Severs Disease

Well, it's not really a disease, but a condition. Severs disease is the condition that describes pain to the "back part" of the heel that typically occurs in children between the ages of 10 to 14. In this area is a growth plate that can become inflamed with increased activity or from a sudden force, such as jumping off a couch or bed. Many times the ER will refer me a patient with the a diagnosis of a "fractured heel" because this growth plate appears very irregular as it is fusing with the heel bone during development. Sometimes during a "growth spurt" the muscles and tendons can't stretch as fast as the bones are growing and the increased tension will produce this pain. Rest, stretching, and anti-inflammatories usually will improve symptoms, while a cast and crutches will help for those with pain lasting several weeks to months. Yes, you could call this growing pains!!

Blisters

Should I puncture this blister? This question is frequently asked by patients and runners. It is always best to have a physician make the ultimate decision, but a majority of blisters can be released to allow the fluid to drain and lead to a faster and less painful recovery. A blister is secondary to friction which disrupts the layers of skin allowing fluid to accumulate. When access fluid is present and the skin is unable to stretch, this can become very painful. Using a sterile instrument such as manicure scissors, or even a needle (always wipe with alcohol) the blister can be broken allowing the fluid to drain from a gravity dependent area on the blister. Blisters can also result from fractures or even peripheral vascular disease. These are medical emergencies and require immediate attention.