Sever’s Disease FAQs
What is Sever’s Disease?
Sever’s Disease, also known as calcaneal apophysitis, is a common condition in growing children and adolescents, typically affecting those aged 8 to 14. It occurs when there is inflammation of the growth plate in the heel (calcaneus) due to excessive stress or strain.
What are the symptoms of Sever’s Disease?
Common symptoms include heel pain that worsens with activity, tenderness around the heel, swelling, and difficulty walking or running (often resulting in a limp). Children may also favour one foot over the other or complain of discomfort when their heel is squeezed.
How is Sever’s Disease diagnosed?
Diagnosis is usually based on a physical examination and a review of the child’s medical history. In some cases, imaging tests like X-rays may be used to rule out other conditions.
What causes Sever's Disease in children and adolescents?
Sever’s Disease is primarily caused by repetitive stress on the heel, often from activities like running, jumping, or sports such as soccer. Growth spurts can also contribute, as the growth plate becomes more susceptible to injury during periods of rapid growth.
How is Sever’s Disease treated?
Treatment typically involves rest and activity modification to reduce heel stress, ice therapy for pain relief, and over-the-counter pain medications. Stretching exercises for the Achilles tendon and calf muscle may also be recommended. In some cases, orthopaedic devices like heel raises or arch supports might be beneficial.
How long does Sever's Disease last?
The duration of Sever’s Disease varies, but symptoms usually resolve in a few weeks to several months, depending on the severity and adherence to treatment. Most children outgrow the condition as their bones mature.
Can Sever’s Disease be prevented?
While it may not be entirely preventable, certain measures can reduce the risk. These include ensuring proper footwear, incorporating warm-up and stretching routines before physical activities, and balancing sports with rest periods.
What types of activities should be avoided with Sever’s Disease?
Activities that involve intense running, jumping, or sudden changes in direction should be limited or avoided. High-impact sports and activities can exacerbate heel pain and delay recovery.
Are there any specific exercises to help with Sever’s Disease?
Yes, gentle stretching exercises for the calf muscles and Achilles tendon can be beneficial. Strengthening exercises for the foot and ankle may also help. Consult with a healthcare professional or physical therapist for a suitable exercise regimen.