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Why does Sever’s Disease Hurt So Much?

What is Sever’s Disease?

Sever’s disease, also called calcaneal apophysitis, is a common cause of heel pain in children. It  usually occurs in active children between the ages of 10-12, however the condition can be seen in children as early as 8 years old and as late as 14.

 

What causes Sever’s Disease?

It is an irritation to the grown plate in the heel bone, caused by repetitive stress and traction from the Achilles tendon. When the calf bones known as tibia and fibula grow quicker than the Achilles tendon, the growth of these bones causes the tendon to tighten, and in turn causes pain to the heel bone.

Children and adolescents involved in soccer, running, basketball and football are mostly affected due to the repeated nature of running and jumping on hard surfaces of these sports.

Excess pronation is the rolling in of the feet as well as fallen arches. This also plays a contributing factor to heel pain in children as it will increase the stress placed on the growth plate.

 

Symptoms of Sever’s Disease:

  • Heel pain and tenderness (usually worsens after running or jumping)
  • Swelling and/or redness around heel bone
  • Limping
  • Tenderness in the back of the heel that worsens when area is squeezed

 

Diagnosis of Sever’s:

It is important to diagnose the heel pain correctly and accurately, therefore history taking, physical examinations and biomechanical assessments are essential. Should your child’s heel and foot pain persist, please do not hesitate to book an appointment with one of our friendly and skilled podiatrists today!

 

 

Sources:
https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/severs-disease
https://www.uhs.nhs.uk/Media/Controlleddocuments/Patientinformation/Childhealth/Seversdisease-Patientinformation.pdf
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