July 2025

Two conditions that can cause foot pain in child runners are Sever’s disease and Iselin’s disease. The first condition, medically known as calcaneal apophysitis, affects the growth area at the heel where the Achilles tendon inserts into the bone. It causes heel pain that worsens during running, tenderness under the heel, and sometimes limited ankle bending. Sever's disease often emerges during rapid growth or when training intensity increases suddenly. The second condition, Iselin’s disease, involves pain at the base of the fifth metatarsal, caused by repetitive stress and tension on the growth plate. Symptoms include redness, swelling, and tenderness over the affected area. Both conditions are linked to overuse, tight muscles, faulty foot alignment, and wearing improper or worn‑out footwear. A podiatrist can evaluate your child’s foot structure, gait, and shoe fit to determine a solution. If your child has sustained a foot injury from running, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Deborah Holte, DPM of Northeast Missouri Foot Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

If you have any questions please feel free to contact our office located in Kirksville, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.