Sever's Disease
What is Sever's Disease?
Sever's Disease, or calcaneal apophysitis, is an overuse injury common in growing children, typically affecting those aged 8-15 years.
- Inflammation of the growth plate in the heel (calcaneus)
- Often seen in active children and adolescents
Overview of the Condition
The condition is characterized by heel pain that worsens with physical activity and improves with rest.
Symptoms
- Heel pain and tenderness
- Swelling around the heel
- Worsening pain during or after activity
Causes
Excessive running or jumping, especially during growth spurts, can cause repetitive stress on the heel's growth plate, leading to inflammation.
Diagnosis
Diagnosis is primarily clinical, based on patient history and physical examination. X-rays are rarely needed.
Treatment Options
- Activity modification and rest
- Application of ice to reduce pain and swelling
- Use of heel cups or orthotic devices
- Stretching and strengthening exercises
Conservative Management
Non-surgical care includes rest, ice, and modifications to physical activities to allow the heel to heal.
Rehabilitation Exercises
- Gentle stretching of the calf muscles
- Strengthening exercises for the lower leg
- Gradual return to activity under supervision
Surgical Considerations
Surgery is rarely needed for Sever's Disease; management is almost always conservative.
Anatomy Overview
Sever's Disease affects the calcaneus, particularly the growth plate (apophysis) in the heel.
Affected Areas
- Heel (calcaneus)
- Surrounding soft tissues in the posterior foot
Frequently Asked Questions
| Question | Answer |
|---|---|
| How long does it take to recover? | Most children recover in a few weeks to months with proper management. |
| Is Sever's Disease a permanent condition? | No, it typically resolves once the growth plate matures. |
Prevention Strategies
- Ensure proper warm-up before sports
- Use appropriate footwear and heel support
- Monitor and adjust training intensity during growth spurts