Sever's Disease

Sever's disease, also known as calcaneal apophysitis, is a common condition that affects children and adolescents, typically between the ages of 8 and 14 years old. It is characterized by inflammation of the growth plate in the heel bone, which can cause pain and discomfort.

Symptoms

• Pain or tenderness in the heel, which may be worse after physical activity
• Swelling or redness in the affected area
• Limping or walking on tiptoes to avoid putting pressure on the heel
• Pain when squeezing the heel from both sides
• Pain when pressing on the back of the heel

Causes and Risk Factors

Sever's disease is often caused by overuse or repetitive stress on the heel, which can occur due to:

• Participating in sports that involve running or jumping, such as soccer, basketball, or gymnastics
• Rapid growth spurts during puberty
• Wearing shoes that are too tight or do not provide adequate support
• Having flat feet or other foot abnormalities
• Being overweight or obese

Treatments

The goal of treatment for Sever's disease is to reduce pain and inflammation, promote healing, and prevent further irritation. Treatment options may include:

• Rest and ice: Avoiding activities that aggravate the condition and applying ice to the affected area to reduce pain and inflammation
• Stretching and exercises: Gentle stretching and strengthening exercises to improve flexibility and strength in the foot and ankle
• Orthotics and shoe modifications: Using orthotic devices or shoe inserts to reduce stress on the heel and provide additional support
• Pain relief medication: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, to help manage pain and inflammation
• Physical therapy: A physical therapist can help improve range of motion, strength, and flexibility in the foot and ankle
• Casting or immobilization: In severe cases, a cast or walking boot may be used to immobilize the foot and promote healing

Prevention

To prevent Sever's disease, it is recommended to:

• Wear shoes that fit properly and provide adequate support
• Avoid overuse or repetitive stress on the heel
• Stretch regularly to improve flexibility and strength in the foot and ankle
• Maintain a healthy weight to reduce stress on the feet and ankles
• Avoid participating in sports that involve excessive running or jumping if symptoms persist

Prognosis

With proper treatment and rest, Sever's disease typically resolves on its own within a few weeks to several months. However, it is essential to continue with stretching and strengthening exercises to prevent recurrence and promote long-term healing.

Frequently Asked Questions (FAQs)

What is Sever's disease?
A common heel injury in children.

What causes Sever's disease?
Overuse or repetitive stress on the heel.

What are the symptoms of Sever's disease?
Heel pain and swelling.

Who is at risk for Sever's disease?
Active children between 8-14 years old.

How is Sever's disease diagnosed?
Physical exam and medical history.

Can Sever's disease be prevented?
Yes, with proper footwear and stretching.

What is the treatment for Sever's disease?
Rest, ice, and physical therapy.

Will Sever's disease require surgery?
Rarely, in severe cases only.

How long does it usually take to recover from Sever's disease?
Several weeks to months.

Can children with Sever's disease still participate in sports?
Modified activities, yes, but with caution.