Sever’s Disease
Sever’s disease is a common yet often misunderstood condition, particularly affecting active children and adolescents. If you’ve noticed your child limping or complaining of heel pain, we can help.
Sever’s Disease, or calcaneal apophysitis, is an inflammation of the growth plate in the heel. It typically occurs in children aged 8 to 14, particularly those involved in sports that require running and jumping.
The most common symptoms include:
- Heel Pain: Usually located at the back or bottom of the heel, the pain may worsen during or after physical activity.
- Swelling: There may be mild swelling in the affected area.
- Tenderness: The heel may be sensitive to touch.
- Limping: You may notice your child limping or avoiding putting pressure on the affected foot.
- Stiffness: Pain may be more pronounced after periods of inactivity or in the morning.
Diagnosing Sever’s Disease typically involves a thorough physical examination and a detailed history of your child’s activity levels and symptoms. While imaging tests like X-rays aren’t usually necessary, they may be utilised to rule out other conditions if needed.
Fortunately, Sever’s Disease can be effectively managed through several approaches:
- Rest: Reducing or temporarily stopping activities that worsen pain is crucial for recovery.
- Ice Therapy: Applying ice to the heel can help relieve pain and reduce inflammation.
- Stretching and Strengthening Exercises: A physical therapist can provide exercises to improve flexibility and strength in the feet and legs.
- Proper Footwear: Ensuring that your child wears well-fitting, supportive shoes can make a significant difference.
- Orthotics: Custom-made orthotics can provide additional support and cushioning that reduces strain on the growth plate or stops the pain.
Preventing Sever’s Disease primarily revolves around managing physical activity and ensuring proper footwear:
- Gradual Increase in Activity: Encourage your child to gradually increase their activity level instead of jumping into intense exercises.
- Warm-Up and Cool Down: Always include warm-up and cool-down exercises in their routine to prepare muscles and prevent strain.
- Choose Appropriate Footwear: Investing in quality shoes designed for specific sports can help support your child’s growing feet.
- Consider a Break: If your child frequently complains of heel pain, consider easing their participation in high-impact sports.
Sever’s Disease is a manageable condition, and with the right approach, your child can return to their activities pain-free. If you suspect your child has Sever’s Disease or if their symptoms persist, please contact us as early intervention is key to a smooth recovery.
What types of Orthotics do we provide?
Sports Orthotics
Sports orthotics are designed specifically for running, walking, or other sports. Sports orthotics are more durable with a softer, full-length top cover to provide additional comfort and cushioning and prevent blisters from occurring. These custom orthotics are suitable for shoes with a full-length removable inner sole, such as running shoes and football boots.
Slimthotics
These orthotics fit in narrow shoes that are usually lower profile. They provide the same level of correction but are worn in a wide variety of shoes. They are highly customisable and enable you to get a broader range of widths and colours to suit your shoe style.
Cycling Orthotics
Custom-designed orthotics that fit into cycling shoes whilst ensuring you maintain comfort and efficient power transfer through your pedals. These orthotics are cleverly designed from carbon fibre to provide a lightweight and durable orthotic that fixes your cycling foot pain.
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.