Sever's Disease

What is Calcaneal Apophysitis?

The heel bone is called the calcaneus. In children, there is an area on the heel bone where the bone grows that is called the growth plate, or apophysis. Calcaneal apophysitis, also called Sever’s disease, is inflammation of the calcaneal growth plate that causes pain in the heel. It is the most common cause of heel pain in children, adolescents, and teenagers.

Sever's Disease Causes

Calcaneal apophysitis, or Sever's disease, occurs when the heel growth plate inflames from overusing the foot with repetitive heel strikes. Heel pain in kids can be caused by:

  • Overuse playing sports
  • Wearing shoes with poor heel padding our poor arch supports
  • Running and jumping, worsening the symptoms

Sever's Disease Diagnosis

If your child complains of heel pain, they may be experiencing symptoms of Sever's Disease and you should schedule an appointmnent with Children's Ortho. One of our providers will check for tenderness over the bottom part of your child’s heel. In severe cases of calcaneal apophysitis, the orthopaedic doctor may order an X-ray to be sure there is no damage to the growth plate.

How do you treat Sever's Disease?

Your child may need to rest or do activities that do not cause heel pain. It is very important that your child wear shoes with padded heel surfaces and good arch supports. Extra heel pads may be placed in your child’s shoe. Your healthcare provider may recommend shoe inserts, called orthotics. You can buy orthotics at a pharmacy or athletic shoe store, or they can be custom-made. Your provider may also prescribe an anti-inflammatory medicine for your child.

When can my child return to his or her sport or activity?

The goal of Sever's Disease treatment is to return your child to his or her sport or activity as soon as is safely possible. If your child returns too soon the injury may be made worse, which could lead to permanent damage. Everyone recovers from injury at a different rate. Return to his or her activity will be determined by how soon your child’s heel recovers, not by how many days or weeks it has been since the injury occurred. In general, the longer your child has symptoms before starting treatment, the longer it will take to get better.

If the heel hurts, your child needs to rest from his or her sport activity. Your child should rest for several days at a time and then go back gradually. Before returning, he or she should be able to jog painlessly, then sprint painlessly, and be able to hop on the injured foot painlessly. If at any time during this process your child develops further heel pain, he or she should rest for 3 to 4 more days until the pain is gone before trying to return again.

How can calcaneal apophysitis be prevented?

Calcaneal apophysitis is best prevented by having your child wear shoes that fit properly. The heel portion of the show should not be too tight, and there should be good padding in the heel. You may want to put extra heel pads in your child’s shoes.

Schedule An Appointment

Some children simply get too much physical activity (such as playing on too many teams, practicing for hours, etc). Their heel pain is a message to slow down. If your child is experiencing heel pain, contact our team today.