Dr. Kennan T. Runte, DPM, FACFAS
Dr. Panah Nabili, DPM
Grass Valley, CA 95945
Dr. Kennan T. Runte, DPM, FACFAS
Dr. Panah Nabili, DPM

Sever’s disease, also called calcaneal apophysitis, causes pain in the growth plate at the back of the heel, oftentimes affecting children. A growth plate is an area of developing bone found in children and teenagers. Repeated pulling from the Achilles tendon can irritate the growth plate, especially during periods of rapid growth. Heel pain usually becomes worse while walking, running, or participating in sports. The pain can affect one heel or both. Some children also limp or avoid placing full weight on the affected foot because of discomfort. Early evaluation helps identify the condition before pain begins to interfere with school, sports, and other daily activities.
Several factors increase the chance of developing Sever’s disease. Running and jumping sports place repeated stress on the heel. Tight calf muscles can increase pulling on the growth plate. Flat feet or high arches can also change how force is distributed across the foot. Shoes that lack proper support can place additional strain on the heel during activity. A podiatrist diagnoses the condition by discussing symptoms, examining the foot, and checking for tenderness around the back of the heel. Imaging tests are not always necessary, but they can help rule out other causes of heel pain when the diagnosis is uncertain.
A podiatrist creates a treatment plan that reduces stress on the irritated growth plate and improves comfort. Treatment includes custom orthotics, heel cushions, and wearing supportive shoes. These options help reduce pressure and improve foot alignment while walking. Regular follow-up visits allow a podiatrist to monitor healing and adjust treatment as the child grows. Early care can reduce pain, improve mobility, and support a safe return to normal activities. Most children recover completely once the growth plate matures. If your active child has symptoms of Sever’s disease, it is suggested that you schedule an appointment with a podiatrist for effective relief and management tips.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from Foothill Podiatry Clinic. Our doctors 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 Grass Valley, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Peripheral artery disease, or PAD, develops when the arteries that carry oxygen-rich blood become narrowed by fatty deposits called plaque. As blood flow decreases, the feet and legs receive less oxygen and fewer nutrients. This can cause pain, slow healing, and changes in skin health. Smoking is a leading risk factor, although diabetes, increasing age, and high cholesterol may also contribute. Symptoms include cramping in the calves while walking, numbness, or feet that look pale or slightly bluish. Small cuts or sores can heal very slowly because healthy circulation is limited. Since these symptoms can resemble other foot problems, a careful evaluation by a podiatrist is important to identify the true cause.
A podiatrist plays an important role in recognizing signs of PAD before serious complications develop. The examination includes checking the skin, nails, temperature, and pulses in the feet. It also includes asking questions about pain while walking and changes in activity. Diagnostic testing can measure blood flow and help determine whether narrowed arteries are affecting the feet. Early diagnosis helps protect foot health and lowers the risk of severe tissue damage. In advanced cases, poor circulation can increase the chance of infection, open wounds, or loss of tissue. A podiatrist can coordinate care with other healthcare providers when circulation problems require additional evaluation.
Regular foot examinations are especially important for people with PAD because reduced blood flow makes even minor foot problems more difficult to heal. A podiatrist can monitor changes in circulation, treat foot wounds, and reduce pressure on affected areas. These measures can help prevent complications that threaten mobility. Professional podiatric care also helps identify warning signs before they become more serious. Prompt attention to pain, skin changes, or slow-healing sores can protect the feet and support better long-term health. If you have symptoms of peripheral artery disease that affect your feet, it is suggested that you schedule an appointment with a podiatrist for effective relief and management solutions.
Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with one of our podiatrists from Foothill Podiatry Clinic. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.
Symptoms
Symptoms of PAD include:
It is important to note that a majority of individuals never show any symptoms of PAD.
Diagnosis
While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.
Treatment
Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.
If you have any questions, please feel free to contact our office located in Grass Valley, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Bunions are a progressive foot deformity defined as a bony enlargement at the base of the big toe joint. This condition develops when the big toe gradually shifts toward the second toe, causing the joint to protrude outward. The misalignment places stress on surrounding tissues, leading to inflammation, discomfort, and changes in foot structure. Bunions can worsen over time, especially when contributing factors are not addressed early.
Common symptoms of bunions include swelling, redness, and joint stiffness at the base of the big toe. Pain often increases with walking, standing, or wearing tight fitting shoes. The skin over the bunion may become irritated due to friction, and the joint may feel tender or warm. As the condition progresses, individuals may notice difficulty with shoe fit, decreased range of motion, and changes in walking patterns.
Several causes and risk factors contribute to bunion formation. Genetics plays a key role, as inherited foot structure can predispose individuals to joint instability. Footwear is another major factor, especially shoes with a narrow toe box or high heels that place excessive pressure on the forefoot. Additional risk factors include flat feet, ligament laxity, and repetitive stress from prolonged standing or walking.
A bunion corrector is a supportive device designed to help improve toe alignment and reduce pressure on the affected joint. It works by gently guiding the big toe into a more natural position while providing cushioning and stability. Although it does not reverse the deformity, it can relieve discomfort and slow progression when used consistently. Benefits include reduced friction, improved comfort, and better foot positioning during daily activities. If you have bunions and want information about bunion correctors, it is suggested that you consult a podiatrist who can determine if this form of treatment is right for you.
If you are suffering from bunion pain, contact one of our podiatrists of Foothill Podiatry Clinic. Our doctors can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.
Causes
Symptoms
In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.
If you have any questions, please feel free to contact our office located in Grass Valley, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Rheumatoid arthritis is an autoimmune disease that causes the body's immune system to attack the lining of healthy joints. The feet are often affected early, making walking and other daily activities more difficult. Many people experience pain, swelling, and stiffness in the front of the foot or around the toes. As the condition progresses, the joints may become unstable. This can cause changes in foot shape and make it harder to wear comfortable shoes. Rheumatoid arthritis usually affects the same joints on both sides of the body. Without proper treatment, ongoing inflammation can damage bones, joints, and soft tissues, leading to long-term foot problems. Early diagnosis and professional care play an important role in protecting foot health and maintaining mobility.
A podiatrist is an important member of the healthcare team for people with rheumatoid arthritis. During an examination, the podiatrist evaluates joint movement, foot alignment, and areas of pain to see how the condition is affecting the feet. They may also identify deformities or changes that increase pressure when walking. Treatment is based on a person's symptoms and the stage of the disease. It may include custom orthotics, supportive footwear recommendations, or other medical treatments that improve comfort and reduce stress on the joints. Regular podiatry visits also allow changes in the feet to be monitored so treatment can be adjusted as needed.
Professional rheumatoid arthritis foot care can help improve mobility and reduce the impact of joint damage over time. Early treatment may slow the progression of foot problems and help people remain active for longer. A podiatrist works closely with other healthcare providers to support overall treatment while addressing pain and changes that affect the feet. Seeking care early may also help reduce the risk of balance problems and difficulty walking. If rheumatoid arthritis is causing foot pain or swelling, it is suggested that you consult a podiatrist for an evaluation.
Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact one of our podiatrists of Foothill Podiatry Clinic. Our doctors will assist you with all of your podiatric concerns.
What Is Rheumatoid Arthritis?
Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.
Rheumatoid Arthritis of the Feet
Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.
Symptoms
Diagnosis
Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.
If you have any questions, please feel free to contact our office located in Grass Valley, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.