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Palmoplantar keratodermas are a group of inherited conditions that cause thickening of the skin on the palms of the hands and the soles of the feet. The skin may appear yellowish, hardened, or cracked, which can make walking painful and daily activities uncomfortable. In some cases, the thickened skin may extend beyond the soles, and fissures can increase the risk of infection. These conditions are genetic, meaning they are passed down through families, and symptoms often begin in childhood. While there is no cure, treatment focuses on reducing discomfort and improving skin health. Regular use of emollients, keratolytic creams, and careful debridement can soften thickened areas. Wearing supportive footwear helps decrease pressure and friction. If painful skin changes are limiting your mobility or quality of life, it is suggested that you consult a podiatrist for evaluation and guidance on long-term management. 

Some foot conditions may require additional professional care. If you have any concerns, contact Jeffrey Parrett, DPM of Parrett Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions, please feel free to contact our office located in Waxahachie, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Children and young teenagers who complain of heel pain may be experiencing a condition known as Sever’s disease. This condition is defined as inflammation in the growth plate of the heel due to repetitive force. It can affect children who frequently participate in running and jumping activities, such as soccer, basketball, or gymnastics. Early recognition and treatment is most effective with Sever’s disease. When this condition is managed early on, safe return to play and sports will be more likely. Mild relief can be found when the affected foot is elevate and the activity is temporarily ceased. If your child is limping or complaining of heel pain, it is suggested that you make an appointment with a podiatrist for a diagnosis and treatment options.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor 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 office located in Waxahachie, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Mallet toe is another name for the foot condition that is known as hammertoe. It is an ailment that prevents the toes from straightening out, and they can bend at a downward angle. The toes that are generally affected are the second, third, or fourth toes, and in severe cases, surgery may be necessary to restore the toes back to a normal position. The reasons many patients develop hammertoe can include wearing shoes that do not fit correctly, an abnormality in the toe muscles and tendons, or medical conditions such as arthritis. Calluses or corns may form on top of the affected toes, and this can be a result of excess friction that is caused by wearing tight shoes. If you notice the first stages of hammertoe developing, it is strongly suggested that you speak to a podiatrist, who can determine what the best course of treatment is for you.

Hammertoes can be a painful condition to live with. For more information, contact Jeffrey Parrett, DPM of Parrett Podiatry. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

• Painful and/or difficult toe movement
• Swelling
• Joint stiffness
• Calluses/Corns
• Physical deformity

Risk Factors

• Age – The risk of hammertoe increases with age
• Sex – Women are more likely to have hammertoe compared to men
• Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
• Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

If you have any questions, please feel free to contact our office located in Waxahachie, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Plantar fasciitis is caused by inflammation of the plantar fascia, a thick band of tissue connecting the heel to the toes. Risk factors include obesity, prolonged standing, high impact activities, flat feet, high arches, and tight calf muscles. Symptoms often involve sharp heel pain, especially with the first steps in the morning or after periods of rest, as well as swelling and stiffness. Causes include overuse, poor footwear, sudden increases in activity, or biomechanical imbalances. A podiatrist can diagnose the condition, recommend supportive footwear or orthotics, provide stretching exercises, and offer treatments to reduce inflammation and restore mobility. If you have heel pain, it is strongly suggested that you promptly contact a podiatrist who can accurately diagnose and treat what may be going on.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Jeffrey Parrett, DPM  from Parrett Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

• Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
• Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
• Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions, please feel free to contact our office located in Waxahachie, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.