Children's feet change as they grow, and some changes can lead to temporary but painful conditions. One of the most common causes of heel pain in active children is Sever's disease, also called calcaneal apophysitis. Despite its name, it is not an illness or infection. Instead, it develops when the growth area at the back of the heel becomes irritated during periods of rapid growth. This condition is most often seen in children and teenagers who participate in sports that involve running or jumping. Common symptoms include heel pain, tenderness, and discomfort during physical activity. Some children may also limp or avoid putting full weight on the affected foot. Because heel pain can have several causes, a professional evaluation is important to determine the correct diagnosis.

Sever's disease often develops when the heel bone grows faster than the surrounding muscles and tendons can adapt. The tight tissues pull on the growth plate, leading to irritation and inflammation. Children who are physically active or participate in high-impact sports may have a greater risk of developing this condition. Although the problem usually improves once the growth plate matures, ongoing pain can interfere with sports, school activities, and normal walking. A comprehensive podiatry examination helps identify the source of heel pain while ruling out fractures or other foot conditions. Early diagnosis also allows appropriate treatment to begin before symptoms become more limiting.

A podiatrist specializes in diagnosing and treating children's foot conditions, including Sever's disease. Professional care focuses on reducing heel pain, improving foot function, and helping children return to normal activities as safely as possible. Treatment is based on each child's symptoms, activity level, and stage of growth. Regular follow-up visits also allow healing to be monitored while ensuring the condition continues to improve. If your child has persistent heel pain or difficulty participating in everyday activities, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Daniel Mendoza, DPM from Nashville Podiatry. 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 Hendersonville, TN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Cracked heels, also known as heel fissures, occur when the skin on the heel becomes dry, thick, and splits under pressure. The heel supports body weight during standing and walking, which makes it more prone to stress and skin breakdown. When the skin loses moisture and elasticity, it can no longer stretch properly, leading to visible cracks. While mild cases may only affect the surface, more severe fissures can deepen and cause discomfort or complications if not treated.

Symptoms of cracked heels include dry, rough skin around the heel, visible splitting, and a hardened or callused surface. In more advanced cases, the cracks may become painful, especially when walking or standing for long periods. Deep fissures can bleed and may expose underlying tissue, increasing sensitivity. If the condition worsens, the open cracks can allow bacteria to enter, raising the risk of infection. Redness, swelling, or drainage may indicate that medical attention is needed.

The primary causes of cracked heels include dry skin, which can result from environmental factors or lack of proper hydration. Walking barefoot can increase pressure on the heel and contribute to skin thickening and splitting. Wearing shoes that do not provide proper support or cushioning can also place added stress on the heel. Standing for extended periods of time and exposure to harsh conditions can further reduce skin flexibility and lead to fissure formation.

Risk factors for cracked heels include aging, obesity, and medical conditions such as diabetes or thyroid disorders that affect skin health. Poor foot hygiene and lack of regular moisturizing can also increase the likelihood of developing heel fissures. Maintaining proper foot care, including hydration and wearing supportive footwear, can help prevent this condition. Early care is important to avoid complications and improve comfort. If you have cracked heels, it is suggested that you consult a podiatrist for effective relief and treatment solutions, which may include prescribed medication. 

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, contact Daniel Mendoza, DPM from Nashville Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

• Invest in a good foot cream
• Try Using Petroleum Jelly
• Ease up on Soaps
• Drink Plenty of Water

Ways to Prevent Cracked Heels

• Moisturize After Showering
• Skip a Shower
• Keep Shower Water Lukewarm
• Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need. 

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

Toe pain from hiking is a common issue that affects both beginner and experienced hikers. It occurs when repeated pressure, friction, and impact irritate the toes during long periods of walking on uneven terrain. The toes absorb significant force with each step, especially on downhill trails, which can lead to discomfort and injury. Common causes include wearing improper footwear, poor fit, and continuous impact of the foot hitting the ground. Understanding how toe pain develops can help hikers take steps to protect their feet and improve overall comfort on the trail.

Symptoms of toe pain from hiking vary depending on the cause but often include soreness, swelling, and redness. Blisters are a frequent complaint and develop due to friction between the skin and footwear. A bruised toenail may also occur when the toes repeatedly strike the front of the shoe, leading to discoloration and pain. In more severe cases, hikers may experience throbbing pain or difficulty walking. These symptoms can worsen if not addressed early, making it important to recognize warning signs.

Several risk factors increase the likelihood of toe pain during hiking. Wearing shoes that are too tight or too loose can create excess movement or pressure. Long hikes, steep descents, and carrying heavy packs place additional stress on the toes. Moisture from sweat can soften the skin and increase friction, leading to blisters. Poor nail care and inadequate cushioning also contribute to discomfort. These factors combined can lead to repeated trauma that affects the toes over time.

Preventing toe pain starts with selecting properly fitted hiking shoes that provide adequate toe room and support. Moisture wicking socks, proper lacing techniques, and trimming toenails can reduce friction and pressure. Taking breaks and adjusting footwear during hikes can also help minimize discomfort. Early care is essential to avoid worsening symptoms. If you have toe pain from hiking, it is suggested that you consult a podiatrist for effective relief solutions and prevention tips.

Toe pain can disrupt your daily activities. If you have any concerns, contact Daniel Mendoza, DPM of Nashville Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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

Foot mobility refers to the ability of the feet to move freely and efficiently through a full range of motion. The feet serve as the foundation of the body, supporting weight distribution, absorbing shock, and assisting with movement. Proper mobility allows the muscles and joints in the feet to function in coordination during daily activities. When mobility is limited, it can affect posture, balance, and overall alignment. Understanding the role of foot function is essential for maintaining stability and reducing strain throughout the body.

During walking, the feet move through a structured gait cycle that includes the stance phase and the swing phase. The stance phase occurs when the foot is in contact with the ground and is responsible for weight bearing and shock absorption. The swing phase follows as the foot lifts and moves forward to prepare for the next step. Efficient muscle activation during these phases ensures smooth movement and proper force distribution. When foot mobility is reduced, this cycle becomes less efficient, increasing stress on the ankles, knees, and hips.

Common symptoms of poor foot mobility include stiffness, discomfort, and reduced flexibility. Individuals may notice instability when walking or standing, along with a decrease in balance. Risk factors include improper footwear, lack of strengthening exercises, and repetitive stress from daily activities. Strengthening the feet can improve muscle activation and restore natural movement patterns.

Simple foot exercises can help improve foot mobility and strength. Toe curls are performed by gripping the floor with the toes and holding briefly before releasing. Toe raises involve lifting the toes upward while keeping the heel and ball of the foot grounded. Toe spreading focuses on widening the toes apart to improve control and flexibility. Performing these exercises regularly can support proper function and reduce strain. If you have foot pain, it is suggested that you consult a podiatrist for an accurate diagnosis, appropriate treatment, and guidance on additional foot stretches and exercises.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. If you have any concerns about your feet, contact Daniel Mendoza, DPM from Nashville Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Exercise for Your Feet

Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.

Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctor to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual. 

Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.

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