August 2025

Sever’s disease is a common source of heel pain in growing children, particularly those who are active in sports. It occurs when the growth plate in the heel becomes inflamed, often due to repetitive stress or overuse. Symptoms include tenderness, swelling, and pain in the back of the heel that worsens during physical activity. Risk factors include rapid growth, high levels of athletic activity, tight calf muscles, and wearing improper footwear. A podiatrist can evaluate the condition, recommend stretching and strengthening exercises, provide supportive footwear or orthotics, and offer strategies to reduce stress on the heel. If your active child has heel pain, it is suggested that you consult a podiatrist who can provide effective relief and management tips.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Terri Quebedeaux, DPM from Agave 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 offices located in Seguin, LaVernia, Gonzales, and Lockhart, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Clubfoot, or congenital talipes equinovarus, is a foot deformity present at birth that causes the baby’s foot to point downward and inward. Clubfoot affects the bones, muscles, and tendons in the foot and ankle, resulting in stiffness and limited mobility. Several types of clubfoot may be seen in infants. Positional clubfoot is caused by the foot being held in an unusual position in the womb but does not involve abnormal bone structure. Idiopathic clubfoot has no known cause and varies in severity, with untreated cases often requiring more intensive care. A podiatrist can help evaluate the type and severity of clubfoot and determine whether a course of casting, bracing, or surgery is needed. If your newborn is diagnosed with a foot deformity, it is suggested that you make an immediate appointment with a podiatrist for an exam and treatment plan.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Terri Quebedeaux, DPM of Agave Podiatry . Our doctor can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

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

Plantar fasciitis is the inflammation of the plantar fascia, a thick band of tissue that runs along the bottom of the foot, connecting the heel to the toes. It is often caused by repetitive strain, prolonged standing, or wearing unsupportive footwear. Risk factors include high arches, flat feet, obesity, and increased activity levels. Symptoms typically include sharp heel pain, especially during the first steps in the morning or after rest. A podiatrist can diagnose the condition, recommend stretching exercises, prescribe custom orthotics, and suggest footwear changes. If you are experiencing heel pain that interferes with daily activities, it is suggested that you consult a podiatrist for a diagnosis and treatment.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Terri Quebedeaux, DPM from Agave 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 one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

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

Sinus-tarsi syndrome is a painful condition that involves the tunnel between the talus and calcaneus bones in the foot. This space, known as the sinus tarsi tunnel, contains ligaments and tissues that help control foot stability and movement. Injury from an ankle sprain or repeated strain may damage these ligaments, causing inflammation, instability, and buildup of scar tissue inside the sinus tarsi. People with flat or over-pronated feet may also develop this problem due to pressure that forces the talus and calcaneus closer together. Common signs include pain on the front outer side of the ankle and a sense of weakness or instability, especially while walking on uneven surfaces. A podiatrist can help by performing a thorough foot and ankle exam, ordering imaging tests, and recommending treatment that may include surgery, if necessary. If you have symptoms of sinus-tarsi syndrome, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment options.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Terri Quebedeaux, DPM from Agave Podiatry . Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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