Custom orthotics are medical-grade shoe inserts that are uniquely crafted to match the specific contours, alignment, and functional needs of an individual’s feet. Unlike generic, over-the-counter insoles that offer basic cushioning or support, custom orthotics are prescribed by healthcare professionals such as podiatrists. Following a comprehensive evaluation involving a detailed physical examination, gait and posture analysis, including advanced imaging techniques like 3D foot scans or pressure mapping. The goal is to understand the patient’s unique biomechanics and identify any irregularities in foot function or alignment. Once this information is collected, the orthotics are fabricated from high-quality materials. dependent on the individual's needs and lifestyle. Custom orthotics can correct or accommodate a wide range of foot and lower limb issues, including but not limited to plantar fasciitis, bunions, flat feet, high arches, heel spurs, arthritis, and even chronic knee, hip, or lower back pain as a result of poor foot mechanics. They work by redistributing pressure more evenly across the foot, improving shock absorption, and providing better structural support, which improves overall balance and posture. In addition to alleviating pain and preventing further injury. They are often recommended not only for those experiencing discomfort but also as a proactive measure to maintain musculoskeletal health. Whether used for everyday walking, standing for long hours, or engaging in sports, custom orthotics offer a personalised solution that promotes long-term foot health and overall well-being. Custom Orthotics For Pain Orthotics - custom shoe inserts are commonly used to manage pain and biomechanical issues, especially in the feet, ankles, knees, hips, and even the lower back. Whether orthotics help or hurt depends on several factors: How Orthotics Can Help With Pain: Foot Pain (e.g., plantar fasciitis, flat feet, high arches): Orthotics can redistribute pressure, provide arch support, and reduce strain on inflamed tissue. Knee and Hip Pain: By correcting foot alignment (like overpronation or supination), orthotics can improve the mechanics of the entire lower limb. Back Pain: Better foot alignment can improve posture and reduce compensatory strain on the back. Arthritis or Joint Degeneration: Cushioning from orthotics can absorb shock and reduce joint stress. Conditions and Types of Pain Treated With Orthotics Foot Pain Plantar Fasciitis: Orthotics support the arch and reduce strain on the plantar fascia. Flat Feet or Fallen Arches: Arch-supporting orthotics redistribute pressure more evenly. Heel Pain (Heel Spurs): Orthotics relieve pressure on the heel. Ankle Pain Orthotics can correct pronation or supination that causes strain on the ankle ligaments and tendons. Knee Pain Patellofemoral Pain Syndrome or Runner’s Knee: Orthotics can align the leg to reduce inward collapse (valgus), relieving pressure on the kneecap. Arthritis: Shock-absorbing orthotics can ease joint pressure and reduce pain during movement. Hip Pain Poor foot alignment can cause compensatory movement in the hips; correcting the feet with orthotics can reduce overuse or strain in the hip muscles. Lower Back Pain Imbalances in gait or leg length discrepancies can cause spinal misalignment; orthotics help restore even support and improve posture. Custom Orthotics for Work Shoes and Boots  Work shoes play a crucial role in maintaining comfort, safety, and foot health during long hours at work. When paired with custom orthotics, they can significantly reduce pain, improve posture, and enhance overall support. Orthotics help correct foot alignment and distribute pressure more evenly, which is especially important in jobs that require prolonged standing, walking, or physical activity. Choosing work shoes that are compatible with orthotics ensures better stability, reduces fatigue, and lowers the risk of workplace injuries. Work shoes should offer support, cushioning, and a proper fit for daily wear. Orthotics help relieve foot, knee, hip, and back pain caused by poor alignment. Custom orthotics can be inserted into many types of work shoes and boots. Ideal work shoes for orthotics have removable insoles and extra depth. Orthotics enhance balance and comfort, especially for physically demanding jobs. A good work shoe and orthotic combination can reduce fatigue and prevent injury. Ready to get comfortable in your shoes or boots?

