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- > Ingrown Nail
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- > Peripheral Vascular Disease
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- > Plantar Wart
- > Platelet Rich Plasma, PRP
- > Posterior Tibail Tendon Dysfunction
- > Puncuture Wounds
- > Rheumatoid Arthritis
- > Sesamoiditis
- > Sever's Disease
- > Skin Grafting
- > Smelly (Malodorous) Feet
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- > Talus Fracture
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Calcaneal Apophysitis or Sever's Disease
The typical presentation is an active child (aged 9-13 y) who complains of pain at the posterior heel, pain at the back of heel or pain at the insertion of the achilles tendon made worse by physical activities, especially those involving soccer, running or jumping.
The heel pain or distal achilles tendon pain is related to a growth center in the calcaneus.
The growth center has the
consistency of butter taken out of the freezer.
Pain and inflammation occur after injuring the growth center.
An xray can be obtained to rule out any underlying fractures
Treatment of Sever's Disease
Initially rest, ice, compression, and elevation to decrease the edema.
It is vital to stretch the achilles tendon properly prior to performing any physical activities. The most efficient stretching is after exercise.
Orthotics or heel lifts could be used to prevent recurrence.
Sometimes physical therapy will be required in order to speed up the recovery.
Very rarely is surgery performed. PRP is not indicated for Calcaneal Apophysitis or Sever's Disease. If symptoms are not resolving, a minimally
invasive lengthening of the achilles tendon can be done to surgically lengthen the tendon.
For a Surgical Consult contact Dr. Gennady Kolodenker, DPM, AACFAS 949-651-1202
Office is located in Irvine California. Dr. Kolodenker is a Pediatric Foot and Ankle Surgeon in Orange County CA.
