Thursday, July 11, 2019


We would like to talk about a common heel pain condition that we see in children and adolescents between the ages of 8-16. Sever's Disease or Calcaneal apophsitis is a growth plate injury of the heel often misdiagnosed as plantar fascitis. We are starting to see this injury more often most likely because of year round travel sport teams as well young children specializing in one sport without  variety as well as much needed rest. This is typically an overuse injury of the growth plate of the heel. The heel bone is called the "calcaneus" and has an important growth plate at the base. Boys from 8 to 14 and Girls 7 to 13 can have pain develop in this area either from the pull of the achilles tendon, or the pull of the plantar fascia. We see this in sports such as basketball, running, baseball, gymnastics, and tennis. After those ages, the growth plates will fuse and there can no longer be a source of pain. This form of heel pain can disrupt activity and be frustrating for children as well as their parents. If recognized and diagnosed promptly, conservative treatment will usually resolve this condition rather quickly.

     The basic rule is to create a pain free environment with no limping. Treatment consist of ice, oral NSAIDS, stretching, achilles/plantar fascial night splint, heel lifts/heel cushions, custom orthotics, physical therapy, and in extreme cases cam walker boot/cast immobilization. Physical therapy modalities such as electrical stimulation, iontophoresis, dry needling of the calf, and achilles stretching can be useful ways to resolve this condition. Brief modification of exercise routine to more low impact can help the growth plate to heal.

If your children are suffering from heel pain it is important to have them seen as soon as possible. The faster that this condition is recognized and treated the quicker your children will have resolution of heel pain which will allow them to resume to the sports that they love to participate in.

For more information please refer to our website: www.carolinafootspecialists.net

Thursday, March 7, 2019



Please check out this very informative blog that discusses heel pain in adolescents. We see many young athletes that present in our offices with heel pain. A good majority of the time it is a growth plate injury of the heel called Calcaneal apophysitis or Sever's disease. Fortunately this is a treatable condition if recognized early.
If your child is suffering from heel pain that has not improved after a few weeks please call our offices so that we can resolve this specific injury.

http://www.drblakeshealingsole.com/2011/11/severs-disease-growth-plate-injury-in.html

Friday, October 5, 2018

Shockwave (EPAT)

Shockwave (EPAT) 

https://www.carolinafootspecialists.net/services.html

 

WHAT IS EPAT THERAPY?
EPAT therapy is a highly effective treatment method: high-energy sound waves are introduced into the painful areas of the body. It is one of the most advanced and highly effective noninvasive treatment methods cleared by the FDA. The treatment works by helping to improve the regenerative potential, enhancing blood circulation to regenerate damaged tissue.
EPAT also known as Shockwave and Pressure Wave Therapy can successfully address all musculoskeletal pains and injuries of of the foot and ankle inlcluding plantar fasciitis/heel pain, achilles tendonitis, turf toe, stress fractures, Posterior tibial tendonitis, and other tendonitis in the foot and ankle.
Treatments typically take about 5-10 minutes, depending on the disorder being treated. Generally 3 treatments are needed each about 1 week apart. The benefits are often seen after only 3 treatments with some patients experiencing immediate pain relief. The non-surgical therapy for pain eliminates pain and restores mobility, thus quickly improving patients’ quality of life.
Call us to learn more about how EPAT Therapy can address your pain, accelerate your healing and optimize your health.
BENEFITS OF EPAT TREATMENT
  • 91% Success Rate (as per clinical studies)
  • Non-invasive
  • No anesthesia required
  • No risk of infection
  • No scarring
  • No downtime
  • Over 80% patient satisfaction
  • Cost effective
  • Faster, easier healing

Thursday, January 25, 2018

Foot-Friendly Tips to Prevent Common Running Injuries



Foot-Friendly Tips to Prevent Common Running Injuries

Making running part of a workout routine leads to better physical stamina and a more positive state of mind—but a detrimental foot injury can quickly stop runners in their tracks. Keeping feet healthy and pain-free can go a long way toward ensuring that every run is enjoyable, for both experienced runners or for those just starting out. Carolina Foot Specialists would like to give you some New Year’s tips before hitting the trail or treadmill, which can keep your foot and ankle injuries at bay.

Some of the more common running-related foot injuries our foot specialists treat include arch pain, tendonitis, and blisters. If runners can take just a few minutes to stretch properly pre-workout, select appropriate footwear, and see a podiatrist immediately when foot pain occurs, many of these ailments can be avoided entirely.

Select a good running shoe: A running shoe purchase is dependent upon the type of foot and function of the foot for the individual. Runners should research shoe construction and keep in mind that footwear can vary in size from one manufacturer to the other. It may be worth spending a little extra money going to one of the local running stores in your area to make sure you are fitted correctly.
Select good socks: Runners should always fit shoes with the socks that they plan on wearing during a run. Socks should be made of a poly-cotton blend that pulls moisture from the skin, fit well, and be comfortable when worn with a running shoe. Cotton socks should be avoided because they hold in moisture and can contribute to blister formation.
Stretch out and build momentum: Before a run, begin by warming up and gently stretching for 5-10 minutes, focusing on lower leg muscles. Amateur runners should start with short distances, increasing distance over time to help prevent injury. All runners should begin every workout slowly, as this allows the body to warm up further and decreases the chance of muscle strain. Runners should also focus on keeping both the feet and entire body relaxed, avoid tensing or cramping toes, and run with a gait that feels the most natural. Cease running immediately if any pain is experienced.
Cool down and rest: After reaching the end of a running workout, cool down and stretch for about 10 minutes. Submerging the lower extremities in an ice bath after longer runs can reduce muscle soreness, as can the use of a self-massager designed for post-athletic activities. Epsom salt soaks in warm water can help to reduce muscle soreness as well.
Muscle pain is common after exercise, and minor injuries may be treated with the RICE regimen (rest, ice, compression, elevation). However, if foot pain does not resolve itself after several days—or returns immediately upon resuming exercise—runners should seek out care from a Sports Podiatrist who has expert experience with sports related foot injuries.
Frequent runners should see a podiatrist on a regular basis to maximize any running program and prevent serious injury. For more on running and foot health, visit our website at carolinafootspecialists.net

Monday, December 12, 2016

Patient Education videos CFS

We have just recently release educational foot videos on our website at www.carolinafootspecialists.net.
The educational foot videos include 20 of the most common foot ailments that we see in our practice. In addition we have three minute videos hosted by our foot specialists on specific topics such as Bunions, heel pain, neuromas, and running injuries
We are always striving to educate our current and future patients on various foot conditions and treatment options available.