Sever’s Disease
Also called calcaneal apophysitis, Sever’s is a traction apophysitis caused by excessive and repeated traction force from the Achilles on the calcaneus (heel bone). The calcaneus does not reach full maturity until around 12-13 years of age, and for this reason we most commonly see Sever’s in children from the ages of 7 to 14. This condition is also more commonly seen in boys.
Causes
The underlying source of this condition is tensile force on the insertion of the Achilles on the calcaneus. This can be exacerbated by a number of things:
Rapid growth of the tibia and fibula during growth spurts placing large force on the insertion
Tight calf muscles
Activities that involve repetitive running, jumping, hopping etc. For example most football codes, basketball, running and gymnastics
Shoes with tight heel counters
Foot and lower limb mechanics
Signs and Symptoms
Pain and tenderness around the posterior and plantar aspect of the heel, which is generally worse after activity or upon wearing shoes with a tight heel counter
There may be some swelling in the area
A limp or toe walking may be present
Treatment
Rest from aggravating activity
PRICE (pain control, rest, ice, compression and elevation)
Stretching program
Massage
Padding, strapping and heel raises
Optimisation of foot mechanics
If symptoms are persistent please contact one of our podiatrists for a specific treatment plan
Nelson Pollard
PODIATRIST
Gold Coast Foot Centres
