Sever’s Disease

Children often experience aches and pains as they grow, but some discomfort may indicate a specific condition requiring attention. One such condition is Sever’s disease, a common cause of heel pain in active children. Recognizing and addressing this issue early can help your child stay pain-free and active.

What is Sever’s Disease?

Sever’s disease, or calcaneal apophysitis, is a painful inflammation of the growth plate in the heel. It typically affects children aged 8 to 15, especially during growth spurts. This condition arises from repetitive stress or tension at the heel, leading to localized pain and discomfort.

Causes of Sever’s Disease

Repetitive Stress

The condition often results from repeated activities like running or jumping, which strain the growth plate.

Common Sports and Activities

Children involved in sports such as soccer, basketball, gymnastics, or track and field are particularly at risk due to the constant pressure on their heels.

Poor Footwear

Shoes lacking adequate support and cushioning can exacerbate the problem by failing to absorb shock during activity.

Other Contributing Factors

Standing for long periods, especially on hard surfaces, can also contribute to heel pain in children.

children's bare heels in jeans on a wooden floor with a brown plaid

Symptoms of Sever’s Disease

The primary symptom of Sever’s disease is heel pain, but other signs include:

  • Tenderness and Pain Location: Pain at the back or bottom of the heel.
  • Worsening Pain with Activity: Symptoms often intensify during or after sports.
  • Limping or Altered Walking Patterns: Your child may avoid putting weight on the affected foot.
  • Swelling and Stiffness: The heel area may appear swollen and feel stiff, especially in the morning.
Little child standing with barefoot on the floor. Heating concept.

Diagnosis of Sever’s Disease

Diagnosing Sever’s disease involves:

  • Physical Examination: Our podiatrist will assess the heel for tenderness and swelling.
  • Discussing Symptoms and History: Questions about your child’s activities and pain patterns will help pinpoint the cause.
  • X-rays: These may be used to rule out fractures or other conditions causing heel pain.

Duration of Pain from Sever’s Disease

With proper care, symptoms of Sever’s disease typically resolve within a few weeks to months. However, as growth spurts continue, symptoms may recur until the growth plate matures.

    Treatment Options for Sever’s Disease

    Initial Steps

    Limiting high-impact activities and encouraging rest is essential to relieve stress on the heel.

    RICE Method

    • Rest: Avoid activities that worsen pain.
    • Ice: Apply ice packs to reduce swelling.
    • Compression: Use an elastic bandage to stabilize the heel.
    • Elevation: Keep the foot raised to minimize inflammation.

    Pain Management

    Over-the-counter pain relievers like ibuprofen can help alleviate discomfort.

    Supportive Footwear and Inserts

    Ensure your child wears properly fitted shoes with adequate arch support and cushioning. Custom or over-the-counter orthotic inserts may provide additional relief.

    Additional Treatment Options

    • Stretching and Physical Therapy: Exercises to improve flexibility and strengthen muscles can reduce strain on the heel.
    • Walking Boots: In severe cases, a boot may immobilize the foot and allow healing.

    When to Consult Our Doctor

    Seek medical attention if:

    • The pain is severe or persistent.
    • Symptoms do not improve with rest and basic care.
    • There are signs of significant swelling or other injury.

    Sever’s disease is a manageable condition when addressed promptly. By recognizing the symptoms and seeking appropriate care, you can help your child enjoy an active and pain-free lifestyle. If your child experiences persistent heel pain, don’t wait—contact us or call 313-582-6222 for expert assessment and tailored treatment options.

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