Sever’s Disease: Episode 54

  • In this episode: Sever’s disease – Is your child experiencing heel pain, especially during sport or after.

  • Chip Review: Lorenz – Crunchips Cheese & Onion – Thank you Steve Kovisto (11:05)

  • Trivia question of the week: Can you name the two state capitals, which contain the entire name of the state in their spelling? (09:25)

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

 

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Brief except from the episode:
Sever’s Disease aka calcaneal apophysitis, juvinille heel pain. It is inflammation of the growth plate of the calcaneus (heel bone).
This is most common in kids going through a growth spurt. Age 12 is the most likely age but it can occur before or after. Boys are more likely then girls to present with this pain.
Almost always pain is produced during physical activity and particularly sports. Pain will linger after and can settle down with a few minutes or hours. Pain always returns with participation in sport again.
Running and jumping sports are the most common. However, it can be seen with any sport depending on activity level.
This issue can be present for several weeks or months and will typical resolve on its own once the bones slow down or stop growing. That is why it is so common during a growth spurt.
Essential what happens is that the pull of the Achilles tendon on the immature skeleton causes the bone to deform. You can sometimes see a more prominent heel bone in adults who as children dealt with Sever’s Disease.
Other episodes you might enjoy:

Achilles Tendonitis: Episode 48

Foot & Ankle Health with Dr. Mohammad Rimawi: Episode 40

Plantar Fasciitis: Episode 11

Achilles Tendonitis: Episode 48

  • In this episode: We discuss Achilles Tendonitis

  • Chip Review: Chio – Sweet Chili & Red Pepper (13:40)

  • Trivia question of the week: Which 2 US states boarder 8 other states? (13:17)

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

Achilles tendonitis is the topic today. Before we get to far into that here is a brief overview of the Achilles.

 

The Achilles is the largest tendon in the body, it is one of the toughest to tear. We did a whole podcast on Achilles Repair. The Achilles is the attachment for the gastrocnemius, a two joint muscle, and the soleus (one joint muscle). These muscles make up the two layers of the calf. The gastrocnemius is the fast twitch muscle and the soleous is the slow twitch. Both muscles are innervated by the tibial nerve.
The group as a whole is responsible for forced plantar flexion, also known as push-off as well as eccentric dorsi-flexion aka landing. You will see Achilles tendonitis fairly often in a few groups of individuals.
Runners are the most commonly affected group. You also see Achilles tendonitis with impact sports such as basketball, tennis, lacrosse, soccer and volleyball. There is a good deal of research that has found that increased BMI also plays a role.
Some differential diagnosis is often appropriate when given a diagnosis of Achilles tendonitis. With younger ages, people who are going through a growth spurt, you will sometimes see Sever’s Disease diagnosed as Achilles tendonitis. Sever’s is similar to Osgood-Schlatter’s disease at the heel instead of the knee. With an older population you can see calcaneal bursitis and rarely a partial Achilles tear or calf strain.
If left untreated a tendonitis can become a tendonosis. A tendonosis is much harder to treat. This is a chronic condition that is no longer in the inflammatory stage. Our recommendation with tendonitis is to treat it early and not to let it get out of hand. Physical therapy is a great tool in managing and treating Achilles tendonitis.

Check out our other podcast with similar topics:

Foot & Ankle Health with Dr. Mohammad Rimawi: Episode 40

Achilles Repair with Peter Jennings: Episode 38

Plantar Fasciitis: Episode 11

Ankle Sprain_Inversion Type: Episode 3

 

Foot & Ankle Health with Dr. Mohammad Rimawi: Episode 40

  • In this episode: We interview Dr. Mohammed Rimawi from Grand Central Footcare in NYC

  • Chip Review: Lay’s Sour Cream and Onion

  • Trivia question of the week: What is the name of the first imperial Faberge Egg?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

