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December Newsletter 2016 now available

Newcastle Podiatry - Friday, December 09, 2016
Heel Pain in our Children
Calcaneal apophysitis, commonly known as Sever’s disease is an inflammation of the growth plate in the heel of growing children. Bone growth in children occurs in a region called an apophysis (or growth plate) which are present in all bones up to closure in early teens. This region has either a tendon or ligamentous structure inserting into it and this causes traction over the growth plate resulting in frictional movement and subsequent pain.

Whilst it is predominantly a condition that occurs in more active children it commonly occurs in those less active but with poor foot and lower limb function. It is important to differentiate apophysitis from more serious conditions such as tumours or sub talar joint coalitions as a starting point. Further, children do not generally suffer from overuse injuries occurring in adults but are more likely to suffer referred pain from traction over the growth plate.

Primary symptoms are generally experienced along the inside and outside of the back portion of the heel along with centrally on the back of the heel. Externally the heel is almost always normal in appearance and is rarely accompanied with swelling and redness. You may notice your child hobbling in the morning or at activity or complaining of pain after a long day at school. Remember even inactive children can suffer from this condition.

It important to remember;

• Boys between 9 and 14 and girls between 8 and 13 are the common sufferers,
• Soccer and netball are the most common sports but not limited to by any means,
• Loading sports such as increased running, jumping and sidestepping increase the problem,
• Generalised increase in activity or sport or multi sport periods, ie; rugby and cricket or netball and touch football together or combination of both club and representative duties exacerbate,
• It is simply NOT growing pains and inactive children also can suffer this disorder

Treatment options;

Physiotherapy, ultrasound or massage do not offer the vast majority of patients any assistance in resolving pain and normalising childhood activities.
Clear clinical diagnosis is the key. Exclusion of more serious conditions such as coalitions and tumorous lesions is important.
X-rays are not useful in diagnosing this pathology but do exclude tumour if concern is valid.
Appropriate biomechanical measurement and gait assessment and the institution of orthotic therapy utilising prescription orthoses to correct the heel position taking stress of the growth plate offers the most effective resolution time. This is accompanied by stretching where necessary. Remember early assessment is the key.
Award of Accreditation
We have now been recognised for the quality and safety of service with the award of accreditation for Quality Innovation Performance (QIP) against the National Safety and Quality Health Service (NSQHS) Standards as applicable to the profession.

QIP is Australia’s most comprehensive not-for-profit accreditation organisation, dedicated to delivering accreditation and support services to a diverse range of organisations including podiatry practices, physiotherapy practices, diagnostic imaging services, optometry practices, dental practices and community services. 

We are continually striving to improve how we can support our patients to achieve the best health outcomes.

Everyone in the practice played a valuable role in ensuring we met the Standards. The recognition of working in an accredited practice gives our dedicated staff a feeling of accomplishment and pride.
Congratulations WILL RYAN!
We congratulate our patient WILL RYAN on his fantastic efforts to secure a Silver Medal 
at the Rio 2016 Olympics for Sailing 
Men's Two Person Dinghy 470.

Congratulations on this amazing achievement. 
Christmas Closure

From 1pm Thursday 22nd December 2016 and reopen
Tuesday 3rd January 2017 at 8am

Merry Christmas


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