Sever’s disease is a painful heel condition that affects growing children, especially those who participate in running and jumping activities. Despite its name, it is not an illness or an infection. It develops when repeated pulling on the growth plate, which is an area of developing bone near the end of a bone, irritates the back of the heel. Growth plates are weaker than mature bone, making them more vulnerable during periods of rapid growth. Symptoms include heel pain, tenderness, limping, and discomfort that becomes worse after sports or other physical activities. Some children also walk on their toes to avoid placing pressure on the painful heel. The condition usually affects children between 8 and 15 years of age and can involve one or both heels.

A podiatrist evaluates the child's foot structure, walking pattern, ankle movement, and heel tenderness to identify factors contributing to the condition. The examination also looks for tight muscles and abnormal foot mechanics that increase stress on the heel. Treatment includes custom orthotics when appropriate, footwear recommendations, and exercises that improve flexibility and strength. Wearing shoes that provide proper support can also reduce repeated stress on the heel during sports and everyday activities. Regular follow-up visits help monitor progress and adjust treatment as the child's feet continue to grow. Early podiatry care also supports comfortable movement and encourages a safe return to normal activities.

Although Sever’s disease can be painful, it does not cause permanent damage to the heel when properly managed. Symptoms usually improve once the growth plate matures and closes. Early evaluation helps reduce unnecessary strain on the heel and identify contributing factors before pain interferes with sports or daily life. Prompt podiatry care supports healthy foot development, improves comfort, and helps children stay active with greater confidence. If your child has symptoms of Sever’s disease, it is suggested that you schedule an appointment with a podiatrist for diagnosis and treatment.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Tanya R. Sellers-Hannibal, DPM from Maryland. 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 Owings Mills, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A toe fracture can occur when a toe is stubbed, struck, or caught against an object. Most toe fractures heal without major problems, but fractures involving a symphalangeal toe can require a longer healing period. Symphalangism is a condition present from birth in which two bones in a toe are joined at the joint between them. It most often affects the smaller toes. Because the joined bones create a stiffer toe, the area has less flexibility when force is placed on it. This can increase the chance of a fracture after an injury. Symptoms include pain, swelling, and tenderness around the injured toe. Some patients also have difficulty walking comfortably because of pain and stiffness.

A podiatrist can examine the toe and use X-rays to determine whether a fracture is present. The examination helps identify the location and severity of the injury. Fractures involving a symphalangeal toe can behave differently from typical fractures of the smaller toes. Healing can take longer because the joined bones have different structural and blood-flow characteristics. In reported cases, patients treated without surgery eventually reached complete healing, but the healing period was longer than expected for many patients. Complete healing took an average of several months, with some fractures requiring substantially longer periods. This delayed healing does not necessarily mean that the fracture will fail to heal. Regular evaluation helps track changes and confirms that the bone is progressing toward healing.

Treatment depends on the location and condition of the fracture. A podiatrist can monitor the toe with follow-up examinations and X-rays to track healing. Care can also include protecting the injured toe and limiting stress placed on the fracture while healing takes place. Most symphalangeal fractures can be managed without surgery when the bones remain properly aligned. A podiatrist can determine whether additional treatment is necessary based on the fracture's position, symptoms, and healing progress. Recognizing the possibility of delayed healing allows appropriate monitoring and helps support a safe return to normal activity. If symptoms of a toe fracture or symphalangeal toe injury are present, it is suggested that an appointment be made with a podiatrist for a  diagnosis and appropriate treatment.

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Tanya R. Sellers-Hannibal, DPM from Maryland. Our doctor will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

• Throbbing pain
• Swelling
• Bruising on the skin and toenail
• The inability to move the toe
• Toe appears crooked or disfigured
• Tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

If you have any questions, please feel free to contact our office located in Owings Mills, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A foot stress fracture is a small crack in a bone that develops gradually due to repetitive force rather than a single injury. It commonly affects runners, athletes, and individuals who spend long hours on their feet. These fractures often occur in the metatarsal bones and are linked to repeated impact without enough recovery time. Causes include sudden increases in running intensity, changes in surface such as moving from soft ground to pavement, and wearing improper footwear. This condition may begin subtly, but can worsen if ignored.

Symptoms of a foot stress fracture usually start with mild pain that increases during activity. Over time, the pain may become constant and more localized. Swelling and tenderness are common, and the affected area may feel extremely sensitive to touch. Some individuals notice discomfort even during normal walking or standing. Unlike a soft tissue injury, the pain often persists despite rest, which can signal a more serious underlying issue.

Risk factors include age-related bone loss, which can reduce bone strength and increase vulnerability to fractures. Nutritional deficiencies, especially low calcium or vitamin D intake, may also weaken bones. Additional risk factors include overtraining, poor biomechanics, and a history of previous fractures. Wearing worn out or unsupportive shoes can further increase stress on the foot and contribute to injury.

Early recognition and proper care are essential for healing. Treatment often involves rest, activity modification, and wearing supportive footwear. In some cases, immobilization may be necessary to allow the bone to recover. Ignoring symptoms can lead to more severe injury and longer recovery time. If you have a foot stress fracture or suspect one due to consistent pain and swelling, it is suggested that you consult a podiatrist for effective relief and treatment solutions.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Tanya R. Sellers-Hannibal, DPM from Maryland. Our doctor can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

If you have any questions please contact our office located in Owings Mills, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Procedures involving the feet and ankles have become more common as treatment options for painful structural problems continue to improve. Conditions such as bunions, joint damage, tendon injuries, and alignment issues can interfere with walking and place abnormal stress on the lower extremities. When nonoperative care no longer provides relief, a surgical approach may be considered to improve function, reduce pain, and restore more natural movement. Modern techniques have allowed for more precise correction of many foot conditions, but recovery still requires careful monitoring. Imaging studies often play an important role after an operation by helping podiatrists evaluate healing, hardware placement, and any unexpected changes during recovery. While many patients heal well, complications such as infection, delayed healing, nerve irritation, or incomplete correction can occur. If chronic foot or ankle problems are limiting mobility, it is suggested that you visit a podiatrist for evaluation and treatment, which may include surgery.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Tanya R. Sellers-Hannibal, DPM of Maryland. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions, please feel free to contact our office located in Owings Mills, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.