Sever's Disease (Calcaneal Apophystis)
Description
Severs Disease (Calcaneal Apophystis) is a painful foot condition that usually affects children between 9 and 15 years of age. The disorder affects the growth plate of the heel and occurs because the bone grows faster than the muscles and tendons. This unequal growth causes the muscles and tendons to become tight causing heel pain during weight bearing activities. Severs disease is most common in active girls aged 8-10, and active boys 10-12.
Symptoms
Heel pain, heel pain with weight bearing activities, limp,
Tests
A history and physical exam will be performed. The diagnosis typically does not require any testing although an x-ray may be done to rule a fracture as the cause of the pain,
- X-Ray
Treatment
Therapy begins with limiting physical activity to rest the area. Ice may also help in the initial treatment phase. Ibuprofen (Motrin/Advil) can help relieve symptoms. Supportive shoes are recommended. Orthotics may be useful in those children with flat feet or very high arches.
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