The Moreton Bay Running Festival kicks off on 10 May 2025 as part of the Moreton Bay Multisport Festival weekend. D istance options include a kid's race at 1.5km, PLUS a 5km and 10km half marathon . The event is a great warm-up and gear test for upcoming events, including the Jetty to Jetty on 20 July 2025. Moreton Bay Running Festival is partnered with the local Children’s Hospital Foundation to help raise vital funds for sick and injured kids right across the state of Queensland. This event takes place the day before the Moreton Bay Triathlon events (and Round 7 of the Pho3nix Qld Tri Series) . Are Your Feet Ready? Marathon runners, fitness enthusiasts, spectators, and walkers! Whether you're a seasoned marathon runner or someone who enjoys a leisurely walk, Fun Runs have something for everyone, and don’t forget the kids! This event is designed to accommodate all ages and fitness levels, ensuring that everyone can join in fitness, fun and excitement. Moreton Bay Running Festival: Why You Should Participate! Fitness and Fun:  Embrace a healthy lifestyle while enjoying a scenic route along the beautiful coastline. Community Spirit:  Connect with fellow fitness enthusiasts, make new friends, and experience the vibrant community spirit. Inclusive Event:  Whether you choose to walk or run, this event welcomes all participants, providing a supportive and encouraging atmosphere. Don't Take Your Feet for Granted Your feet are your foundation, especially when participating in events like this. Here are a few tips to ensure your feet are in top shape for the big day: Proper Footwear:  Invest in a good pair of running shoes that provide adequate support and comfort. Regular Check-Ups:  Schedule regular visits to your podiatrist to address any foot issues before they become major problems. Foot Exercises:  Incorporate foot-strengthening exercises into your routine to keep your feet strong and flexible. Gait Way Podiatry offers a great selection of running shoes for both men and women that are truly podiatry-recommended. Brands like Topo, Altra, and more are available from our clinic, so stop by to discuss your needs, fit, and options. Join Us! Save the date and start your training now, it's an unforgettable experience that promises fitness, fun, and fantastic memories. We can't wait to see you there! For more information on how a podiatrist can help with Gait and foot care, shoe fitting, custom orthotics and more, visit our website or contact us at Gait Way Podiatry. Call (07) 3385 0567 to make an appointment. Get ready to run, walk, and have a blast!

As the end of the year approaches, many of us find ourselves in a rush to use our health fund extras cover. But here's a thought: why wait until the last minute to take care of our health? The saying "use it to lose it" rings especially true when it comes to utilising our health benefits effectively.  The Importance of Preventive Care Too often, people wait until issues become serious before seeking medical attention or investing in preventive care. One area that frequently gets overlooked is orthotic services. An appointment to have your orthotics checked or replaced could significantly improve your comfort and quality of life, especially if you're experiencing foot pain or discomfort.  Don't Let Your Benefits Expire Did you know that many health funds have a rollover date? Some rollover at the end of the calendar year while others rollover at the end of the financial year in June. This means that if you don't use your benefits by a certain date, they simply disappear. As this date approaches, consider taking a proactive approach to your health. Instead of waiting until the last minute, schedule an appointment today to assess your orthotic needs.  How Orthotics Can Make a Difference Orthotics are designed to support proper foot alignment, alleviate pain, and enhance mobility. Whether you're an athlete, someone who stands for long periods, or just looking to improve your overall foot health, having your orthotics evaluated can lead to better outcomes. Take Action Now As the saying goes, the best time to plant a tree was 20 years ago; the second-best time is now. Don’t let your health funds roll over unused. Contact your healthcare provider today to find out if your orthotics are still serving you well, or if it’s time for an upgrade. In summary, take steps now to use your health funds wisely. Invest in yourself and your well-being. Schedule an appointment to have your orthotics checked, and make the most out of your benefits before it's too late. Call (07) 3385 0567 to schedule your assessment. Your body will thank you!

As the holiday season approaches, so does the excitement of Christmas parties filled with joy, laughter, and plenty of dancing. While choosing the perfect outfit is essential, one often overlooked aspect is footwear. After all, happy feet lead to a happy party! The key to enjoying your festivities is to prioritise comfort without sacrificing style. Let’s explore why it’s crucial to choose sensible footwear and highlight some options to ensure you keep dancing the night away. Happy Feet – Happy Party The festive season is all about creating joyful memories with friends and family. However, nothing ruins a good time faster than uncomfortable shoes. Whether you’re standing around the buffet table or busting a move on the dance floor, your feet deserve to be pampered. Opting for shoes that provide adequate support can make all the difference in your party experience. Be Mindful of Thin Strappy Sandals While thin strappy sandals may seem like an elegant choice, they often come with their downsides. Many of these sandals lack the necessary support, which can lead to blisters and discomfort after just a short period. If you’re drawn to this style, consider pairing them with a cushioned insole to enhance comfort. Alternatively, you might want to reserve those lovely sandals for occasions with less standing and moving around. Square Heels Are Better Than Stilettos When it comes to party footwear, square heels are a fabulous alternative to stilettos. While stilettos may offer a chic and sophisticated look, they can be challenging to walk in, especially on slippery surfaces. Square heels, on the other hand, provide a stable base, making them much more comfortable for extended periods of wear. You’ll not only look good but also feel secure as you navigate the dance floor. Stylish Yet Practical Options Here are a few suggestions that combine style and comfort, ensuring your feet remain happy throughout the festivities: Block Heels: These give you the height of stilettos while providing better balance and support. They come in various styles, making them suitable for any outfit. Ballet Flats: An elegant and comfortable choice, especially those with cushioned insoles. Plus, they can easily transition from day to night. Ankle Boots: Great for a chic winter look, ankle boots with a low block heel can keep your feet warm and stylish. Loafers: Opt for loafers with embellished details for a dressed-up look that’s still easy on the feet. Sneakers: If your style leans towards the casual, a pair of sparkly or chic sneakers can be both trendy and comfortable. In Conclusion This holiday season, remember that footwear plays a significant role in your overall enjoyment. By choosing sensible footwear, you can dance, mingle, and celebrate without the worry of sore feet. From stylish block heels to comfy ballet flats, there are plenty of options to keep your feet happy while looking fabulous.  So go ahead, embrace the festive spirit, and make wonderful memories with happy feet !

