Sever's Disease: A Comprehensive Guide

Understanding Sever's Disease

Sever's disease, also known as calcaneal apophysitis, is a common condition that affects children and adolescents during growth spurts.

It occurs when the growth plate in the heel bone (calcaneus) becomes inflamed and irritated due to repetitive stress or overuse.

Symptoms of Sever's Disease

The primary symptom of Sever's disease is heel pain that worsens with activity and improves with rest.

Other symptoms may include:

• Swelling and tenderness around the heel
• Limping or difficulty walking
• Pain that radiates up the Achilles tendon

Causes and Risk Factors

Sever's disease is caused by excessive stress on the growth plate in the heel bone, which is weaker during growth spurts.

Risk factors for developing Sever's disease include:

• Participating in high-impact sports (e.g., running, basketball, soccer)
• Obesity or being overweight
• Wearing improper footwear
• Having flat feet or high arches

Diagnosis and Treatment

Sever's disease is typically diagnosed based on a physical examination and a patient's history of symptoms.

Treatment aims to reduce pain and inflammation and prevent further damage to the growth plate.

Treatment options may include:

• Rest and activity modification
• Ice and heel pads
• Stretching and strengthening exercises
• Orthotics or shoe inserts
• Medication to relieve pain and inflammation

Prevention and Prognosis

Preventing Sever's disease can be challenging, but some measures may help:

• Warming up before physical activity and cooling down afterward
• Wearing proper footwear with good arch support
• Maintaining a healthy weight

Sever's disease usually resolves within a few months to a year with proper treatment and rest.

However, in some cases, it may persist into adulthood or lead to other foot problems, such as plantar fasciitis.

Conclusion

Sever's disease is a common childhood condition that can be effectively managed with rest, treatment, and lifestyle modifications.

If you or your child experiences heel pain that worsens with activity, it's essential to seek medical attention promptly for proper diagnosis and treatment.

Sever's Disease