Understanding Sever’s Disease in Growing Children

Sever’s disease, also known as calcaneal apophysitis, is a common cause of heel pain in growing children and adolescents, especially those who are active in sports. It occurs when the growth plate in the heel becomes irritated due to repetitive stress or excessive impact. Symptoms often include heel pain during or after activity, tenderness when the heel is squeezed, limping, or difficulty walking barefoot. The affected area may appear slightly swollen or red, and the pain often worsens with running or jumping. Causes include rapid growth spurts, tight calf muscles, improper footwear, or overtraining. A podiatrist can diagnose Sever’s disease through a physical exam, gait analysis, and discussion of activity levels. Treatment focuses on reducing inflammation and relieving pressure through rest, supportive shoes, heel cups, or orthotics. Early management helps prevent recurring pain and allows children to stay active safely. It is suggested that you make an appointment with a podiatrist if your child experiences heel pain.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Theresa Brown, DPM from Essie M.B. Smith Foot Clinic. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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

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