Heel pain is a frequent concern among children, especially those engaged in sports and physical activities. One prevalent cause of this discomfort is Sever's disease, medically known as calcaneal apophysitis.
What Is Sever's Disease?
Sever's disease is an overuse injury that affects the growth plate in the heel bone (calcaneus). It typically occurs in children aged 7 to 14, particularly during growth spurts when bones grow faster than muscles and tendons can adapt. This imbalance leads to increased tension on the heel, resulting in inflammation and pain.
Common Symptoms
Children with Sever's disease may experience:
Pain or tenderness at the back or bottom of the heel
Swelling or redness in the heel area
Discomfort that worsens with physical activity and improves with rest
Limping or walking on toes to avoid heel pressure
Risk Factors
Several factors can increase the likelihood of developing Sever's disease:
Rapid growth spurts
Participation in high-impact sports like running, jumping, or soccer
Tight calf muscles or Achilles tendons
Flat or high-arched feet
Improper or unsupportive footwear
Obesity or increased body weight
Management and Treatment
Sever's disease is self-limiting and typically resolves with time. However, certain strategies can alleviate symptoms and promote healing:
Activity Modification: Reduce or temporarily halt activities that exacerbate heel pain.
Stretching Exercises: Gentle stretching of the calf muscles and Achilles tendon can relieve tension.
Footwear Adjustments: Ensure shoes provide adequate support and cushioning. Heel lifts or orthotic inserts may be beneficial.
Ice Therapy: Apply ice packs to the affected area for 15-20 minutes to reduce inflammation.
Pain Relief: Over-the-counter pain medications, such as ibuprofen, can help manage discomfort.
Physiotherapy: A physiotherapist can develop a tailored exercise program to strengthen muscles and improve flexibility.
When to Seek Professional Help
If your child's heel pain persists despite conservative measures, consult a healthcare professional. Early intervention can prevent prolonged discomfort and facilitate a quicker return to normal activities.