Severs disease, also known as calcaneal apophysitis, is a condition in which the growth plate along the heel becomes inflamed. It most commonly occurs in active, early-teen children. Most patients
with Severs disease complain of heel pain. In general the pain is exacerbated with increased activities, such as running, jumping, or climbing stairs. The pain often improves with a period of
Sever?s disease is an osteochondrosis caused by overloading the insertion of the Achilles tendon onto the calcaneus and the apophyseal growth plate in this area. This C-shaped growth zone can become
inflamed secondary to repetitive traction stress of the Achilles tendon. Calcaneal apophysitis is a common injury in young athletes and is believed to be caused by running and jumping. Active
Children and adolescents (usual age of occurrence 7 to 15 years), particularly during the pubertal growth spurt or at the beginning of a sport season (e.g. gymnasts, basketball and football players),
often suffer from this condition. This disease occurs most commonly during the early part of the growth spurt. A boy-to-girl ratio is 2-3:1. None of these causative factors has been tested
prospectively and, where tested, none of the measurements has been carried out systematically, and reliability or validity of the measurements has not been considered.
Symptoms include complaints of pain or tenderness in the heel (or heels), discomfort when heel is squeezed, limping, and more severe pain after walking, running or playing sports. Sever?s disease is
directly related to overuse of the bone and tendons in the heel. This can come from playing sports or anything that involves lots of heel movements and hard shoes such as cleats. It can be associated
with starting a new sport, or the start of a new season. It occurs more commonly in children who pronate (feet roll inward), and involves both heels in more than half of patients.
Sever condition is diagnosed by detecting the characteristic symptoms and signs above in the older children, particularly boys between 8 and 15 years of age. Sometimes X-ray testing can be helpful as
it can occasionally demonstrate irregularity of the calcaneus bone at the point where the Achilles tendon attaches.
Non Surgical Treatment
If your child suffers from Sever?s Disease, it is important you take him or her to see your podiatrist, as it can take some time for the condition to completely resolve. Possible treatment options
for Sever?s disease may include. Rest from aggravating activities. Ice massage to reduce localised inflammation. Heel lifts placed inside the shoe to reduce the strain on the growth plate. Athletic
footwear advice, poor footwear can sometimes be the major contributing factor in the development of Sever?s disease. Orthotic therapy, if your child has an abnormal foot posture that is contributing
to the development of Sever?s disease, this will need to be treated with orthotic therapy. Orthotics for Sever?s disease may need to be prescription (custom-made) or non-prescription foot orthotics
depending on your child?s foot posture, Exercise program, stretching exercises to improve flexibility of the leg muscles and strengthening exercises to address any foot muscle weakness or imbalance.
Avoid barefoot walking, hill running and training on hard surfaces.