Description

Sever’s disease (aka calcaneal apophysitis) is a painful condition which mostly affects active children usually between the ages of 8-15 years and is more commonly seen in boys.  It is an injury or inflammation to the growth plate of the heel bone thought to be caused by rapidly growing bones and overuse, as the Achilles tendon pulls on the calcaneal apophysis. Pronation and obesity are contributing factors. Although the condition can be prolonged and treatment is often necessary, the condition is self-limiting, meaning that it usually goes away as the child ages.

Symptoms

Symptoms are pain in the heel at the insertion point of the Achilles tendon, difficulty or pain when walking, running or jumping, as well as pain resulting from direct pressure being placed on the affected area.

Pedorthic Management

• Custom made orthotics or over the counter inserts to properly support the foot and reduce stress at the heel
• Orthopedic footwear – properly fitted, strong, structured to reduce stress on the heel
• Footwear modifications – heel lifts (internal or external), heel excavations, heel rockers, SACH modification or medial heel wedges

Other Treatments/ Modalities

• Change or reduction in physical activity
• Physiotherapy
• Rest/ice
• Anti inflammatory medication
• Casting in more severe cases