Items filtered by date: September 2022
What Is Sever’s Disease?

Sever’s disease is a common overuse injury that affects the heels in growing children. This typically occurs in children ages seven to 14 when their bodies are undergoing rapid growth. Pain may develop due to inflammation where the Achilles tendon inserts into the growth plate located in the heel bone. Activities, like running and jumping can exacerbate the stress on the heel bone’s growth plate and cause pain. As might be expected, this affliction is most often seen in young athletes who participate in sports including soccer, gymnastics, football, and basketball. Such pain often goes away with rest and worsens the activities that caused it. It can be in one or both heels and a child might start limping or walking on their toes to avoid putting pressure on their heels. Resting the affected foot/feet is the best course of action. If the pain does not subside after a short period of time, take your child to a podiatrist who can properly diagnose the condition and treat it appropriately.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dr. Ian Klein, D.P.M from Florida. Dr. Klein 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 Saint Petersburg, FL. . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.
What Is Tarsal Tunnel Syndrome?

People who have the foot condition known as tarsal tunnel syndrome often have symptoms that consist of numbness or a sensation that feels like pins and needles in the heel of their foot. This feeling may spread to the arch of the foot and can cause pain and discomfort. The condition is defined as the posterior tibial nerve becoming compressed and trapped inside the ankle. Patients who have flat feet may experience tarsal tunnel syndrome and this may result from the foot rolling. Specific medical conditions like osteoarthritis and diabetes may contribute to the onset of this ailment. Mild relief may come from taking certain medications including anti-inflammatory pills, which are typically prescribed. Performing exercises that can strengthen the foot once the inflammation has subsided may help to make it easier to accomplish daily activities. If you suffer from this ailment, please confer with a podiatrist who can guide you toward the best treatment techniques for you.
Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Ian Klein, D.P.M of Florida. Dr. Klein can provide the care you need to keep you pain-free and on your feet.
Tarsal Tunnel Syndrome
Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.
Common Cause of Tarsal Tunnel Syndrome
- Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
- Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
- At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.
The Effects of Tarsal Tunnel Syndrome
- Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
- The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
- If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.
A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.
If you have any questions please feel free to contact our office located in Saint Petersburg, FL. . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
What is a Plantar Fibroma?

The foot condition known as plantar fibromatosis can also be referred to as Ledderhose disease. It is a rare condition where a nodule is embedded in the arch of the foot. It is often benign despite the pain and discomfort associated with it. One noticeable symptom of a plantar fibroma includes a firm lump in the arch of the foot, which may gradually increase in size. It can be caused by enduring a foot injury, frequently participating in running and jumping activities, or from taking certain medications. Having an MRI taken is often successful in diagnosing this condition and a biopsy may need to be performed. The pain may diminish when anti-inflammatory medications are taken as well as when orthotics are worn as they distribute the body’s weight more evenly. In severe cases when the plantar fibroma has significantly grown, surgery may be an option for permanent removal. If you suffer from this condition, it is advised that you seek the counsel of a podiatrist who can effectively guide you toward correct treatment techniques.
A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Dr. Ian Klein, D.P.M of Florida. Dr. Klein can provide the care you need to keep you pain-free and on your feet.
Plantar Fibroma
A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.
What Causes a Plantar Fibroma?
While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.
What Are the Symptoms of a Plantar Fibroma?
There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.
Treatment and Prevention
A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:
- Steroid injections
- Orthotics
- Physical therapy to help apply anti-inflammatory creams on the bump
Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.
If you have any questions please feel free to contact our office located in Saint Petersburg, FL. . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Foot and Ankle Injuries in Ballet Dancers

Foot and ankle injuries are sometimes an unavoidable part of a dancer’s life, and particularly so for ballet dancers. Overuse injuries are more common in ballet than traumatic injuries, as they can be attributed to repetitive movements and extraordinary stress on bones and soft tissue structures. Achilles tendinopathy is one example of this type of injury. This is often the result of excessive stress on the Achilles tendon due to exaggerated positions such as demi-plié, demie point, and en pointe. Flexor hallucis longus tendinopathy is an overuse injury that can occur from repeated pushing off from the big toe. The pirouettes ballet dancers perform put an incredible amount of pressure on the forefoot, which can cause a nerve disorder called Morton’s neuroma. Landing after jumps and rolling the foot down from demie point places repeated tension on the plantar fascia tissue on the sole of the foot. This can cause the tissue to become inflamed or torn (plantar fasciitis). A podiatrist has immeasurable experience in diagnosing and treating foot and ankle conditions of all kinds, and should be consulted for any such injury a dancer or athlete may incur.
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 Dr. Ian Klein, D.P.M from Florida. Dr. Klein 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 feel free to contact our office located in Saint Petersburg, FL. . We offer the newest diagnostic and treatment technologies for all your foot care needs.