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 Raul Hidalgo DPM from South Texas Foot & Ankle Care. 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 San Antonio, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Achilles tendinitis is a common overuse condition that affects the Achilles tendon, which connects the calf muscles to the heel bone. This strong tendon plays a key role in walking, running, and jumping by allowing the foot to push off the ground. Achilles tendinitis develops when the tendon becomes irritated or inflamed due to repetitive strain. It is frequently seen in active individuals, especially those who increase activity levels too quickly or engage in high-impact exercise without proper preparation.

Symptoms of Achilles tendinitis often begin with mild pain or stiffness along the back of the heel, especially after periods of rest or in the morning. As the condition progresses, the pain may worsen during physical activity and continue afterward. Swelling, tenderness, and a thickened appearance of the tendon may also occur. Some individuals experience limited flexibility in the ankle or discomfort when climbing stairs or walking uphill. Early recognition of these symptoms can help prevent more serious tendon damage.

The primary cause of Achilles tendinitis is repetitive stress placed on the tendon without adequate recovery time. Sudden increases in physical activity, tight calf muscles, and improper warm up routines can contribute to strain. Wearing unsupportive footwear or exercising on hard surfaces may also increase the load on the tendon. Poor foot mechanics, such as flat feet or overpronation, can create uneven stress and increase the likelihood of irritation. These factors often work together to weaken the tendon over time.

Risk factors include age, high activity levels, and lack of flexibility. Individuals who participate in running or jumping sports are at greater risk. Preventive care includes gradual training progression, proper stretching, and supportive footwear. Early treatment can improve recovery and prevent long-term complications. If you have Achilles tendon pain, it is suggested that you consult a podiatrist who can accurately diagnose and treat Achilles tendinitis.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Raul Hidalgo DPM of South Texas Foot & Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our office located in San Antonio, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Baseball places repeated stress on the feet and ankles because every game includes sprinting, quick stops, sharp turns, and sliding. Players also put force on these joints while batting, pitching, and fielding. A fast change in direction or an awkward slide can stretch or tear ligaments, which are the strong bands of tissue that connect bones. Baseball also causes fractures, bruises, and tendon injuries. Tendons attach muscles to bones and help create movement. Pain in the heel, arch, or ball of the foot can develop from repeated strain. Studies show that nearly one out of every five baseball injuries affects the lower legs, feet, or ankles.

A podiatrist can help by learning how the injury occurred and examining the foot and ankle. The evaluation includes checking strength, stability, and range of motion. It also looks for swelling, tenderness, or changes in alignment. Imaging tests, like X-rays or MRI scans, help confirm fractures, torn ligaments, or other damage. A podiatrist also examines baseball cleats to see whether they fit properly and provide enough support. Treating injuries early helps prevent further damage and allows players to return to the field with greater confidence. Ignoring pain can turn a minor injury into one that limits performance for a much longer period.

Treatment depends on the type and severity of the injury. A podiatrist creates a plan that protects the injured area while promoting proper healing. Care includes supportive bracing, custom orthotics, or casting when needed. Some injuries may require surgery to restore stability or repair damaged tissue. A podiatrist also evaluates movement patterns and recommends shoe changes that reduce stress on the feet and ankles during baseball activities. Regular follow-up visits help track healing and determine when it is safe to resume play. If you have foot or ankle pain from sporting activity, it is suggested that you schedule an appointment with a podiatrist for diagnosis and appropriate treatment.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Raul Hidalgo DPM from South Texas Foot & Ankle Care. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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