Sever’s disease, also known as calcaneal apophysitis, is a common cause of heel pain in growing children and adolescents, particularly those who are active in sports. It typically occurs in children ages 8 to 14 and is associated with the growth plate at the heel (the calcaneus).
Sever’s disease is caused by the inflammation of the growth plate in the heel due to repetitive stress or tension. It often arises during periods of rapid growth when the bones grow faster than the surrounding muscles and tendons can adjust. This disparity can lead to excessive pulling on the Achilles tendon, which attaches to the heel, resulting in inflammation and pain.
Sports that involve running, jumping, or abrupt changes in direction (like soccer, basketball, gymnastics) can lead to overuse injuries.
As children grow, they may experience a temporary imbalance between muscle and bone growth, increasing the risk of inflammation at the growth plate.
Flat feet or high arches can alter the mechanics of the foot, putting extra strain on the heel.
Shoes that do not provide adequate support or cushioning can exacerbate the condition.
Increased levels of physical activity can contribute to the stress placed on the heel.
Our Podiatrists at Sydney Podiatry usually recommend a multi-faceted approach to treating Sever’s disease. Key treatment strategies include:
Reducing or modifying activities that provoke heel pain is essential. Encouraging low-impact activities can help prevent exacerbation.
Applying ice to the heel for 15-20 minutes after activities can help reduce pain and swelling.
Ensuring proper fitting shoes with good arch support and cushioning can alleviate stress on the heel. Custom orthotics may also be beneficial in correcting any biomechanical issues.
Stretching the calf muscles and Achilles tendon can relieve tension on the growth plate. Strengthening exercises for the foot and ankle can help improve overall stability.
A physical therapist can provide specific exercise regimens and modalities such as ultrasound therapy to aid in recovery.
Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or acetaminophen, may be recommended to manage pain and inflammation.
Gradually returning to sports and activities, guided by pain levels, can help prevent recurrences.
Educating the child and parents about the condition and its management is crucial to ensuring adherence to treatment and preventing future issues.
Custom or over-the-counter orthotic inserts can provide arch support, distribute pressure more evenly, and improve foot mechanics. This is particularly effective for conditions like plantar fasciitis.
In most cases, Sever’s disease is self-limiting, and symptoms generally improve with conservative management from our Podiatrists. Please contact our team at Sydney Podiatry for a succinct treatment and management plan.
