Sever’s disease causes heel pain in growing children, especially those who run or jump in sports. Despite its name, it is not an illness or disease. It is irritation and swelling at the growth plate in the heel bone. A growth plate is developing tissue where a child’s bone grows. During a growth spurt, the heel bone can grow faster than nearby muscles and tendons. The Achilles tendon then pulls tightly against the growth plate. Repeated activity can make the area sore. The problem usually develops between ages nine and 14, and does not cause lasting damage after the growth plate matures.
A child with Sever’s disease can feel pain or tenderness in one or both heels. The heel can also become swollen, red, or stiff after waking. Some children limp or walk on their toes to avoid pressure. A podiatrist asks about the child’s sports, growth, and symptoms. The podiatrist also examines the foot and gently presses the sides of the heel. X-rays do not show Sever’s disease, but the podiatrist can order them to rule out a fracture or another cause of pain.
Treatment aims to reduce strain on the growth plate and help the heel recover. A podiatrist can recommend changes to activities based on the child’s pain. This foot doctor can also check whether the child’s shoes fit correctly and provide enough cushioning and support. Heel cups or custom shoe inserts can reduce pressure and improve foot position. For severe pain, the podiatrist can prescribe a walking boot or a short cast to limit heel movement. Children should return to sports only when activity no longer causes pain. Sever’s disease usually clears as the heel finishes growing. If your active child complains of heel pain, it is suggested that you schedule an appointment with a podiatrist who can accurately diagnose and offer relief tips for Sever’s disease.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Josef Elouze, DPM from Elite Podiatry. 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 (Holiday City) Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
