the feet
• Problems with foot arches
• Changes in the way you walk

Are There Injuries Associated with Flip-Flops?

Yes.  Since flip-flops are relatively weak and do not provide the same amount of support as sneakers, people who wear flip-flops regularly are more susceptible to injuries. On top of that, the open nature of the shoe makes your feet more prone to other problems, such as cuts and even infections.  Common injuries and ailments include:

• Sprained ankles
• Blisters
• Infections
• Cuts and Scrapes

I like Wearing Flip-Flops. Are There Safe Alternatives?

When buying flip-flops, try to find ones that have sturdy soles and that are made of high-quality materials that will support for your feet.  These flip-flops will cost more but will also last longer as a result.

If you have any questions please feel free to contact one of our offices located in Brooklyn, NY and Old Bridge, NJ .  We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

In podiatry, biomechanics involves assessing the structure, alignment and function of the feet. The foot provides us with the ability to walk upright and has developed to adapt to whatever surfaces we walk on. Because the average person takes between 5,000 and 18,000 steps in a single day, the foot can experience stress from repetitiveness, resulting in injury. While options such as orthotics can help prevent injury, paying special attention to the strength and flexibility of the feet allow their function to improve. Therefore, if you are actively on your feet, make sure to consult with a podiatrist to help find any predisposed issues.

If you have any concerns about your feet, contact Corinne R. Kauderer, DPM from Dyker Heights Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact one of our offices located in Brooklyn, NY and Old Bridge, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Tarsal tunnel syndrome is a condition caused by the compression of the tibial nerve in your ankle. The tibial nerve can become compressed as the result of trauma, such as a fall, or from overuse. Tarsal tunnel syndrome might also arise as a complication following an ankle sprain or other lower limb injury, or following surgery. People who are diagnosed with diabetes or rheumatoid arthritis are at an increased risk of developing tarsal tunnel syndrome. The typical symptoms of this condition are a tingling, pins and needles sensation along the inner side of the ankle or foot, pain during extended periods of walking or standing, a burning sensation in the foot at night, and weakness in the muscles that bend the toes. If you are experiencing any symptoms of tarsal tunnel syndrome, it is suggested that you consult with a podiatrist.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Corinne R. Kauderer, DPM of Dyker Heights Foot & Ankle. Our doctor 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 one of our offices located in Brooklyn, NY and Old Bridge, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.