Sever’s disease, also known as calcaneal apophysitis, is a common cause of heel pain in growing children. Despite the name, it is not actually a disease but rather an overuse injury that occurs when the growth plate in the heel becomes inflamed.
Pain or tenderness in one or both heels.
Discomfort that worsens during or after physical activity.
A tendency to walk on toes or limp to avoid putting weight on the heel.
Swelling or redness around the back of the foot.
Heel pain that improves with rest.
Physical Examination
X-rays are rarely needed to diagnose this condition, though they might be used to rule out other issues like fractures.
The goal of treatment is to reduce pain and inflammation while allowing the growth plate to heal.
Rest: Reduce or temporarily stop activities that cause pain.
Ice: Apply ice packs to the heel for 15 minutes several times a day.
Supportive Footwear: Use heel cups or orthotic inserts to cushion the impact.
Stretching: Focus on exercises for the calf muscles and Achilles tendon.
Medication: Over the counter anti-inflammatory medicine may be utilized