Heel pain in children / Sever’s Disease

Sever’s Disease is a condition of growth, where the rapidly growing bones of the lower leg (tiba and fibula) pull on the muscles (gastrocnemius / soleus) and tendons (achilles) along the back of the leg.

heel-pain

It commonly effects highly active children between the ages of 8 and 14

This can cause pain at the  point of attachment between the Achilles tendon and the calcaneus (heel bone). Pain can be felt either at the back of the heel, or under the heel.

The child will often complain of pain or discomfort following prolonged sporting activities, especially running or jumping.There may be localised swelling, and the calf muscles  are often tight. A limp may also be present.

Advice for Parents

It is very distressing to see your child in pain. Unfortunately, every one seems to be an expert in how to treat Sever’s disease and there are many conflicting view points as to the best method of treatment. An expense orthotic is not necessarily needed.

As all children are different, at Glen Iris Podiatry we highly recommend that any child suffering from heel pain have a full biomechanical assessment. While the condition often settles down with 6-12 months, it is critical to correct an biomechanical anomalies that are present. Muscle imbalances and postural issues are often present in children who present with Severs.