If your child is limping, having difficulty walking, complaining of pain in their heels upon waking up in the morning or experiencing swelling or redness in the heel, it's extremely important that
you pay attention to their symptoms and seek expert medical help as soon as possible. Heel pain in adolescents is frequently a sign of a condition known as Sever's Disease (Calcaneal Apophysitis),
and while this is not a life-threatening condition, it can lead to debilitating symptoms for your child which should be remedied as quickly as possible. This article provides an easy-to-read
introduction to the causes of and treatment options for Sever's Disease. By educating yourself on this important topic, you will be ready to seek the right help for your child so that he or she can
regain their health and be free of pain again.
At birth, most of our foot bones are still made of cartilage, which ossifies (becomes bony) over the first few years of life. At the back of the heel, there is a growth plate that is attached to the
main body of the heel bone by a cartilaginous join. At about the age of 14-15 years, this area of cartilage between the growth plate and the heel bone ossifies, fusing the area to the heel. Sever?s
disease occurs when there is too much motion or strain across the growth plate, resulting in this area becoming inflamed and painful.
In Sever?s disease, heel pain can be in one or both heels. It usually starts after a child begins a new sports season or a new sport. Your child may walk with a limp. The pain may increase when he or
she stands on tiptoe. Your child?s heel may hurt if you squeeze both sides toward the very back. This is called the squeeze test. Your provider may also find that your child?s heel tendons have
A Podiatrist can easily evaluate your child?s feet, to identify if a problem exists. Through testing the muscular flexibility. If there is a problem, a treatment plan can be create to address the
issue. At the initial treatment to control movement or to support the area we may use temporary padding and strapping and depending on how successful the treatment is, a long-term treatment plan will
be arranged. This long-term treatment plan may or may not involve heel raises, foot supports, muscle strengthening and or stretching.
Non Surgical Treatment
Depending on the underlying cause, treatment can include. Arch supports (foot orthoses) to correctly support the feet. Proper taping of the foot and heel. Rest from activities. Icing at the end of
the day. A night splint worn at night. Flexibility exercises and strengthening. Ultrasound therapy. Anti-inflammatory drugs.
For children with Sever's disease, it is important to habitually perform exercises to stretch the hamstrings, calf muscles, and the tendons on the back of the leg. Stretching should be performed 2-3
times a day. Each stretch should be performed for 20 seconds, and both legs should be stretched, even if the pain is only in one heel. Heel cups or an inner shoe heel lifts are often recommended for
patient suffering from Sever's disease. Wearing running shoes with built in heel cups can also decrease the symptoms because they can help soften the impact on the heel when walking, running, or