As children reach their growth spurt in early puberty, the heel is one of the first body parts to grow to full size. Because children's bones are growing so fast, the muscles or tendons can't keep up
and often become tight. The tight heel tendons can put a lot of stress on the heel, especially if a child is involved in athletics or other weight-bearing activity. Over time, too much pressure on
the heel can injure it and result in Sever's disease, also called calcaneal apophysitis.
The usual cause is directly related to overuse of the bone and tendons in the heel. This can come from playing sports or anything that involves a lot of heel movement. It can be associated with
starting a new sport, or the start of a new season, or too much weight bearing on the heel. Also, excessive traction could cause this, since the bones and tendons are still developing. Many children
who over pronate their feet exhibit symptoms and in most patients, it usually involves both heels.
If your child is suffering from this disease they will be experiencing pain and tenderness in the back of their foot. This soreness can also extend to the sides of the feet. Other sure signs of this
disorder include swelling and sensitivity to touch. Because of the amount of discomfort, your child may find it difficult to walk or run. Pay attention to the way your child is walking. If you notice
unusual posture or abnormal gait they may be avoiding placing pressure on the heel. These symptoms typically become apparent during activity and exercise or directly following it. If your child is
indicating pain in their heel, schedule an appointment with us today.
It is not difficult for a doctor to diagnose Sever's disease in a youngster or teenager. A personal history and a physical examination are usually all it takes to determine the cause of heel
Non Surgical Treatment
Depending on the underlying cause, treatment can include. Arch supports (foot orthoses) to correctly support the feet. Proper taping of the foot and heel. Rest from activities. Icing at the end of
the day. A night splint worn at night. Flexibility exercises and strengthening. Ultrasound therapy. Anti-inflammatory drugs.
Sever's Disease may be prevented by maintaining good flexibility while the child is growing. The stretching exercises can help lower the risk for injuries during a growth spurt. Having good quality
shoes with firm support and a shock-absorbent sole will also help. Child should also avoid excessive running on hard surfaces.