26 Aug Understanding Sever’s Disease in Children
- Does your child limp?
- Do they have a tendency to tiptoe?
- Have you noticed them wincing in pain, especially after starting a new sport?
If any of these sound familiar, your child might be experiencing Sever’s Disease. While the name may sound alarming, Sever’s Disease is a common and treatable condition that affects the heels of growing children. Let’s dive into what it is and how it can be managed.
What is Sever’s Disease?
Sever’s Disease, or calcaneal apophysitis, is one of the most common causes of heel pain in active children, typically between the ages of 8-14 years. Why does it occur? The condition arises when the growth plate in the child’s heel becomes inflamed due to repetitive stress or pressure. As children’s bones grow, the growth plates are softer and more vulnerable to injury than the surrounding bone. This is why Sever’s Disease is most often seen in kids who are going through growth spurts or who participate in activities and sports that involve a lot of running or jumping.
Symptoms of Sever’s Disease
Sever’s Disease doesn’t just sneak up on your child; it usually starts with some telltale signs. Knowing what to look for can help you seek treatment early:
Heel Pain
This is the most obvious symptom. The pain is usually located at the back of the heel and can range from mild discomfort to intense pain, especially after physical activity.
Limping or Walking on Tiptoes
To avoid putting pressure on the heel, children might start to limp or walk on their tiptoes.
Swelling and Redness
In some cases, the heel might become swollen or appear slightly red.
Pain During and After Activity
The pain often gets worse during or after sports and other physical activities, and may improve with rest.
If your child complains of any of these symptoms, especially in the context of starting a new sport or growing rapidly, it could be a sign of Sever’s Disease.
Diagnosis
Diagnosing Sever’s Disease is usually straightforward but should always be done by a professional – see your GP and visit our clinic. When you bring your child to see our podiatrists, they will begin with a thorough foot examination. The podiatrist will ask about your child’s symptoms, medical history, and recent activities to understand the possible causes of the pain.
Often, the diagnosis is made based on the symptoms and physical examination alone. However, in some cases, our podiatrists may recommend an X-ray to rule out other potential issues, such as fractures. While X-rays can’t diagnose Sever’s Disease directly, they can help ensure there isn’t another underlying problem contributing to your child’s pain.
Treatment
Are you ready for some good news? Sever’s Disease is entirely manageable and, with the right treatment, your child can return to their activities pain-free. Treatment typically involves a combination of rest, exercises, and supportive footwear:
Rest and Activity Modification
The first step in treating Sever’s Disease is to reduce or temporarily stop activities that exacerbate the pain. This might mean taking a break from sports or reducing the intensity of physical activity.
Customised Orthotics
To alleviate pressure on the heel, our podiatrist may recommend custom orthotics that we manufacture in our in-house lab. These will provide additional cushioning and support suited to your child’s needs.
Stretching and Strengthening Exercises
Specific exercises that target the calf muscles and Achilles tendon can help reduce tension on the heel. These exercises are easy to do at home and can make a significant difference.
Pain Management
Over-the-counter pain relievers, such as ibuprofen, can help manage pain and reduce inflammation. In some cases, applying ice to the heel can also provide relief.
Footwear Recommendations
Ensuring your child wears properly fitted shoes with good heel support is crucial. Avoiding flat shoes or those without adequate cushioning can help prevent further irritation. Of course, our podiatrists will help with shoe selection for school and sport.
If your child is experiencing heel pain, don’t wait for it to resolve on its own. Sever’s Disease is common, but with the right treatment, your child can get back to their favourite activities without pain. Contact our clinic today to schedule an appointment with one of our experienced podiatrists.