Sever’s Disease

Sever’s Disease, or also commonly referred to as calcaneal apophysitis, is one of the most common causes of heel pain in the paediatric population, affecting approximately 8% of all children. Usually occurring between the ages of 7-14, it is a condition affecting the growth plate of the calcaneus (heel bone).

Sever’s presents as heel pain that is worse barefoot and in the morning. This pain will also increase during and after sports and exercise. When feeling the heel itself, localised pain will be produced when squeezing both sides
of the heel simultaneously.

Factors that are commonly associated with Sever’s disease: high training loads or physical activity, height and weight, inappropriate footwear, playing high-impact sports (e.g. football, gymnastics, athletics), tight calves, hypermobile flat foot, and a recent growth spurt.

Sever’s disease is considered to be a self-limiting condition, i.e. gets better on its own. However, treatment is often indicated to ensure the child returns to sports as quickly and safely as possible. Initial treatment may involve: activity modification, footwear education and prescription, heel lifts, stretching exercises, as well as education and advice in regard to the condition itself.

If you would like assistance in treating Sever’s disease for you or a family member, chat to one of our friendly staff to book an assessment with one of our Podiatrists at Pro Health Care.

Pro Podiatry SA Tien Nguyen, Podiatrist

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