Sesamoiditis is a common condition of the forefoot. Pain is in the ball of the foot specifically under the big toe joint. The sesamoids are small bones located under the big toe joint. These bones are in the tendons that run to the big toe on the under surface. Due to their location and function they are subjected to immense pressure and forces every time the big toe is used to push the foot forward. They can cause pain due to the surrounding tissue being inflamed, fractured or shattered. Symptoms Sesamoiditis is localized. Typically it may present with a mild ache increasing gradually to an intense throbbing. People participating in activities and sports that involve repetitive, excessive loading of the ball of the foot such as dancing and sprinting often suffer from this condition. People with higher arched feet tend to have more pressure on the balls of their feet also tend to be more prone to sesamoiditis. It may be an occupational hazard and common in professions where you are on your haunches, this adds direct pressure to the sesamoids. Treatment Conservative Treatment will vary according to the situation. It will involve a period of rest from any activities likely to aggravate the problem. Immobilization strapping, ice and oral anti-inflammatories may also be utilized to settle inflammation and pain. A soft full length functional orthotic is commonly used to float the sesamoids and deflect pressure away from the painful area. Orthotics are essential in treating an underlying causative foot condition, such as flat feet (pes planus), high arched feet (pes cavus), bunions or those with reduced plantar fatty padding. In the case of persistent severe sesamoiditis or stress fractures of the sesamoids, a moon boot (fitted by our podiatrists at Gait Way Podiatry) may be required for up to 6 weeks. Failing this an injection of steroids may be considered, depending in the condition. Surgery must be a last resort. Surgery In severe cases or following a true fracture of the sesamoids, surgery may be required to remove the damaged or fragmented sesamoid bone. Also in some cases, due to reduced blood supply there may be delayed or absent healing and a surgical review is warranted. Expected Outcome Most individuals will have immediate improvement is symptoms with conservative care, with total resolution achieved within months. It is essential to address the causative factors rather than the symptoms alone. Related Conditions Arch Pain Are Your Feet Ready For the Jetty to Jetty Fun Run? Bunions Claw Toes Foot Pain Investing in Tradespeople’s Health: Why It Matters Morton’s Neuroma Plantar Fasciitis PROLOTHERAPY Sesamoiditis

