Sever’s disease is the most common cause of heel pain in children and adolescents, especially those who play sport or are particularly active. Sever’s disease occurs when the growth plate at the back of the heel bone becomes aggravated and painful.
At The Walking Clinic we offer a full range of children podiatry services.
Sever’s disease, also known as calcaneal apophysitis, is a common condition affecting children and adolescents, particularly
those who are active in sports. It involves inflammation of the growth plate in the heel (calcaneus) due to repeated stress and
strain. Here are the main causes:
Sever’s disease typically occurs during periods of rapid growth when the bones grow faster than the surrounding muscles and tendons, leading to tightness and stress on the heel.
Increased physical activity, especially high-impact sports like running, basketball, and soccer, can place extra stress on the heel.
Structural issues such as flat feet, high arches, or improper foot mechanics can contribute to the condition by altering how force is distributed across the foot during activity.
Tightness in the calf muscles or Achilles tendon can increase strain on the heel and contribute to inflammation.
Wearing poorly fitted shoes or those that lack proper support can exacerbate the condition.
Activities that involve repeated jumping or running can lead to increased stress on the heel, resulting in inflammation.
Treating Sever’s disease typically involves a combination of conservative approaches aimed at reducing pain and promoting healing. Here are some common treatments:
Activity Modification: Limit activities that exacerbate heel pain, especially high- impact sports.
Application of Ice: Use ice packs on the affected heel for 15-20 minutes several times a day to reduce swelling and pain.
Once pain improves, gradually reintroduce activities. Monitor for any return of symptoms.
Regular follow-up with your podiatrist to monitor progress and adjust treatment as needed.
Sever’s disease may flare during periods of increased growth and physical activity and then ease somewhat during quieter periods. The condition will permanently resolve when the growth plate in the child’s heel bone closes, usually around 13-15 years of age.
Sever’s disease often resolves within a few months but can persist longer, depending on the child’s activity level and adherence to treatment. It usually improves as the child grows and the growth plate closes.
