Sever’s Disease, also known as calcaneal apophysitis, is a frequent overuse injury in children, leading to pain at the back of the heel. It is diagnosed through a clinical exam that detects tenderness over the calcaneal apophysis, and radiographs can confirm the diagnosis by showing sclerosis and fragmentation. High-impact excessive activities, such as running and jumping, can put stress on a child’s calcaneal growth plate. Although termed a disease, Sever’s is usually an injury that resolves with treatment, which includes consulting a Podiatrist, heel padding and cups, offloading, wearing supportive shoegear, and, in severe cases, immobilization.
Causes of Sever’s Disease
The primary cause of Sever’s disease is repetitive stress and overuse of the heel, particularly affecting the calcaneal apophysis, a growth plate at the back of the heel. The apophysis is prone to injury during rapid growth periods. As children grow, their bones lengthen more quickly than their muscles and tendons, creating increased tension and possible inflammation at the growth plate.
Preventive Measures
Preventing Sever’s disease involves several strategies aimed at reducing stress on the heel. Encouraging regular stretching exercises for the Achilles tendon and calf muscles can also help maintain flexibility and reduce tension on the heel. Gradually increasing the intensity of physical activity and avoiding sudden spikes in training can prevent overuse injuries.
Importance of Consulting a Podiatrist
When a child begins to experience persistent heel pain, it is crucial to consult a podiatrist. Podiatrists from 26 Foot and Ankle are specialized in diagnosing and treating conditions affecting the feet and lower limbs. They can accurately diagnose Sever’s disease through a clinical examination and imaging. Early diagnosis and intervention can prevent the condition from worsening and ensure that the child receives appropriate treatment to alleviate pain and facilitate recovery.
Factors that Aggravate Sever’s Disease
- Several factors can exacerbate Sever’s disease, including:
- High-impact activities
- Inadequate footwear lacking proper arch support and cushioning
- Tight calf muscles or Achilles tendons
Can they still do Sports?
One of the most pressing questions for young athletes and their parents is whether they can continue participating in sports while managing Sever’s Disease. The answer largely depends on the severity of the condition and the effectiveness of treatment. While complete rest from high-impact activities may be necessary initially, many children can gradually return to sports with appropriate management. Modifying training routines, wearing proper footwear and support, and performing stretching exercises can help prevent exacerbation of symptoms.
Medical Management
The main strategy for treating Sever’s disease is conservative management. This involves resting and adjusting activities to reduce stress on the child’s heel. Applying ice packs to the affected area can help relieve pain and decrease inflammation. Pain can also be managed with nonsteroidal anti-inflammatory drugs (NSAIDs), but avoid giving Aspirin to children due to the risk of Reye’s Syndrome. Additionally, wearing supportive shoes with proper arch support and cushioning is crucial.
Key Takeaway
Sever’s Disease, or calcaneal apophysitis, is a common condition that affects growing children, particularly those active in sports. Understanding its causes, symptoms, and risk factors is essential for early diagnosis and effective management. Consulting a Podiatrist for proper evaluation and treatment is crucial in preventing the condition from worsening. With appropriate medical management, most children can continue to participate in sports and enjoy an active lifestyle while minimizing the risk of recurrence. By following preventive measures and seeking timely medical advice, children can navigate their growth years with minimal disruption from this condition.