Neuroma pain is described as a burning pain in the forefoot. It can also be felt as an aching or shooting pain. Patients with this problem frequently say they feel as though they need to take off their shoes and rub their foot. This pain may occur in at any time. Commonly this involves the 3rd and 4th toes. Repeated trauma or compression of these nerves causes the nerves to swell and thicken causing a neuroma to develop. Symptoms Patients will often experience a clicking feeling “Mulder’s sign” in the forefoot followed by a sharp shooting pain or a sensation of numbness or pins and needles extending into ends of their toes. Tight, narrow fitting shoes may often exacerbate these feelings which become worse after long periods of standing or walking. Once the problem progresses, symptoms will become more frequent and often more intense. For athletes the pain occurs in the middle of a run or at the end of a long run. Management The cause of the problem is patient specific. An accurate diagnosis must be made by means of a thorough history. The podiatrist will also gather further information about the cause through a hands on assessment where they will try to reproduce your symptoms. A biomechanical and gait analysis will also be performed to assess whether poor foot alignment and function has contributed to your neuroma. Conservative Relief of symptoms can often start by having a good pair of well fitting shoes fitted to your feet, ensuring that the shoes don’t squeeze your foot together. Once footwear is addressed patients may require a small pre-metatarsal pad to be positioned onto the insole of the shoe to help lift and separate the bones in the forefoot to alleviate the pressure on the nerve. If the patients foot structure and mechanics is found to be a contributing cause, a custom made orthotic is usually the most convenient and effective way to manage the problem. The orthotic can be designed and created in our on-site laboratory at Gait Way Podiatry North Lakes. Sometimes an injection of local anaesthetic and steroid is recommended to assist in settling acute symptoms. Surgery If pain persists with conservative care, surgery may be an appropriate option. The common digitial nerve is cut and the neuroma removed. This will result is numbness along the inside of the toes affected. Expected Outcome About 70% of patients have success with conservative treatment. Related Conditions Arch Pain Are Your Feet Ready For the Jetty to Jetty Fun Run? Bunions Claw Toes Foot Pain Investing in Tradespeople’s Health: Why It Matters Morton’s Neuroma Plantar Fasciitis PROLOTHERAPY Sesamoiditis

A claw toe is a toe that is contracted at the middle and end joints in the toe. This position can lead to severe pressure and pain. Muscular imbalance around the toe can cause the toe’s joints to curl downwards. Claw toes may occur in any toe. There is often discomfort at the top part of the toe, which can rub against the shoe, and at the end of the toe that is pressed against the bottom of the shoe. Claw toes are classified based on the mobility of the toe joints. There are two types –  flexible  and  rigid . In a flexible claw toe, the joint has the ability to move. This type of claw toe can be straightened manually. A rigid claw toe does not have the ability to move. There is limited movement, if any, and it can be extremely painful. This sometimes causes foot movement to become restricted. This can lead to extra stress at the ball-of-the-foot, causing pain, and possibly the development of corns and calluses in that particular area as a result of friction and pressure. Cause Claw toes result from a muscle imbalance which causes the ligaments and tendons to become unnaturally tight. This results in the joints curling downwards. Arthritis can also lead to many different forefoot deformities, including claw toes. Callus can form at the bottom of the joint from thickening of the skin due to friction, while corns can develop of the top of the toes due to pressure and friction. Treatment and Prevention Off loading orthotics with padding can be made to fit most types of footwear.These devices will redistribute the pressure of certain areas on your foot in your shoes. Changing footwear is a very important step in the treatment of claw toes. When choosing a shoe, make sure the toe box (toe area) can accommodate the foot. The toe box must be high and broad. This will provide enough room in the forefoot area so that there is less friction against the toes. Other conservative treatments include using forefoot products designed to relieve claw toes, such as toe props, elevators and toe splints. These devices will help hold down the claw toe and provide relief to the forefoot. Gel toe shields and gel toe caps are also recommended to eliminate friction between the shoe and the toe, while providing comfort and lubrication. Related Conditions Arch Pain Are Your Feet Ready For the Jetty to Jetty Fun Run? Bunions Claw Toes Foot Pain Investing in Tradespeople’s Health: Why It Matters Morton’s Neuroma Plantar Fasciitis PROLOTHERAPY Sesamoiditis

Heel and arch pain is something we may likely experience at some point in time, however ongoing feel and arch pain is something that should be investigated further. In many cases, heel and arch pain is due to an issue called plantar fasciitis. Other issues it could be attributed to include Heel Spurs, Claw Toes, Morton’s Neuroma, Bunions, Sesamoiditis or Arthritis. It may also be from a biomechanical issue, for example flat feet, or high arched feet, could be the potential causes of pain. Ongoing pain in your heel or foot is not normal and should be looked at by a Podiatrist. Gait Way Podiatry can develop a tailored treatment plan to manage your foot and/or heel pain. Treatment options include: Shockwave treatment Strengthening Exercises specific to foot function Related Conditions Arch Pain Are Your Feet Ready For the Jetty to Jetty Fun Run? Bunions Claw Toes Foot Pain Investing in Tradespeople’s Health: Why It Matters Morton’s Neuroma Plantar Fasciitis PROLOTHERAPY Sesamoiditis

