Severs Disease causes nealry all Heel Pain In Children
Calcaneal Apophysitis is inflammation of the growth plate of the heel bone. It is
commonly known as Severs disease and affects children between the ages of 10-14years. The condition can require on-going management for approximately 2 years. It is caused by the excessive pull of the Achilles tendon on the back of the heel. Pain in produced due to irritation of the secondary growth plate that is found at the back of the heel bone (calcaneus). The pain can be centred at the back of the heel, but can radiate up along the Achilles tendon. Pain can be severe enough to cause a limp or stop the child from playing sport. The condition is frequently aggravated with an increase in activity level such as starting a seasonal sports such as soccer, netball basketball or football codes.
1. stretches for the calf muscles are often prescribed to increase the flexibility of the ankle
joint. This allows for a decrease in the pulling effect of the Achilles tendon and calf muscle.
2. Heel raisers may also be placed into the child’s shoes in order to reduce the tension from the
3. Appropriate stable shoes for exercise and sport.
4. Orthotics may be prescribed to control abnormal foot function (i.e. pronation – which is
excessive rolling in of the feet).
5. The application of ice and anti-inflammatory cream to the heel.
6. Rest from sporting activity.