Kohler disease is a rare childhood foot condition that affects one of the small bones in the middle of the foot, known as the navicular bone. It most often develops in children between the ages of 4 and 7, especially boys, although girls can also be affected. The condition occurs when the blood supply to the bone is temporarily reduced, causing the bone to become irritated before it gradually heals. Children with Kohler disease may begin limping or avoid putting weight on the affected foot because of discomfort. Since many childhood foot problems produce similar symptoms, a professional evaluation is important for an accurate diagnosis. Early assessment can also help rule out fractures, infections, or other conditions that may require different treatment.

Symptoms of Kohler disease usually involve pain along the inner part of the foot where the affected bone is located. Many children experience tenderness, swelling, or discomfort while walking. Others may avoid running or playing, because activity increases pain. In some cases, a child may begin walking on the outside of the foot to reduce pressure on the painful area. Symptoms often develop gradually and may be mistaken for a minor injury at first. Prompt evaluation is important because persistent foot pain in children should never be ignored. Identifying the cause early helps guide appropriate treatment and supports healthy foot development.

A podiatrist specializes in diagnosing and treating both common and rare foot conditions, including Kohler disease. During an examination, the podiatrist reviews symptoms, evaluates the child's foot, and may recommend imaging studies to confirm the diagnosis. Treatment focuses on relieving discomfort, protecting the affected bone, and monitoring healing as the foot develops. Regular follow-up visits also help ensure the condition is improving and that normal foot function is returning. If your child is experiencing foot pain, limping, or swelling that may be related to Kohler disease, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Some foot conditions may require additional professional care. If you have any concerns, contact Arthur Segall, Jr., DPM of Segall Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions, please feel free to contact our offices located in Plantation, FL Ft. Lauderdale, F . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Rheumatoid arthritis, or RA, is a disease in which the immune system attacks joint tissue. For some people, pain and swelling in the feet are the first signs of RA. In other patients, foot symptoms appear months or years later, or never develop. Rheumatoid arthritis usually affects the small toe joints and where the toes meet the forefoot. It can also affect the joint below the ankle. Early signs include soreness, warmth, and swelling. A sudden period of stronger symptoms is called a flare.

As RA damages joints, pain and swelling can make standing and walking difficult. Joint damage can also cause instability or changes in foot shape. Pressure from these changes can lead to corns, calluses, or open sores. Firm lumps called nodules can develop near the Achilles tendon, heel, or other bony areas. Some patients notice numbness, tingling, or poor temperature awareness because nerves may be affected. Others develop circulation problems that cause cramping while walking or color changes in the toes. New swelling, shape changes, or skin wounds require prompt medical attention.

A podiatrist can examine the feet, identify affected joints, and check the skin. The examination can assess nerve function and blood flow. Treatment focuses on easing pressure, supporting painful joints, and improving foot function. A podiatrist can recommend supportive shoes and prescribe custom orthotics. These specially made shoe inserts can improve balance and reduce stress beneath sore areas. The podiatrist can also safely care for corns and calluses, treat skin wounds, and monitor changes linked to RA. When joint damage is severe, the podiatrist can discuss whether surgery could improve comfort or movement. Regular foot evaluations can help detect concerns before they become harder to manage. If you have foot pain related to rheumatoid arthritis, it is suggested that you schedule an appointment with a podiatrist for effective relief and management solutions.

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 Arthur Segall, Jr., DPM of Segall Foot and Ankle. Our doctor 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

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

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 offices located in Plantation, FL Ft. Lauderdale, F . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A broken toe is a common foot injury that can occur after stubbing the toe, dropping a heavy object on the foot, or experiencing a direct impact during sports or other activities. Although some fractures are minor, others can affect the position and function of the toe. Common symptoms include pain, swelling, and bruising. Some people also notice difficulty walking or putting weight on the affected foot. In certain cases, the toe may appear crooked or become difficult to move. Because the symptoms of a broken toe can be similar to those of a severe sprain, a professional evaluation is important to determine the extent of the injury and recommend the most appropriate treatment.

A broken toe can affect more than the injured bone. Ongoing pain may change the way a person walks, placing additional stress on the rest of the foot. This altered movement can also increase strain on the ankle, knee, or hip. A thorough podiatry examination helps determine which toe is injured and whether the fracture extends into a nearby joint. Imaging studies, such as X-rays, may be recommended to confirm the diagnosis and evaluate bone alignment. Early diagnosis is important because untreated fractures may heal improperly and lead to lasting pain or reduced toe function.

A podiatrist specializes in diagnosing and treating broken toes while monitoring the healing process. Professional care focuses on restoring proper alignment, reducing discomfort, and helping the toe heal as expected. Treatment is tailored to each patient's injury and may be adjusted based on the severity of the fracture. Regular follow-up visits also allow healing to be monitored and any complications to be identified early. If you have toe pain, swelling, or difficulty walking after a foot injury, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact Arthur Segall, Jr., DPM from Segall Foot and Ankle. Our doctor will treat your foot and ankle needs.

What Is a Broken Toe?

A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.

Symptoms of a Broken Toe

• Swelling
• Pain (with/without wearing shoes)
• Stiffness
• Nail Injury

Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.

If you have any questions please feel free to contact our offices located in Plantation, FL Ft. Lauderdale, F . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Soccer places demands on the feet through sprinting, cutting, and kicking. Sudden stops and changes of direction can lead to ankle sprains, turf toe, and broken bones. Players can also develop stress fractures, which are small cracks caused by repeated pressure. Heel pain and Achilles tendon injuries can result from frequent running and jumping or inadequate footwear. Blisters or damaged toenails can form when cleats are too tight, too loose, or poorly fitted. Young players can develop pain where the heel bone is still growing. Uneven fields, hard turf, and contact with other players can raise the chance of a soccer injury.

Symptoms depend on the injured area and the severity of the damage. Warning signs include pain, swelling, and bruising. A player may also have trouble putting weight on the affected foot. Turf toe causes pain and stiffness at the base of the big toe. A fracture can produce sharp pain that becomes worse with pressure or activity. Players should not ignore pain that continues, returns during play, or affects normal movement. Continuing to compete with an untreated injury can worsen the damage and delay a safe return to activity.

A podiatrist can examine the foot and ankle, check joint movement, and locate areas of tenderness. X-rays can reveal many fractures, while an MRI scan can show stress injuries or damage to soft tissue. Treatment depends on the diagnosis and can include a brace, cast, or walking boot. Custom orthotics can improve support and reduce harmful pressure inside the shoe. A podiatrist can also evaluate cleat fit and recommend shoes suited to the player’s foot shape and playing surface. Serious fractures, major ligament tears, or severe turf toe can require surgery. Follow-up visits help the podiatrist monitor healing and decide when the player can safely return to practice. If you have sustained a foot injury while playing soccer, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Arthur Segall, Jr., DPM of Segall Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

If you have any questions please contact our offices located in Plantation, FL Ft. Lauderdale, F . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.