Hammer toes, Claw Toes and Retracted Toes. Hammer toes, claw toes and retracted toes are deformities that affect the little toes and not the big toe. The toes curl over or lift off the ground which creates pressure on the tops of the toes or increased pressure under the ball of the foot causing callus and corns to form. The lesser toe deformities are due to a variety of reasons including neurological deficiencies, muscle imbalances, arthritis or even injuries to particular tendons. The toes often require shoes with a deeper area in the toe box portion of the shoe. Tubes for the toes, little rubber props and even orthotics can help to reduce the stresses through the toes due to the deformity. Morton’s Neuroma A neuroma is thickening of the tissue around a nerve causing nerve related pain in the ball of the foot and into the toes. More often than not it affects the 3rd and 4th toes but the neuroma can be within any of the spaces between the toes. In addition to pain, numbness in the toes may occur or tingling between the toes, shooting pain into the toes or a ‘click’ might be felt under the forefoot. Treatment for a neuroma is aimed primarily at modifying the cause so wearing a wider fitting shoe with a lower heel is ideal. Addressing poor biomechanics with the use of orthotics is also essential as excessive pronation or supination can lead to a neuroma formation. Surgery is also an option but best utilised when conservative management has been unsuccessful. Sesamoiditis Under the big toe joint are 2 small bones that sit within a tendon. They are called sesamoids and, if pressure is increased under the area, can become irritated and create sesamoiditis. Football boots can be an instigator of sesamoiditis due to stud configuration causing direct pressure under the area, as does a particular foot type where the big toe joint sits lower than the other joints known as a plantar flexed 1st ray. When the sesamoids are inflamed, they require offloading. It there is a fracture this can be done with a post operative boot otherwise an orthotic with particular forefoot padding if often sufficient. For any forefoot pathology, a consultation with a podiatrist at Gait Way Podiatry is essential to discuss the appropriate treatment options for you. Related Conditions Arch Pain Are Your Feet Ready For the Jetty to Jetty Fun Run? Bunions Claw Toes Foot Pain Investing in Tradespeople’s Health: Why It Matters Morton’s Neuroma Plantar Fasciitis PROLOTHERAPY Sesamoiditis

Dry, cracked heels can be unsightly, and they can be cause of pain and embarrassment. Cracked heels are caused by dryness or thickening of the skin (callus) which then cracks or breaks under pressure. If this becomes severe enough, then fissures may form. When the skin around the heels becomes thickened and dry, it loses the natural elasticity in the skin, and can split under pressure causing painful and even bleeding heels. This can be made worse in people who have large fatty pad on the sole of their feet, which under pressure requires more elasticity in the skin to expand without cracking. This pressure can be the result of prolonged standing, pregnancy or excess weight. Causes Walking around barefooted or in footwear such as thongs, sling backs or open backed sandals which dries out feet. Standing for long periods at work or home, especially on hard floors. Increased weight which causes increased pressure on the heels causing callus. With increased weight the heel is also required to expand more and hence can often crack more. Poor fitting shoes or sandals that don’t support the heels from expanding sideways under pressure. Unhygienic circumstances or conditions. Unhealthy, dry scaly skin that can be caused by climate, such as low humidity during dry summers or cold winters. Medical conditions can also lead to drying of the skin such as: Diabetes where autonomic neuropathy leads to less sweating and thus less moisture. Psoriasis & Eczema. Fungal infections of the foot, i.e. Athlete’s foot. Note: in the elderly, callused heels may be a sign of increased pressure and can be a precursor to a bed sore. These cases should be assessed by a podiatrist before commencing any at home treatments. Treatment The thickened skin needs to be reduced in severe cases prior to using moisturiser. The skin may be so dry that it is almost impossible for moisturiser to penetrate to the skin under the callus. In more severe cases you may need the help of a podiatrist. Podiatrist’s can remove the thick layer of the heel callus fairly simply. This may need to be done regularly, or if you are willing to put the work in you can use pumice stone or an emery board to give you a kick start in the right direction. Once the callus has been reduced, the regular use of a moituriser is recommended. Below are some general guidelines to consider when treating cracked heels: If cracks start to bleed apply an antiseptic to prevent infection and keep clean. Wear closed in shoes and good socks when you can. Drink plenty of water to keep you and your skin hydrated. Investigate the cause of the problem, so this can be addressed. There may be an underlying mechanical reason for the load on the heel. If very painful and bleeding, strapping the heel with a rigid sports tape which may be used to ‘hold’ the cracks together while they heal. Treatment may include gait correction that alters the stresses on the foot. This is achieved by wearing orthotics. Custom orthotics are manufactured at Gait Way podiatry in our on site laboratory. Related Conditions Are Your Feet Ready For the Jetty to Jetty Fun Run? Callus and Corns Cracked Heels Ingrown Toe Nails Investing in Tradespeople’s Health: Why It Matters Moisture Socks National Health Month for Tradies – Protect Your Feet! PODIATRY CARE FOR VETERANS Step Forward: Caring for Your Feet During National Diabetes Week 2024 Step Up Your Game: National Health Month for Tradies

