Tag Archives: Calcanel Apophysitis

What is the treatment of Severs disease?

Pain in the heel of children isn't very common, but when it does happen, the most frequent cause is a disorder known as Severs disease. It is not a real “disease”, however it is the label that has unfortunately widely used. It is actually correctly known as calcaneal apophysitis. It is a problem in the growing region at the back of the heel bone. Since it is a disorder, of the growing bone, the disorder is self-limiting and definately will no longer be an issue when the growth of that bone has concluded. It is more prevalent around the ages of 10-12 years.

The classic symptom of Severs disease is soreness on activity and soreness on squeezing the sides of the rear area of the heel. In the beginning the discomfort is not that bad and doesn't impact action very much, however later it becomes more severe and affects sports participation and might result in limping. The exact reason for it is not clear, but it is clearly an excessive use type condition because it is more prevalent in those who participate in more sport and more frequent in kids who have got a higher body weight. Children with tighter calf muscles can also be at a greater risk for the development of this disorder.

Usually, the management of Severs disease is load management. The child is encouraged to remain active, but just reduce exercise levels to a level that can be coped with and not too painful. A cushioning heel raise in the footwear might be helpful to protect it. Ice right after sport may also be helpful to help the inflammation. If the calves are tight, then a stretches needs to be used. Occasionally foot supports may help if the arch of the foot is overpronated. On rare occasions a splint can be utilized, and all activities halted until it heals. By the mid-teens the growing plate that this occurs at merges with the rest of the heel bone, and this ceases to be an issue at those age groups.