Posted on April 5, 2008 in Latest News
Sever’s disease occurs in children between the ages of 8 to 13 years when the growing part of the heel is injured. Sever’s Disease is also known as calcaneal apophysitis. This growing part is called the growth plate. During weight-bearing activity, the tight heel tendons may put too much pressure at the back of the heel (where the Achilles tendon attaches). This can injure the heel.
Causes
The cause of Sever’s Disease is not very clear but it is most likely due to repeated pressure that results from such sports as basketball or football. Wearing shoes with poor heel padding or poor arch supports also leads to heel pain. Excessive pronation and resulting tight calf muscle are also contributing factors. Children who are overweight are at a greater risk of developing Sever’s Disease.
This condition usually causes pain and tenderness in the back and bottom of the heel when walking or standing, and the heel is painful when touched. It can occur in one or both feet.
Treatment
This condition can be easily treated by adding Quag heel inserts in the child’s shoes. The Quag is made of soft 1/2 inch Poron which is a high shock absorber, thus reducing the trauma to the heel as well as elevating the heel which reduces the stress of the Achilles attachment to the back of the heel.
Mild to moderate stretching exercises is recommended. Have the child stand on either the runners stretch or if steps are available, the steps with the ball of the foot on the step and lowering the heel for three second periods, six times each. The prognosis of ultimate recovery without residual disability will allay parental concerns.
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