Posts by footydoc

Calcaneal Apophysitis (Severs Disease)

Calcaneal Apophysitis (Severs Disease)

Calcaneal Apophysitis (Severs disease) (Named after JW Sever MD, 1912  –  Sever JW: Apophysitis of the Os Calcis. New York Medical Journal 1912; 95: Page 1025-1029.) By Dennis Rehbock. Sports podiatrist. 26 June 2018. Based on an article written by Dennis Rehbock for SA Pharmaceutical Journal.   X-rays of typical Calcaneal Apophysitis. Severs disease is an inflammation of the heel growth plate that is commonly seen in children. Severs disease is pain in the heel bone (calcaneus) caused by a disturbance of the growth area (growth plate) at the back of the heel where the strong Achilles tendon attaches to it.  This is known as Severs disease or Calcaneal apophysitis.  It is seen most common in boys between the ages of 9 to 12 years of age. These are one of several different ‘osteochondroses’ that can occur in other parts of the body, such as Osgood-Schlatters Disease at the knee joint.   The cause of Severs disease is not entirely clear.  It is most likely due to overuse or repeated minor trauma that happens in a lot of sporting activities such as football and running activities. This trauma affects the cartilage join between the two parts of the growing bone in the heel and results in inflammation and pain. Hard playing surfaces, like those hard football fields in South Africa in winter, increases the risk of this Severs disease. Children who are heavier are possibly at greater risk for developing Severs disease. Tight calf muscles and a pronated foot (flat foot) can also predispose the child to Severs disease. Care must be taken not to diagnose this condition from x-rays. The appearance of Severs disease on is impossible to differentiate from a normal developing heel bone on x-ray. The history of the injury is of great importance. Signs and symptoms. Pain is usually felt at the back and side of the heel bone (body of the heel) and sometimes under the heel as well. The pain is usually relieved when the child is not active and becomes painful with sport. Squeezing the sides of the heel bone is often painful. Running and jumping make the symptoms worse and rest or inactivity will relieve it. One or both heels can be affected. In more severe cases, the child may be limping or walking on their toes. This toe walking can cause Achilles tendon strain and pain in the forefoot. Self...

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HOKA ONE ONE

  HOKA ONE ONE. The world’s most popular maximalist running shoes. Hoka One One – Fly over the earth. By Dennis Rehbock. Podiatrist. www.footdoctor.co.za   My take on maximalist running shoes  –  reported to be the fastest growing running shoe brand in the world. For a few years now I have been talking about and lecturing on maximalist running shoes. These maximalist running shoes are a relatively new category of running shoes in South Africa. From February this year we now have the most well known maximalist brand, namely Hoka One One, here locally.   TO READ THE FULL ARTICLE  –  OPEN IT HERE OR SEE THE RUNNING SHOE GUIDES  – OPEN IT HERE   REFERENCES Hoka One One – www.hokaoneone.com  Hoka One One Facebook – https://www.facebook.com/ hokaoneone Hullabaloo – www.hullabaloo.co.za Hoka One One FW17 Line Up  – http://www.footdoctor.co.za/wp-content/uploads/2017/07/HOKA-LINE-UP-FW17-.pdf Hoka One One stockists – http://www.hullabaloo.co.za/#!/hoka-stockists Dennis Rehbock – Podiatrist – www.footdoctor.co.za David Ives – Podiatrist –...

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Plantar warts (warts, verruca, Afrikaans – soolvrat)

Plantar warts  (warts, verruca, Afrikaans – soolvrat)

Going barefoot is one of the luxuries of a South African summer but it also carries an increase risk of contracting a virus…

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Technical Running Shoe Tips.

Technical Running Shoe Tips.

Always purchase your technical running shoes from a reputable specialist running shoe store. If necessary or if you are injured get the specialized running shoe advice from your sports podiatrist. A technical running shoe is chosen / prescribed on the basis of biomechanical function. For example – If you have neutral biomechanics / feet then a NEUTRAL running shoe is needed. If your feet are slightly overpronated then a MILD ANTIPRONATION / stability running shoe is necessary. If your feet are excessively overpronated then a STRONG ANTIPRONATION / motion control running shoe is necessary. At times there are exceptions to these rules, where the runner is in the incorrect running shoes and yet had no injuries. The tendency is then to leave them in the incorrect running shoes. Do not change model or brand if you do not have to. All running shoe brands have these different categories of running shoes. Some may have different terminology for the categories of neutral / mild antipronation / strong antipronation. This choice can be complicated so get good professional help.  ...

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