Sever’s disease—or calcaneal apophysitis—is one of the most common causes of heel pain in children and teens. It is the inflammation of the growth plate in the heel of the foot.
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What are the signs and symptoms of Sever’s disease?
- Heel pain and tenderness
- Mild swelling at the heel
- Pain worsened with activity
- Pain that is worse upon waking up
- Limping or toe walking
What causes Sever’s disease?
- Growth spurts during puberty
- Exacerbated by sports or activities involving a lot of running or jumping
- Pressure on the heel from standing too long (less common)
How is Sever’s disease diagnosed?
- Physical exam
How is Sever’s disease treated?
Treatment depends on the extent of your child’s injury. Non-surgical options to treat Sever’s disease include:
- I.C.E. – Rest, ice, compression and elevation
- Activity modification or restriction
- Anti-inflammatory medication (e.g., ibuprofen)
- Supportive shoe inserts
- Stretching exercises
- Physical therapy
A short leg cast or walking boot may be used if symptoms are severe. Doctors at Connecticut Children’s can determine the right plan to treat your child’s injury.