Pediatric Conditions

What are the most common conditions affecting the pediatric population?

Calcaneal Apophystitis
Also known as Sever’s disease, this condition affects children between the ages of 8-14, who are active. Pain is most commonly in the back of the heel, along the growth plate, and is caused by traction and pulling of the Achilles tendon. Inflammation develops along the heel’s growth plate from repetitive stress and activity. Pain can persist until the growth plate fuses.

Treatments can include: rest, ice, stretching, heel lifts, and orthotics


Flat Feet
As the term suggests, “flat feet” is the excessive flattening of the arch with standing and walking. Symptoms can include fatigue, night cramps and pain. Untreated, the condition can lead to ankle sprains, bunions, hammertoes, joint pain and arthritis.

Treatment: Good, supportive shoes and prescription orthotics. In more severe cases, or cases unresponsive to orthotics, surgery may be indicated.

Ingrown Toenails
Ingrown toenails occur when the side of the nail grows into the skin, leading to pain and possible infection. They can be caused by incorrect nail trimming and tight shoes, but can also be hereditary.

Treatment: permanent or temporary removal of the affected nail border.


Warts are caused by the Human Papilloma virus and are very common in children. The virus grows into the skin and can spread. When the warts appear on the bottom of the foot they can cause significant pain and debilitation. Because the plantar skin is thick, most over-the-counter treatments are not usually effective.

Treatment: a powerful topical medication is the most effective and relatively pain-free. Recalcitrant warts may need to be surgically excised.

Call Central Carolina Foot and Ankle Associates at 919-477-9333 for an appointment or click the link below.

Central Carolina Foot & Ankle Associates

2609 N. Duke Street, Ste. 301
Durham, NC 27704
(near the corner of N. Duke St. and Stadium Dr.)

5107 Southpark Drive
Suite 202
Durham, NC 27713
(close to RTP and Chapel Hill)