Sever's disease, also called "calcaneal apophysitis," is a common cause of heel pain in children and preteens. It is caused by tugging of the Achilles tendon on the growth plate of the heel bone, causing pain and inflammation over the back of the heel. It is often seen in kids who participate in sports involving running or impact, and often occurs during growth spurts, when tendons and muscles tend to become tight.
Diagnosing Sever’s Disease
Sever's disease can be diagnosed with:
- Physical exam
- X-rays
- Ultrasound
Treating Sever’s Disease
The specific treatment for your child will depend on many things, including their age, health, level of pain, and goals for sports and activity. Your physician will work with you, your child, and collaborate with physical therapy and other specialists to determine the best plan for your child.
For more mild cases, home care (including rest from sports, icing the affected area, and home stretching and strengthening exercises) can be enough to treat the pain.
For more severe pain, physical therapy is often helpful to improve flexibility and strength and to reduce inflammation and pain. Heel cups, changes to footwear, or special insoles can help cushion the area.
In almost all cases, this condition resolves with time when your child is done growing. Kids rarely need surgery for Sever's disease.