Calcaneal Apophysitis commonly known as Sever's disease presents as posterior heel pain in children between the ages of 8 and 14 years of age. 

 

This condition is an apophysitis or inflammation of the growth plate located in calcaneus (heel bone).

 

It is believed to be caused by excessive pulling by the Achilles tendon at the point of insertion or high impact  forces to the heel bone during weight bearing activity.  

 

Pain and tenderness is typically located at the posterior heel and normally worsens with increased activity. It is painful on squeezing the heel.

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This foot condition is most commonly seen in very active children. Particularly children who participate in organised sport.

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The 8-14 age group are under-going rapid growth and tight muscles in combination with the soft growth plate cause issues of stress.

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Children can also have associated biomechanical problems such as tight calf muscles, excessive foot pronation, rigid foot types and hypermobility might predispose them to injury.

 

External factors can be unstable footwear, hard shoes, flat shoes or worn-out shoes.

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Calcaneal apophysitis is believed to be a self-limiting condition, it will go away in time.

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However, attending a podiatrist may offer suggestions of how you can manage the condition. Including activity modification, foot orthotics and footwear changes. Recent research also suggest specific strengthening exercise can help.

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Reduced activity and the correct footwear is a great place to start.

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If you would like a foot assessment please book a 40minute appointment and remember to bring footwear for review.

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PHONE 07 5572 8851

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