Pachyonychia congenita, or PC, is a rare genetic condition that affects the nails, skin, and sometimes the mucous membranes. For the feet and ankles, it often leads to thickened nails, painful calluses, and blisters, especially on weight-bearing areas like the soles. These calluses and blisters can make walking and daily activities extremely uncomfortable, significantly impacting mobility and quality of life. The condition arises from mutations in specific keratin genes, causing the skin and nails to grow abnormally. Pressure from shoes and physical activity worsens symptoms, making proper foot care essential. Treatment focuses on reducing discomfort, such as filing thickened nails, softening calluses, and wearing custom footwear to minimize pressure. A podiatrist can play a vital role in managing PC. If you suffer from this affliction, it is suggested that you schedule an appointment with this foot specialist who can offer specialized care and advice to improve comfort and mobility.

Some foot conditions may require additional professional care. If you have any concerns, contact Kinna Patel, DPM of Sava Podiatry & Wellness Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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

Sever’s disease, also known as calcaneal apophysitis, is a common cause of heel pain in active children, particularly those between the ages of 8 and 14. It occurs when the growth plate in the heel bone becomes inflamed, often due to overuse or stress placed on the growing bones. The main cause of Sever’s disease is repetitive pressure or stress on the heel, often from physical activities like running, jumping, or sports that involve sudden movements. Symptoms of Sever’s disease include pain, swelling, and tenderness in the heel, especially after physical activity. The pain usually improves with rest and may worsen during or after exercise. Sever’s disease is typically self-limiting, meaning it often resolves as the child’s growth plate naturally matures. However, treatment options like rest, stretching exercises, and supportive footwear can help manage symptoms and promote healing. If your active child has heel pain, it is suggested that you contact a podiatrist who can offer additional relief tips.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Kinna Patel, DPM from Sava Podiatry & Wellness Centers. 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 Smyrna, GA . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

Heel bursitis is an inflammation of fluid-filled sacs, known as bursae, located at the back of the heel. These bursae, the retrocalcaneal and calcaneal, act as cushions to reduce friction between the heel bone, Achilles tendon, and skin. Heel bursitis is often caused by repetitive activities like running or jumping, wearing poorly fitting footwear, or anatomical factors like heel spurs. Retrocalcaneal bursitis typically occurs between the Achilles tendon and heel bone, and may be associated with other heel issues, such as tendonitis. Calcaneal bursitis, located closer to the skin, is often linked to pressure from shoes, leading to redness and swelling at the back of the heel. Symptoms include pain, swelling, and difficulty walking. A podiatrist can diagnose the cause, assess the extent of the inflammation and provide effective treatments. Options include footwear modifications, custom orthotics, or other ways to relieve discomfort and prevent long-term complications. If you are suffering from heel pain, it is suggested that you schedule an appointment with a podiatrist for guidance.

Many people suffer from bouts of heel pain. For more information, contact Kinna Patel, DPM of Sava Podiatry & Wellness Centers. 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 Smyrna, GA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.