Ingrown toenails or onychocryptosis, is a common occurrence across all age groups. Patients usually present with moderate pain in the affected toe. The condition can progress rapidly with or without infection and severe pain. Many patients tolerate chronic ingrown toenails. Podiatrists are well trained in the latest surgical techniques to treat ingrown nails and can offer great pain relief permanently. Possible causes of ingrown toenails include incorrect cutting, “picking at nails”, hyperhidrosis or sweaty feet, poorly fitting footwear, trauma (ill-fitting footwear), abnormal nail shape (i.e.  involuted nails), obesity, or excessive external pressure. Ingrown toenails can be hereditary. Treatment Ingrown toenails may be managed conservatively to a point. Cutting the nail correctly and trying to repair the growth pattern is always the first option. The use of antibiotics to reduce the infection is essential. Surgical intervention by either a partial or total nail avulsion with the use of phenol proves to be successful. A Partial Nail Avulsion (PNA) is a minor procedure that permanently removes a section of the nail plate.  Basic steps to this procedure are: The procedure is done using local anaesthetic, making it as pain free as possible. The ingrown section of nail is removed, and the nail matrix/root is destroyed using a chemical procedure. This prevents the section of nail from regrowing. No sutures (stitches) are required, and therefore in most cases minimal pain is experienced post-operatively. The patient will be required to return for a couple of dressing changes. Healing time is rapid, with full recovery usually within 1 – 2 weeks. Closed footwear should be avoided on the day of the surgery. There is usually no need to take time off work. Ingrown Toe Nail Surgery Ingrown toenail surgery is to be considered when the infection has been recurrent. Antibiotics are only for the purpose of clearing up the infected tissue that surrounds the nail. An antibiotic cannot remove an ingrown toenail. It is a physical injury to the tissue that surrounds the nail. The toe will only settle down when the nail spike causing the infection has been removed. There are varying degrees of ingrown toenails. The cause of the ingrown toenail must be established before it is surgically removed.  Factors to consider prior to surgical removal are: How often has the incidence occurred? Could it have been as a result of bad cutting? Is it hereditary? The decision to have a surgical removal of a nail will be dependent on the answers to the questions. The age of the patient is very important as it can be a traumatic experience for a child. Only when conservative treatment has failed is surgery to be considered and is considered a last resort. Related Conditions Are Your Feet Ready For the Jetty to Jetty Fun Run? Callus and Corns Cracked Heels Ingrown Toe Nails Investing in Tradespeople’s Health: Why It Matters Moisture Socks National Health Month for Tradies – Protect Your Feet! PODIATRY CARE FOR VETERANS Step Forward: Caring for Your Feet During National Diabetes Week 2024 Step Up Your Game: National Health Month for Tradies

Sever’s disease is a common cause of heel pain in adolescence. Developing, physically active  “kids” are often more prone to this condition. During puberty the calcaneus consists of two developing sites of bone, known as ossification centres. These two areas are separated by an area of cartilage, known as the calcaneal apophysis. The Achilles tendon attaches the triceps surae (calf muscles) to the calcaneus (heel bone). As a child grows the calcaneus grows faster than the surrounding soft tissue, which means the Achilles tendon can be pulled uncomfortably tight. This increase in strain causes inflammation and irritation of the calcaneal apophysis (growth plate) which is known as Sever’s Disease. The pain is exacerbated by physical activities, especially ones involving running or jumping. Sever’s disease most commonly affects boys aged 12 to 14 years and girls aged 10 to 12 years, which corresponds with the early growth spurts of puberty. Symptoms Unilateral or bilateral heel pain Heel pain during physical exercise, especially activities that require running or jumping or are high impact. Pain is often worse after exercise. A tender swelling or bulge on the heel that is painful on touch. Limping. Calf muscle stiffness first thing in the morning. Treatment May Include Strengthening exercises. Exercise and training modification. Orthotic therapy. Ice terapy. Footwear changes (no thongs should be worn). Extreme cases may need casting or specialized night splints which will be determined by the podiatrist. Related Conditions Children’s Foot & Leg Development Flat Feet in Children Hypermobility Ingrown Toenails on Babies & Children Intoeing (Pigeon Toes) Knock Knees School Shoes Severs Disease/Heel Pain Toe Walking Warts on Children’s Feet