Footnotes / Blog
What is Sever’s Disease?
Sever’s disease is an inflammation of the growth plate in the calcaneus (heel bone) that affects children, particularly active ones. This painful condition is common in growing adolescents, as repetitive stress on the heel can lead to irritation. If your child experiences tenderness on the back of the heel, they may have Sever’s disease.
Causes of Sever’s Disease
Sever’s disease typically presents in children between the ages of 8 and 15, often during a growth spurt. During this time, bones lengthen rapidly, while the muscles and tendons, including the Achilles tendon, do not always grow at the same pace. The result is increased tension on the point where the Achilles tendon attaches to the heel, causing inflammation and potential fragmentation of the bone.
- Growth Spurts: As bones grow faster than muscles and tendons, tightness occurs.
- Tight Calf Muscles: Limited ankle range of motion can increase strain on the Achilles tendon, contributing to the condition.
Diagnosis and Treatment
Sever’s disease is typically diagnosed based on the child’s symptoms and clinical evaluation. While a clinical exam is often sufficient, X-rays may be used to examine the calcaneal apophysis (growth plate of the heel), which may appear more white (sclerotic) and fragmented than normal.
Treatment
The primary treatment for Sever’s disease is rest. This gives the heel time to heal and prevents further irritation. A protective walking boot or cast may be used to reduce pressure on the heel.
Additional treatments may include:
- Ice: To reduce inflammation and pain.
- Anti-inflammatory Medication: To manage discomfort.
- Stretching and Strengthening Exercises: To help with tight calf muscles and improve range of motion.
Pain usually resolves once the growth spurt slows, but it can recur during future growth periods.
When to See a Podiatrist
If your child is experiencing heel pain, it’s important to consult a podiatrist. At Innovative Foot & Ankle, our podiatrists specialize in pediatric care and are trained to treat Sever’s disease and other foot conditions in children.
Visit Innovative Foot & Ankle
We offer comprehensive care for your child’s foot health across four convenient locations in Bergen County, Union County, Hudson County, and Essex County in northern New Jersey. Schedule an appointment with our licensed podiatrists to address any concerns about your child’s feet.
For more information, visit Innovative Foot & Ankle or contact us to set up an appointment.