Sever’s disease, also known as Calcaneal apophysitis, is a common cause of heel pain in active children and occurs when the growth plate of the heel is injured due to excessive force. It is primarily found in early adolescence (girls of 8 to 10 years old and boys of 10 to 12 years old), due to the fact that growth at this age is quite rapid, while the relevant muscles aren’t always able to develop and lengthen at the same pace.
What are the symptoms of Sever’s disease?
Parents may notice their child being less eager to run and may see redness and swelling with the child confirming pain in one or even both heels. A child may also start to run awkwardly or not be able to rise to the tips of their toes without aggravating the pain.
What causes Sever’s disease?
Poor foot biomechanics in conjunction with the rapid growth are the primary causes for the onset of Sever’s disease, leading to heel pain in physically active, growing kids. This may however also occur even if a child isn’t that active.
The main factors thought to predispose one to Sever’s disease are:
What is the parent’s best course of action?
You may consult directly with your Physiotherapist who will conduct a clinical examination, which may include a ‘squeeze test’, to determine a diagnosis and the nature of your child’s specific condition. Physiotherapy treatment aims to restore the foot and leg biomechanics to normal, in addition to eliminating the pain. By going directly, you can save both time and money while prioritising your child’s needs.
Depending on the child’s presentation, some or all of the following phases of treatment may be carried out:
It’s evident that a comprehensive programme should be adopted, yet there is no need for the rehabilitation to be laborious. Contact us to have your child actively engaging in their favourite activities yet again.
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You must not rely on the information on this site as an alternative to medical advice from your physiotherapist or other medical practitioner. If you have any specific questions about any medical matter, you should consult directly with your physiotherapist or other medical practitioner. If you think you may be suffering from any condition, you should seek immediate medical attention. You should never delay seeking medical advice, disregard medical advice or discontinue medical treatment because of information on our website.