Sever’s disease is a painful heel condition that affects growing children, especially those who participate in running or jumping sports. It is not a disease in the usual sense but an irritation of the heel’s growth plate, which is the area where new bone is still forming. This growth plate sits at the back of the heel bone, near where the Achilles tendon attaches. When a child runs, jumps, or lands hard, repeated pulling and pressure can irritate this area. Soccer, basketball, gymnastics, and football can place extra stress on the heel.
Heel pain from Sever’s disease usually develops slowly. A child may describe the pain as feeling like a bruise at the back or bottom of the heel. The pain is usually worse with sports, running in cleats, or wearing shoes that lack adequate support. Swelling and bruising are not always seen. Some children limp, walk on their toes, or stop wanting to play. Tight calf muscles, flat feet, and high-arched feet can increase stress on the heel. A podiatrist can examine the heel, check the foot structure, and look at how the child walks.
Diagnosis does not rely on symptoms alone. A podiatrist can tell whether the pain is from Sever’s disease or another problem. X-rays can be ordered to check bone growth and rule out other causes of heel pain. A stress fracture, tendon irritation, or a bone cyst may produce similar symptoms. Treatment of Sever’s disease includes shoe changes, heel lifts, custom orthotics, and activity guidance based on the child’s exam. A podiatrist can also address tight calf muscles and foot mechanics that add strain to the heel. If your active child complains of heel pain, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and effective relief tips.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Shawn Echard, DPM from Laurel Podiatry LLC. Our practitioner 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 offices located in Greensburg and Somerset, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
