Footnotes / Blog
What is Calcaneal Apophysitis (Sever’s Disease)?
Calcaneal apophysitis, commonly known as Sever’s disease, is an inflammation of the growth plate located at the back of the heel. It is the most frequent cause of heel pain in children, particularly between the ages of 10 and 14. The condition is often associated with physical activity and is considered an overuse injury.
Causes of Calcaneal Apophysitis
Bones grow through a process involving the growth plate, an area of cartilage that gradually fuses as children reach adulthood. In the heel, the growth plate is located in the calcaneus, or heel bone, behind an area called the apophysis. When repetitive stress or strain is placed on this area, it can result in inflammation.
This condition is most common in young athletes, especially those who wear cleats or engage in sports on hard surfaces. The reduced support from cleats and the increased impact on hardened ground during winter months can exacerbate the issue.
Symptoms and Diagnosis
The hallmark symptom of calcaneal apophysitis is pain at the back of the heel that worsens during or after physical activity and improves with rest. Parents may notice their child limping or complaining of discomfort during sports or other activities. The pain may be accompanied by tenderness and swelling near the heel.
Diagnosis is primarily clinical and based on history and a physical examination. Imaging, such as X-rays, may be used to rule out other causes of heel pain.
Treatment Options
While Sever’s disease is self-limiting and resolves as the growth plate fuses with maturity, there are several strategies to alleviate symptoms and speed recovery. Recommended treatments include:
- Ice Therapy: Applying ice to the affected area reduces inflammation and pain.
- Stretching: Stretching exercises, especially for the calf muscles and Achilles tendon, help reduce tension on the heel.
- Heel Lifts: Using heel lifts in shoes alleviates strain on the growth plate by raising the heel slightly.
- Orthotics: Custom or over-the-counter orthotics can provide additional arch support and cushioning, reducing stress on the heel.
How Innovative Foot & Ankle Can Help
At Innovative Foot & Ankle, we specialize in diagnosing and treating conditions like calcaneal apophysitis. Our tailored treatment plans focus on getting your child back to pain-free activity as quickly and safely as possible. If your child is experiencing heel pain, schedule a consultation with us today.