Sever’s Disease

Sever’s Disease

Sever’s disease, also known as calcaneal apophysitis, is a common cause of heel pain in growing children, typically affecting those between the ages of 8 and 14. It is not a disease in the traditional sense but rather an inflammation of the growth plate in the heel, which is a vulnerable area in children because it is still developing.

Causes

Sever's disease occurs due to repetitive stress and strain on the heel, often from physical activities such as running, jumping, or sports that involve a lot of foot impact. It is more common in active children, especially those involved in sports like soccer, basketball, or gymnastics. The condition is exacerbated by tight calf muscles, which can put additional stress on the heel.

Symptoms

- Pain and tenderness in the heel, particularly after physical activity
- Swelling and redness in the heel
- Difficulty walking, with a tendency to walk on tiptoes to avoid putting pressure on the heel
- Stiffness in the foot upon waking or after resting

Diagnosis

A healthcare provider typically diagnoses Sever's disease based on a physical examination and the child's history of activities. X-rays are usually not necessary unless there is concern about other possible conditions.

Treatment

The main focus of treatment for Sever’s disease is relieving the symptoms and allowing the heel to heal. This may include:
– Rest: Reducing or temporarily stopping activities that cause heel pain.
– Ice: Applying ice to the heel to reduce inflammation.
– Heel pads or orthotics: Cushioning the heel to alleviate stress on the growth plate.

– Stretching exercises: Particularly for the calf muscles, to reduce strain on the heel.
– Pain relief: Over-the-counter pain medications like ibuprofen or acetaminophen can help manage pain and inflammation.
– Proper footwear: Ensuring that the child wears supportive shoes that cushion the heel and avoid excessive heel pressure.

Prognosis

Sever’s disease typically resolves on its own once the child’s heel bone (calcaneus) finishes growing, usually around the age of 14-16.

However, managing symptoms during active growth phases is crucial to preventing chronic pain or complications.

It’s important to consult with a healthcare professional if your child experiences heel pain to ensure proper diagnosis and treatment.

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