Understanding Sever's Disease
Sever's disease (calcaneal apophysis) is the most common cause of heel pain in children. It involves stress and inflammation at the rear growth plate of the heel bone (Calcaneus), caused by increased tension from the calf muscles. Although the condition is self-limiting and resolves when the bone fuses (which can take a couple of years), active treatment is necessary to reduce pain and maintain the child's activity levels.
Causes and Presentation
While there is no single known cause, Sever's disease is associated with tight calf muscles, a pronated (rolled-in) foot type, growth spurts/puberty, and increased body weight. External factors like hard surfaces or poor footwear, combined with a sudden increase in physical activity (such as starting a new sports season), can trigger it. The pain is located at the back or side of the heel, worsens after activity, and may cause the child to limp or walk on their tiptoes.
Treatment Goals
Sever's disease typically affects active children aged 8 to 15, peaking around 10-11 years old, and is more common in boys. The primary aim of treatment is to reduce the load and tension placed on the Achilles tendon insertion and manage pain. This is achieved through modifying activity, using heel raises or shoe inserts, targeted calf stretching, and avoiding walking barefoot.
Advanced Management Options
Further treatment options include taping the foot to limit movement, and orthotic therapy to correct underlying biomechanical issues. For severe cases, immobilization in a walking boot or cast for several weeks may be necessary. Other supportive measures include icing the painful area and, if needed, taking pain medication.
Schedule Your Child’s Heel Relief
Don't let heel pain sideline your child. Book an appointment online with our expert Brisbane Podiatrists for effective treatment aimed at reducing pain and keeping your child active until the condition resolves.