Although the name might sound pretty frightening, Sever's disease is really a common heel injury that occurs in young people. It can be painful, but is only temporary and has no long-term effects The
condition occurs most commonly in children between the ages of 8 and 14 years but it can occur in younger children. It happens when the attachemnt of the Achilles tendon to the growth plate, becomes
inflamed and causes pain.
Sever?s disease is directly related to overuse of the bone and tendons in the heel. This can come from playing sports or anything that involves a lot of heel movement. It can be associated with
starting a new sport, or the start of a new season. Children who are going through adolescence are also at risk of getting it because the heel bone grows quicker than the leg. Too much weight bearing
on the heel can also cause it, as can excessive traction since the bones and tendons are still developing. It occurs more commonly in children who over-pronate, and involves both heels in more than
half of patients.
If your child has any of the following symptoms, call your pediatrician for an evaluation. Heel pain that begins after starting a new sports season or a new sport. Walking with a limp or on tiptoes.
Pain that increases with running or jumping. Heel tendon that feels tight. Pain when you squeeze the child's heel near the back. Pain in one or both heels.
In Sever's disease, heel pain can be in one or both heels. It usually starts after a child begins a new sports season or a new sport. Your child may walk with a limp. The pain may increase when he or
she runs or jumps. He or she may have a tendency to tiptoe. Your child's heel may hurt if you squeeze both sides toward the very back. This is called the squeeze test. Your doctor may also find that
your child's heel tendons have become tight.
Non Surgical Treatment
Stretching programs. Strengthening exercises. Exercise and training modification. Orthotic therapy. In rare cases, where fragmentation of the apophysis exists and pain fails to subside with
traditional treatments then immobilization of the foot and ankle with a short leg pneumatic walker(walking cast) is indicated.
The condition is normally self-limiting, and a return to normal activities is usually possible after a period of 2-3 months. In one study, all the patients treated with a physiotherapy programme
(above) improved and could return to their sport of choice after two months of treatment. The condition may recur, although recurrence was uncommon, according to one study.