October 2025
Patience Matters When Healing Sever's Disease

Heel pain in young athletes is often caused by calcaneal apophysitis, commonly known as Sever’s disease. This condition affects the growth plate at the back of the heel, where the Achilles tendon attaches. It typically occurs during growth spurts when bones grow faster than muscles and tendons, creating tension and inflammation at the heel. Pain may increase with running, jumping, or sports that involve repetitive impact on the feet. Although frustrating, recovery takes time and requires rest, stretching, and sometimes heel supports or orthotics. Returning to play too early can delay healing and worsen symptoms. Patience and proper care allow the inflamed growth plate to heal completely and prevent chronic pain or reinjury. If heel pain persists or interferes with activity, it is important to see a podiatrist for a proper diagnosis, treatment, and guidance on a safe return to the desired activity.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from North Bay Ankle & Foot Center. Our doctors 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 offices located in Petaluma and Sonoma, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Foot Pain Caused by Plantar Fasciitis

Plantar fasciitis often develops from repeated stress on the thick band of tissue that runs along the bottom of the foot, called the plantar fascia. This ligament connects the heel bone to the toes, helps support the arch and absorbs shock with each step. When the plantar fascia becomes strained, small tears can form. This leads to pain that is usually felt near the heel and often gets worse after long periods of rest or standing. Risk factors of plantar fasciitis include prolonged standing, wearing shoes that lack adequate support, such as flip-flops, having flat feet or very high arches, or gaining body weight. A podiatrist can evaluate the foot, determine the source of pain, and recommend effective treatment, which may include surgery in persistent cases. If you are experiencing foot pain or other symptoms of plantar fasciitis, it is suggested that you make an appointment with a podiatrist for an exam and treatment.
Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists from North Bay Ankle & Foot Center. Our doctors can provide the care you need to keep you pain-free and on your feet.
What Is Plantar Fasciitis?
Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.
What Causes Plantar Fasciitis?
- Excessive running
- Having high arches in your feet
- Other foot issues such as flat feet
- Pregnancy (due to the sudden weight gain)
- Being on your feet very often
There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.
Prevention
- Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
- Maintain a healthy weight
- If you are a runner, alternate running with other sports that won’t cause heel pain
There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.
If you have any questions, please feel free to contact our offices located in Petaluma and Sonoma, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Risks and Dangers of Falling in Older Adults

Falls are a serious concern for older adults and often begin with issues in the feet and ankles. As people age, changes such as reduced sensation from peripheral nerve damage, stiffness in the joints, or weakened muscles can increase the likelihood of tripping or losing balance. Foot pain from conditions like arthritis, bunions, or deformities in the toes may also alter walking patterns, adding to the risk of falling. Wearing shoes that lack adequate support, such as flip-flops, can worsen instability. Even small problems like corns or thick toenails may affect how securely the feet grip the ground. Untreated injuries or swelling in the ankles can further decrease stability and reaction time during movement. A podiatrist can evaluate gait, check for underlying foot conditions, and recommend supportive footwear or orthotic devices to reduce fall risk. If you are a senior experiencing instability problems, it is suggested that you make an appointment with a podiatrist for an exam and guidance on falls prevention.
Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with one of our podiatrists from North Bay Ankle & Foot Center. Our doctors will assess your condition and provide you with quality advice and care.
Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.
How to Prevent Falls
Some effective methods that older persons can do to prevent falls include:
- Enrolling in strength and balance exercise program to increase balance and strength
- Periodically having your sight and hearing checked
- Discuss any medications you have with a doctor to see if it increases the risk of falling
- Clearing the house of falling hazards and installing devices like grab bars and railings
- Utilizing a walker or cane
- Wearing shoes that provide good support and cushioning
- Talking to family members about falling and increasing awareness
Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.
If you have any questions, please feel free to contact our offices located in Petaluma and Sonoma, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Heel Spurs and Their Classifications

A heel spur is a bony growth that forms on the heel bone, often linked to physical stress, inflammation, or plantar fasciitis. Heel spurs can be classified into four types, including absent, indicating no visible spur. Horizontal spurs grow straight across the heel, vertical spurs point upward, while hooked spurs curve toward surrounding tissues, often causing more discomfort. Symptoms include heel pain, tenderness, and swelling, especially during walking or standing. Causes include repetitive strain, poor footwear, obesity, and high impact activities. A podiatrist can diagnose the type of heel spur, provide targeted treatments, and recommend supportive footwear or orthotics. If you have heel pain, it is suggested that you consult a podiatrist who can provide an accurate diagnosis and treatment.
Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact one of our podiatrists from North Bay Ankle & Foot Center. Our doctors will do everything possible to treat your condition.
Heels Spurs
Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.
Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.
Pain
The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.
Treatments
There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.
If you have any questions, please feel free to contact our offices located in Petaluma and Sonoma, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.




