Sever’s disease is a painful heel condition that affects growing children and teenagers. It develops when repeated stress irritates the growth plate at the back of the heel. A growth plate is an area of developing tissue near the end of a bone. During a growth spurt, the heel bone can grow faster than nearby muscles and tendons. This can create tension where the Achilles tendon attaches to the heel. Children who participate in running or jumping activities can place repeated pressure on this area, making irritation and pain more likely.
Heel pain is the main symptom of Sever’s disease. The pain can affect one heel or both heels and can become worse with physical activity. The heel can also feel tender when squeezed. Some children develop swelling or redness around the painful area. They can begin limping or walking on their toes to avoid pressure on the heel. Sports that involve frequent running and jumping can increase the risk. Tight calf muscles and a tight Achilles tendon can also place more stress on the heel. Sever’s disease does not cause permanent damage to the growth plate.
A podiatrist can evaluate heel pain and determine whether Sever’s disease is responsible for the symptoms. The examination can include checking the heel for tenderness and assessing how the foot and ankle move. A podiatrist can also evaluate walking patterns and foot structure to identify factors that place extra stress on the heel. Treatment focuses on reducing irritation and protecting the growth plate while it heals. A podiatrist can recommend activity changes, supportive devices, or appropriate stretches based on the child’s condition. Care can help relieve pain and support a safe return to normal activities. If your active child has heel pain, it is suggested that you consult a podiatrist who can accurately diagnose and offer effective relief tips for Sever's disease.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Jordan Baker, DPM from Best Foot Forward Surgical Podiatry. 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.
If you have any questions, please feel free to contact our office located in Florence, SC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
