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Tag Archive : calcanel apophysitis

How should new diseases get their name?

There's been a strong history in medicine and surgery to name diseases after the physician that initially referred to or publicized on that condition. Sometimes the physician named the disease after themselves which could be considered relatively conceited and other times it was provided with a physician’s name by their peers in recognition of their work, which may be considered an honour. Recently there has been a movement away from labeling illnesses after doctors.

Many reasons exist for for this tendency. Nowadays scientific studies are almost certainly going to be completed by groups and not individuals working by themselves, so it is tricky to credit a condition to only one individual. Sometimes in past times recognition for a disorder has gone for the wrong individual and the disorder might have been explained by someone else sooner than the one which gets the credit.

A condition that is called after an individual doesn't describe the actual pathology or the underlying biological components of the disease process which can be a great deal more benefit. For example, it really is not too difficult to be aware what illnesses such as acquired immunodeficiency syndrome (or AIDS) as well as whooping cough are just based on the actual name. If these types of conditions were called after individuals, it would convey nothing with the underlying process. In a number of cases there may be multiple disorders called after the same individual or the same name. As an example, you can find twelve unique illnesses named after the neurologist, Dr Cushing.

In some cases a condition that is called after an individual has something about their history that it's no longer acceptable to name the disorder after them. For instance, there was a condition, Reiter’s syndrome which was called after Dr Reiter who was subsequently convicted of war crimes regarding his medical experiments conducted in a Nazi concentration camp. The problem that has been named as Reiter’s syndrome is currently more generally named Reactive arthritis. Likewise, Wegener’s Granulomatosis was called for Friedrich Wegener who has been a Nazi doctor. The name of the condition is currently more commonly known as granulomatosis with polyangiitis after Dr Wegener's Nazi links were found.

One more example is Severs disease that is a painful disorder with the calcaneus bone in youngsters which is self-limiting. It was initially described by James Severs in 1912. It's not a disease, but the utilization of that terminology is potentially harmful to kids. It's probably more appropriately called calcaneal apophysitis since the heel bone is technically named the calcaneus and the pathology is an irritation of the apophysis (or growth area).

The World Health Organization has recently produced principles on the naming of new illnesses with the focus on a best practice not to name disorders after physicians or geographical regions to be able to lessen the effects on those people and also the regions as well as their economies and to avoid stigmatization of people and regions. The best procedures says that an illness name should really consist of a generic descriptive name which might be depending on the signs and symptoms the illness will cause and more specific descriptive phrases after robust information is available on how the disease starts or behaves.

What is Severs Disease of the Heel Bone?

Pain in the rearfoot of children isn't common, however when it does occur, the most common cause is a disorder called Severs disease. It's not a real “disease”, but it's the term that has regrettably stuck. It is actually correctly called calcaneal apophysitis. It is a problem in the growing area at the back of the heel bone. Because it is a problem, of the growing bone, the disorder is self-limiting and will no longer be an issue once the growth of that bone has finished. It is more common around the age groups of 10-12 years.

The classic signs of Severs disease are pain on activity and soreness on squeezing the sides of the rear area of the heel. Initially the discomfort is relatively minor and does not affect activity much, however later it will become more painful and impacts exercise participation and may also lead to limping. The precise cause of it is not known, but it is certainly an overuse type condition because it is more common in those who participate in more sport and more frequent in kids who have a higher BMI. Kids with tighter leg muscles can also be at a higher possibility for the development of this problem.

Commonly, treating Severs disease is load management. The child is encouraged to keep active, but just cut back exercise levels to a level that can be tolerated and not too painful. A soft heel pad in the shoe might be helpful to cushion it. Ice soon after activity may also be useful to help the symptoms. If the calves are tight, then a stretching program ought to be started. At times foot orthotics can be helpful if the arch of the foot is flat. On rare occasions a brace can be used, and all activities halted until it gets better. By the mid-teens the growing area that this occurs at merges with the rest of the heel bone, and this ceases to be an issue at those ages.