ValleyOrtho’s physicians treat a wide range of common foot and ankle
conditions, including calcaneal apophysitis, also known as Sever’s disease.
About
Patients with Sever’s Disease may have activity-related pain in the
back part of the heel. Sever’s disease is the most common cause
of heel pain in children between the ages of 9 to 13. This occurs due
to inflammation of the growth plate in the heel, believed to be caused
by repetitive irritation from the pull of the Achilles tendon on the growth
plate. Many patients report pain in both heels.
Causes
Sports with running and jumping
Poor footwear
Tight lower leg muscles, primarily the Achilles tendon and the calf
Large growth spurts
Symptoms
Heel pain on one or both sides
Heel pain with running, jumping and other sport-related activities
Limping
Pain when the heel is squeezed
Diagnosis
Our specialists at ValleyOrtho will skillfully diagnose and treat Sever’s
Disease to safely return these young athletes to their sport. Most often,
X-rays will be taken in order to rule out other causes of pain.
Treatment
This condition is usually treated conservatively. A referral to physical
therapy for specific stretches, strengthening exercises and balance activities
will be recommended. Activity modifications, anti-inflammatory medications,
arch supports and/or orthotics may also be of benefit. Some athletes’
calves are so tight that heel lifts may be indicated. The young athlete
should be able to return to normal activities as the pain decreases.
The care team at ValleyOrtho is committed to delivering the best in patient-centered
care for the young athletes in the Roaring Fork Valley and beyond.
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