Sever's disease is often experienced by active children aged nine to 14. It occurs when the child’s calf muscle and Achilles tendon excessively pull on the growth plate of the heel bone, or calcaneus, which is still developing until about age 15. Sever’s disease typically arises in young athletes, whose vigorous activities put additional strain on their heels. Children may experience pain along the sides of their heels, which intensifies when they stand on tiptoes or run. Some may also notice warmth and swelling in the affected area. A diagnosis is usually based on these symptoms, as X-rays, while helpful for ruling out issues like bone cysts or stress fractures, cannot confirm Sever's disease. Relief options include using heel pads to reduce tendon strain, night splints to stretch the calf muscles, or in severe cases, a cast to immobilize the area. If your active child is experiencing heel pain, it is suggested that you schedule an appointment with a podiatrist for a full exam and appropriate treatment for Sever’s disease.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Wendy L. Grossman, DPM from New Jersey. 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.
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