Sever's disease(Calcaneal apophysitis)
Sever's disease is a common musculoskeletal complaint in children between the ages of 8 and 15.
It is a traction apophysitis of the growth plate where the achilled tendon attaches to the heel bone or calcaneus. Pain is normally worse with increased activity and painful on squeezing the heel.
It is believed to be caused by increased pulling on the calcaneus associated with growth and tight achilles and calf muscles. It is also related to high or repeated minor impact forces to the heel.
Sever's disease is more common to male children who are very active or obese.
Treatment involves treatment of inflammation- rest, ice, compression and elevation.
Advice on footwear to reduce impact forces and reduce tension using heel raises. Gentle stretching and modifying activity is important.