Sever’s disease, also known as Calcaneal apophysitis, is the most common cause of heel pain in children and adolescents.
Sever’s disease is an overuse injury that occurs when there is inflammation of the growth plate in the heel bone. This is the same area that the Achilles tendon attaches, which in adolescents is cartilage. Whilst we grow into puberty, the cartilage attachment transitions into a tendon-bone attachment. This area is weaker as we grow which means with poorer mechanics and increasing levels of sports activities it can become easily overloaded.
When looking out for risk factors the Podiatrist will consider:
In most cases, symptoms will resolve within a few weeks to months with appropriate management. If not managed appropriately, sever’s can lead to chronic heel pain and other issues.
The Podiatrist will determine whether there is potentially another cause of the heel pain through a thorough assessment. Other causes of heel pain in pre-teens include:
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References: Better Health Channel
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