Sever’s disease is a heel condition that can affect children while their bones are still growing. It develops when repeated stress irritates the growth plate at the heel. The Achilles tendon attaches in this area and can place increased pulling force on the developing heel during activity. Symptoms include heel pain, tenderness, and discomfort after running or jumping. A child may also limp or avoid activities that put pressure on the heel.
This condition most affects active children during growth spurts, between 8 and 14 years old. Boys and girls can develop Sever’s disease. Children who participate in sports involving running and jumping may have greater risk because their heels experience impact. Tight calf muscles, increased sports participation, and limited recovery between activities can also contribute. Symptoms may become more noticeable when training intensity increases.
A podiatrist evaluates the child’s symptoms, activity level, and walking pattern. The provider may examine ankle flexibility and calf tightness to understand how stress is affecting the heel. Imaging is sometimes used when symptoms are unusual or another injury needs to be excluded. Treatment is usually conservative and focuses on reducing stress. Care may include activity modification, wearing supportive footwear and heel lifts. Follow-up visits help monitor improvement and adjust treatment.
Relief at home can begin by reducing activities that trigger pain and allowing recovery between active days. Supportive shoes can reduce strain, while gentle stretching may help improve calf flexibility when recommended. Children should not be encouraged to continuplayig sports through heel pain. Most children improve as the growth plate matures, but persistent symptoms require evaluation. If your active child has symptoms of Sever’s disease, it is suggested that you consult a podiatrist for effective relief and management solutions.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Akena Wannamaker, DPM from ASW Foot and Ankle. Our doctor can treat your child’s foot and ankle needs.
Sever’s Disease
Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.
Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.
Symptoms
Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.
Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.
If you have any questions, please feel free to contact our office located in Richmond, VA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