00:00 – Intro
00:31 – Grand Central Footcare and Grand Central Station
01:07 – Not living in Manhattan
01:30 – Some history on Brooklyn
01:51 – Dr. Mohammad Rimawi
02:36 – Why we never did Djimmer’s resume
02:59 – How did you get into podiatric medicine?
03:40 – It’s funny how much Djimmer loves feet
04:08 – The foot and ankle are fascinating joints
04:49 – Way to common misdiagnosed foot and ankle injuries
05:11 – The physical therapist I work with are always spot on
05:53 – Where it gets a bit frustrating, urgent care centers
06:58 – Seen our far share of missed peroneal tendon tears or partial tears
07:40 – Missed stress fractures even with X-ray
08:07 – Here is why stress fractures are tricky
08:48 – Over reliance on imaging (x-ray, MRI)
10:05 – Experience is invaluable
10:12 – What cases are you seeing the most right now? It’s plantar fasciitis 
11:34 – What’s your opinion on doing surgery for the plantar fascia?
12:35 – Partial tears of the plantar fasciitis?
            – Cam walker boot
14:00 – How long should someone be in a boot?
            – Acute 3-5 days, the acute inflammatory phase
14:43 – With plantar fasciitis, Once you get it once there is something
15:00 – Roll of orthotics, before, during & after plantar fasciitis
16:03 – Adult acquired flat foot / PTTD (posterior tibial tendon dysfunction)
16:45 – Ankle sprains
18:15 – Syndesmosis injury aka High Ankle sprain
19:39 – Not all “ankle sprains” are the same
20:55 – What is the best sports experience in New York City?
21:31 – Philly fans know how to take it to a different level
22:37 – What is the one thing you wish all people did to take care of their feet a little             better?
23:30 – Be proactive instead of reactive
23:47 – Foot wear pet peeve
24:04 – The worst footwear
            – Flats and flip flops
26:00 – Give me my tennies / Answer from last week
            – Why is a sneaker called a sneaker?
26:39 – Trivia Time!
– What is the name of the first Imperial (Russian Royal family commissioned) Faberge Egg?
27:30 – A too long a history about the Faberge Eggs?
30:00 – Chip Time!!
            – Lay’s Sour Cream & Onion
32:29 – Thank you to Dr. Mohammad Rimawi
              – grandcentralfootcare.com
              – 212-697-3293
            – Instagram: nycfootdoc
33:35 – Outro
34:04 – Take care of your feet

 

Achilles Repair with Peter Jennings: Episode 38

  • In this episode: What is it like to recover from Achilles Repair with Special guest Peter Jennings @CSURAM88

  • Chip Review: This week we did a 4 way battle between Salt & Vinegar flavored Chips from: Boulder Canyon, Cape Cod, Dutch Crunch and Zapp’s

  • Trivia question of the week: Which school won the first NCAA basketball tournament?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

00:00 – Intro
00:30 – Chip Final Four Intro
01:00 – Achilles Repair
  • 5:1 Male to Female Ratio
  • 80% related to sports with a predisposition to ball sports
01:34 – “I thought a big explosion happened behind me”
02:04 – NBA vs NFL experience
02:30 – Repairs are getting better and/or is Rehab getting better
03:12 – Why is it so hard to repair?
04:10 – Exceptions to early surgery
04:42 – The recovery is long
05:44 – Running, jumping, agility, getting married
06:17 – Typical age range of injury
06:44 – Why are men more likely to rupture?
07:59 – Did Demaryius re-tear or tear the other?
  • First tear was of the Right Achilles
  • Second tear was of the Left Achilles
08:27 – I’m not trying to scare you Peter
09:10 – What is your blood type
10:15 – How likely is an Achilles
11:07 – Post NFL lock out, saw an increase in tears
11:39 – Highest potential for injury
12:30 – Did you have any kind of Achilles injury history?
13:22 – What can you do preventatively
14:04 – Link to the stretching  podcast episode 25
14:16 – Lets talk about Peter
  • Currently on 3-4 other Podcasts
15:10 – Social Media
  • Twitter @CSURAM88
15:48 – What would you rather have?
  • 100,000 Instagram followers
  • A College degree
16:23 – We’ve got about 100,000 Instagram followers to go
16:57 – How to boost your number of twitter followers
17:11 – What do you do with your podcasts?
17:37 – A recent trip to Chipotle
18:40 – Last weeks TRIVIA
  • What was the highest grossing movie of the 80’s?
  • ET. The Extra Terrestrial
19:23 – TRIVIA TIME
  • Who won the first NCAA basketball tournament?
21:07 – CHIP TIME
21:30 – Southeast Regional Introduction
– 21:45 – Cape Cod – Salt & Vinegar
            – 22:09 – Zapp’s – Salt & Vinegar
23:02 – Northwest Regional Introduction
  • 23:06 – Dutch Crunch – Salt & Vinegar
  • 23:49 – Boulder Canyon – Sweet Vinegar
24:28 – Finals
  • Cape Cod
  • Boulder
26:22 – Thumbs up/thumbs down for each Chip
26:49 – I need to get some spicy chips in my life
27:54 –Outro
  • Huge thank you to Peter for coming on and sharing his story
  • Shout out to TJ
29:00 – “Tilting” is over my head
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