October 30, 2018
Calcaneal Apophysitis | Sever’s Disease
Severs disease is a common condition which is characterised by pain around the heel bone and is usually found in active children. This pain is usually around the epiphyseal line or growth plate of the heel. The condition is known to be self limiting and pain is due to inflammation around attachment of the Achilles tendon. Once ossification of the Achilles tendon occurs pain in the region ceases (James, Williams, & Haines, 2013). Pain during walking is usually common, however, pain increases with running and jumping and particularly during sports such as football, soccer, basketball and gymnastics.
Pain is usually caused by inflammation due to traction and repetitive strain of the Achilles tendon on the growth plate of the heel. Inflammation and pain can usually be caused by ;
Posterior heel pain is found to account for 2%-16% of presentation to Physiotherapists & Podiatrists (James et al., 2013). The condition usually presents in children and adolescents between the ages of 8-15 years old but has been found in children as young as 6 years old (James et al., 2013). It is common for children to report a recent growth spurt.
Physiotherapy and Podiatry Treatment of Severs disease depends on the stage of the disease and the symptoms at presentation. Physiotherapy & Podiatry treatment is aimed at educating the child and parents as to what is causing their pain and how to best manage it – when some pain is tolerable and when the pain is too much and requires rest. Keeping the inflammatory factors and pain down are important in managing these conditions as well as keeping the tissue tone down and load reduction on the heel.
Prognosis for this condition is usually very good when managed correctly – children are able to continue sporting endeavours with minimal pain and disability. Early intervention is important in assisting managing this condition. Prognosis is poor when this condition is managed poorly.
If you think your child is experiencing heel pain contact Inertia Health Group to book in an appointment
James, A. M., Williams, C. M., & Haines, T. P. (2013). Effectiveness of interventions in reducing pain and maintaining physical activity in children and adolescents with calcaneal apophysitis (Sever’s disease): a systematic review. Journal of Foot and Ankle Research, 6(1), 16. doi:10.1186/1757-1146-6-16