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Nail Clinic - Established Patients Only - Mondays 9am-12pm

Ainsley Roberson Rusevlyan, DPM

(252) 946-1181Washington, NC

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March 2022

Tuesday, 29 March 2022 00:00

What Is Sever’s Disease?

Sever’s disease, also known as calcaneal apophysitis, is common among children ages five to twelve. This condition arises during growth spurts and is often found when kids play sports and put more pressure on their heels. While the pain in the heel area can be painful, it does not cause any long-term effects. It is simply a result of the longest and largest tendon (the iliotibial band) attaching to the tensor fascilata and a portion of the tibia. The pain associated may be felt in one or both heels and could cause the child to shy away from the activity for as long as a few months. It is best to let the child rest so the heels can continue to grow as well as give the pain or swelling a chance to subside. If there is concern or the pain is lasting longer than anticipated, a visit to a podiatrist is suggested. It is important that a podiatrist conduct a thorough examination so the child is properly diagnosed, and a treatment regimen can begin. 

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Ainsley Rusevlyan, DPM from InStride Roberson Footcare. 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 Washington, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

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Cuboid syndrome occurs when the cuboid bone—located on the outer side of the foot, between the heel and the pinky toe—shifts out of its normal position. This typically occurs abruptly, sometimes along with an ankle sprain, or by landing on a hard surface. Sometimes wearing high heels or shoes that do not fit correctly or failing to stretch the feet properly before physical activity can cause cuboid syndrome, as well as certain conditions such as having flat feet or tendon problems. Cuboid syndrome can cause pain, tenderness, swelling, and weakness on the outside of the middle of the foot and may even prevent normal movement of the foot. If you are experiencing these types of symptoms, see a podiatrist for an examination and diagnosis. If you do have cuboid syndrome, your podiatrist can treat it through physical therapy, taping, bracing, or in some cases—after swelling and pain have lessened—a maneuver called the cuboid whip to help guide your cuboid bone back into position.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Ainsley Rusevlyan, DPM from InStride Roberson Footcare. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

  • Injury – The most common cause of this ailment is an ankle sprain.
  • Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
  • Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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

 

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Tuesday, 15 March 2022 00:00

Toe Squats for Stretching the Feet

A toe squat is a yoga pose that can be used to stretch the plantar fascia, the ligament that runs along the bottom of your foot. To do this pose, sit on your heels with your feet together. Tuck your toes underneath, so that your weight is on the balls of your feet rather than on your toes. Hold for several seconds. If this stretch is too challenging, you can modify it to suit your needs. If holding the pose for more than a few seconds is too difficult, take a break by standing up on your knees or leaning forward onto your hands. If you are unable to sit on your heels, place a blanket on top of your heels so you can sit on something. If you have knee pain, place a rolled-up towel behind the knees. For more information about stretching the feet, please consult with a podiatrist. 

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Ainsley Rusevlyan, DPM from InStride Roberson Footcare. 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 Washington, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Saturday, 12 March 2022 00:00

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Wednesday, 09 March 2022 00:00

What Is Causing Your Heel Pain?

Pain in the heel is a very common problem, but it can occur for a variety of reasons – including structural issues, like plantar fasciitis, or Achilles tendonitis. Generally, the most common source of heel pain is plantar fasciitis, which is a result of the tissues that connect the heel to the toes (the plantar fascia) becoming inflamed or partially torn. Achilles tendonitis is also common and occurs when the Achilles tendon (which connects the heel to the calf) becomes inflamed and pulls on the heel. Heel pain can also occur from damage to the bone, such as a bone bruise or stress fracture. The fatty pad at the bottom of the heel can wear away over time and cause pain as well.  Ultimately, it’s a good idea for anyone who is struggling with heel pain to consult with a podiatrist for a proper diagnosis of the source of their pain. Upon diagnosis, a treatment option can be developed.

Many people suffer from bouts of heel pain. For more information, contact Ainsley Rusevlyan, DPM of InStride Roberson Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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

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Tuesday, 01 March 2022 00:00

What Is a Navicular Stress Fracture?

One of the foot’s 26 bones is called the navicular bone, which sits just in front of the ankle on the top of your foot. A stress fracture of the navicular bone is commonly the result of explosive and repetitive action of the feet, especially during running fast or jumping. During activity, the navicular bone may be squeezed between the two bones in front of and in back of it, causing stress. Symptoms of a navicular stress fracture are an ache in the midfoot area, including the inside of the arch, and pain if you press on the bone. This discomfort may subside once activity is stopped and the foot rests, but is likely to recur when the action starts again. If you have pain when flexing your foot upward, you may have a navicular fracture. A visit to a podiatrist for diagnostic imaging tests is a good idea. Treatment options, depending on the severity of the injury, include a walking splint, a full cast, or surgery. 

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Ainsley Rusevlyan, DPM from InStride Roberson Footcare. Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

  • Runners                                  
  • People affected with Osteoporosis
  • Tennis or basketball players
  • Gymnasts
  • High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

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

Read more about Dealing with Stress Fractures of the Foot and Ankle
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