May 2022

The medical term for a condition that is referred to as Sever’s disease is known as calcaneal apophysitis. It can typically happen to children who are between 9 and 12 years of age. Young adults who actively participate in sporting events may develop Sever’s disease. It is defined as heel pain that occurs in the growth plate, where the Achilles tendon inserts into the heel. It could happen as a result of a sudden growth spurt, or if there is a significant increase in a running or jumping activity. This condition often causes severe pain and discomfort, and it is beneficial to rest the affected foot as often as possible. Many parents encourage their children to temporarily refrain from practicing the activities that caused the injury, until the symptoms diminish. It may help to wear custom made orthotics depending upon the severity of the pain. If you feel your child may have Sever’s disease, it is suggested you schedule an appointment with a podiatrist as quickly as possible so the correct treatment can begin.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dr. Robert Graser from Graser Podiatry and Bunion Surgery Institute. 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 Boerne, . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

There are specific foot stretches which may help to loosen tight calf muscles, relieve arch cramps, and lessen heel pain. Little or no stretching may result in restricted mobility, and the risk of ripping, tearing, or straining a muscle may increase. Pointing and flexing the feet will successfully stretch the soles of the feet and strengthen the calves. It is important to note that while flexing the foot, it is beneficial to lead with the heel which can help to stretch the calf muscles. Additionally, while pointing the feet, it is more effective when the top of the arch is lengthened and pulled away from the body. When the feet are frequently stretched, chronic foot pain problems may be diminished, and the risk of getting foot and ankle injuries may be reduced. If you would like to know more about how to correctly stretch the feet, please speak with a podiatrist. 

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Dr. Robert Graser from Graser Podiatry and Bunion Surgery Institute. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

• Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
• Similar to the previous one, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
• Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
• Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising and ice and rest the foot. It is advised to then see a podiatrist for help.

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

A symptom of the foot condition known as plantar fasciitis is severe heel pain and it can make daily activities difficult to complete. The plantar fascia is found on the sole of the foot and it connects the heel to the toes. Many people have found the benefits of practicing specific foot stretches to help ease heel pain. A towel stretch is an effective exercise for the bottom of the foot. This is done by sitting on the floor, wrapping a towel around the sole of the foot, and gently flexing the foot towards the face. Some patients find it helpful to practice heel stretches. This is accomplished by standing on a step and lowering the heels one at a time until a mild stretch is felt. There are many exercises that can specifically help plantar fasciitis. If you would like more information, it is suggested that you confer with a podiatrist who can effectively guide you toward proper treatment techniques.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Robert Graser  from Graser Podiatry and Bunion Surgery Institute. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

• Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
• Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
• Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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

Diabetes frequently constricts blood flow to the extremities, which can develop into peripheral neuropathy. Your feet may become numb, resulting in a slowing of the healing process. Even a tiny unhealed, or undetected, sore on the sole of the foot may become ulcerated and require medical attention. Proper foot care is imperative for diabetics and is a good way to ward off foot ulcers, swelling, pain and infection. For starters, make an appointment to see a podiatrist regularly to monitor the health of your feet. In addition, begin a regular regime of washing, drying, moisturizing, and exercising your feet. Check, or have someone else check, your feet daily for any sores and bruises, swelling and pain, corns or calluses, and changes in color. It is recommended that diabetics cease smoking, which adds to the constriction of blood vessels and furthers neuropathy. Keep toenails trimmed properly to avoid ingrown toenails and infections. Wear shoes that protect your feet from heat or cold. These measures, along with regulating blood sugar levels and eating a healthy diet, can help protect you from the dangers of foot ulcers. If you have questions about diabetic foot care, please make an appointment with a podiatrist.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Dr. Robert Graser from Graser Podiatry and Bunion Surgery Institute. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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

Many people begin to develop balance problems as they age, putting them at a higher risk of falling. A few simple exercises can be done at home to improve health and mobility. (If you haven’t done any exercise in a while, it is always a good idea to check in with a health professional before embarking on any new program.) Just to be safe during these simple exercises, be sure to stand near a wall or chair, or keep a walking aid nearby before starting. It’s a good idea to start cautiously, building up the number of repetitions gradually to avoid injury. Heel-to-toe walk: Place the heel of your right foot directly in front of your left, looking straight ahead, and step down. Repeat 5 times. You may need to lightly touch the wall for stability. One-leg stand: Stand facing the wall, arms straight out in front, and lightly touch the wall in front of you. Lift one foot off the floor and hold for 5 -10 seconds. Repeat with the other foot. Do this 3 times. Sideways walking: Stand up straight with both feet together. Step out to the side with one foot, transfer your weight, and bring the other foot next to it. Repeat 10 steps. Then reverse direction. If you continue to experience balance problems, it may be a good idea to check in with a podiatrist for a complete biomechanical evaluation.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Dr. Robert Graser from Graser Podiatry and Bunion Surgery Institute. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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