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Severs disease

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What is it?

Sever’s disease (calcaneal apophysitis) is a condition where a child develops inflammation at the back of the heel bone (calcaneus). This area contains a growth plate (where young bones grow and lengthen) and is also the site where the achilles tendon attaches to the bone. Calcaneal apophysitis (Sever’s disease) is an over-use injury and is common in children during puberty (aged 9-14)  who are very sporty and/or are having a “growth spurt”. The symptoms are often: stiffness in the morning (at the back of the heel), swelling in the area and the child may start to limp if it gets very painful. It is also often sore if you squeeze the heel from either side.

How can I help myself?

If you think your child has calcaneal apophysitis then stopping or at least reducing activity levels is the best initial option, and you could consider ice therapy.

Footwear is really important too.

It is then a good idea that you get this looked at by a podiatrist or physio who can guide you further.

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When to see a Podiatrist?

The best thing to do is get this properly diagnosed in the first instance.

Your podiatrist will use clinical diagnosis (an x-ray is often not required) and can then offer the best treatment options moving forwards. This may include rest and activity modifications, orthotic devices / insoles, heel cups/pads, alteration of footwear, stretching and strengthening exercises and also strapping. If it is a severe case, they may need to use a walker boot to offload it for a few weeks.

Severs disease
Severs disease
Severs disease