Children's feet change as they grow, and some changes can lead to temporary but painful conditions. One of the most common causes of heel pain in active children is Sever's disease, also called calcaneal apophysitis. Despite its name, it is not an illness or infection. Instead, it develops when the growth area at the back of the heel becomes irritated during periods of rapid growth. This condition is most often seen in children and teenagers who participate in sports that involve running or jumping. Common symptoms include heel pain, tenderness, and discomfort during physical activity. Some children may also limp or avoid putting full weight on the affected foot. Because heel pain can have several causes, a professional evaluation is important to determine the correct diagnosis.

Sever's disease often develops when the heel bone grows faster than the surrounding muscles and tendons can adapt. The tight tissues pull on the growth plate, leading to irritation and inflammation. Children who are physically active or participate in high-impact sports may have a greater risk of developing this condition. Although the problem usually improves once the growth plate matures, ongoing pain can interfere with sports, school activities, and normal walking. A comprehensive podiatry examination helps identify the source of heel pain while ruling out fractures or other foot conditions. Early diagnosis also allows appropriate treatment to begin before symptoms become more limiting.

A podiatrist specializes in diagnosing and treating children's foot conditions, including Sever's disease. Professional care focuses on reducing heel pain, improving foot function, and helping children return to normal activities as safely as possible. Treatment is based on each child's symptoms, activity level, and stage of growth. Regular follow-up visits also allow healing to be monitored while ensuring the condition continues to improve. If your child has persistent heel pain or difficulty participating in everyday activities, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our doctors from New England Foot & Ankle . 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 Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A black toenail is a condition where the toenail becomes darkened or discolored due to changes under or within the nail. The discoloration may appear black, purple, or dark red, depending on the cause. A black toenail is often related to bleeding beneath the nail, known as a subungual hematoma, but it can also develop from other conditions. Understanding the causes and symptoms can help determine when professional evaluation is needed.

Symptoms of a black toenail may include dark discoloration, swelling, and pressure under the nail. In some cases, the nail may become loose or separate from the nail bed. Pain is common when blood collects under the nail and creates pressure. Some individuals may not experience discomfort, especially when discoloration develops gradually. Changes in nail appearance should be monitored because they may indicate trauma, infection, or another underlying concern.

The causes of a black toenail often involve repetitive trauma or blunt force injuries. Repetitive trauma commonly occurs in runners, hikers, and athletes when the toes repeatedly hit the inside of a shoe during activity. Wearing shoes that are too tight can increase pressure and cause irritation beneath the nail. Blunt force, such as dropping an object on the toe or stubbing the toe, can also damage blood vessels under the nail. Fungal infections may cause darkened or thickened nails and can sometimes contribute to nail discoloration.

Risk factors for developing a black toenail include participating in high-impact activities, wearing improper footwear, and experiencing repeated pressure on the toes. Individuals with circulation concerns or certain medical conditions may also require closer monitoring of nail changes. Properly fitted shoes, wearing protective footwear, and attention to foot care can help reduce the risk of injury. If you have a black toenail, it is suggested that you consult a podiatrist for effective relief and treatment solutions. 

Toe pain can disrupt your daily activities. If you have any concerns, contact one of our doctors of New England Foot & Ankle . Our doctors can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please contact our offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Toenail fungus, also known as a fungal toenail infection, is a common condition that affects the appearance and health of the nails. It develops when fungi enter the nail through small cracks, nail damage, or openings around the nail bed. The infection often progresses slowly and may become more noticeable over time. Without proper care, toenail fungus can cause changes in nail texture, color, and strength. Understanding the causes and symptoms of this condition can help individuals seek early treatment and protect their foot health.

Symptoms of toenail fungus often include white or yellow discoloration of the nail. As the infection progresses, the toenail may become thick, brittle, and difficult to trim. Many individuals notice that the nail breaks easily or becomes rough and uneven along the edges. In some cases, the nail may separate from the nail bed or develop an unpleasant odor. These changes can cause discomfort, especially when wearing shoes or placing pressure on the toes.

Several causes can contribute to the development of toenail fungus. Fungi thrive in environments that are constantly warm and damp, making sweaty shoes and enclosed footwear common contributors. Poor foot hygiene can increase the likelihood of fungal growth. Toenail damage caused by injury or improper trimming may create an entry point for infection. A weakened immune system can also make it more difficult for the body to fight off fungal organisms.

Risk factors include wearing tight-fitting shoes, frequent exposure to moist areas such as locker rooms, and allowing feet to remain damp for extended periods. Individuals with previous nail injuries or certain health conditions may also have a higher risk of developing toenail fungus. Preventive measures include keeping feet clean and dry, wearing breathable footwear, and maintaining proper nail care habits. If you have symptoms of toenail fungus, it is suggested that you consult a podiatrist for effective treatment solutions, which may include prescribed medication.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact one of our doctors of New England Foot & Ankle . Our doctors can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

If you have any questions please contact our offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Morton's neuroma is a painful foot condition that involves thickening of the tissue surrounding a nerve in the forefoot. It most commonly develops between the third and fourth toes and results from repeated irritation or compression of the nerve. This condition is not a true tumor, but rather a response to chronic stress. Causes include wearing tight or high-heeled shoes, repetitive impact activities, and abnormal foot mechanics such as flat feet or high arches. These factors place pressure on the nerve and lead to inflammation.

Symptoms of Morton's neuroma often include a burning sensation in the ball of the foot, tingling in the toes, and a feeling as if a small object is trapped inside the shoe. Pain may worsen with walking or standing for long periods of time. Some individuals experience numbness or sharp discomfort that radiates into the toes. Symptoms may improve when shoes are removed or when the foot is massaged, but they often return with activity.

Diagnosis typically involves a clinical evaluation by a foot specialist. A podiatrist will assess symptoms, examine foot structure, and apply pressure to identify the affected area. Imaging tests such as ultrasounds or MRI scans may be used to confirm the diagnosis and rule out other conditions. Early diagnosis is important to prevent symptoms from worsening.The outlook for Morton’s neuroma depends on the structure of the foot, and whether or not simple treatments are effective. These can include wearing optimal footwear and resting the foot. When surgery is performed, the outlook depends on how much residual nerve damage exists.

Risk factors include wearing narrow shoes, participating in high-impact sporting activities, and having structural foot abnormalities. Women are more commonly affected due to footwear choices that compress the forefoot. Managing pressure and improving foot support are key to reducing symptoms. If you have symptoms of Morton's neuroma, it is suggested that you consult a podiatrist for effective relief and treatment solutions.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact one of our doctors of New England Foot & Ankle . Our doctors will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

If you have any questions, please feel free to contact our offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.