Understanding and Managing Sever’s Disease: A Guide for Parents

by | Jan 6, 2025 | Patient Stories | 0 comments

Heel pain in children can be distressing, particularly when it affects their ability to enjoy sports or everyday activities. Sever’s disease, a condition associated with the growth plate in the heel, is a common culprit in active children aged 8 to 15. If your child has been complaining about heel pain, especially after physical activities, you’re not alone. At M Maddocks Inc, we’ve helped many families manage and overcome this condition, and we’re here to guide you too.

What Is Sever’s Disease?

Sever’s disease, also known as calcaneal apophysitis, occurs when the growth plate at the back of the heel bone becomes inflamed. This growth plate is particularly vulnerable during periods of rapid development in children. As bones grow faster than muscles and tendons, the Achilles tendon becomes tight, pulling excessively on the heel’s growth plate.

This condition often presents in children who are highly active in sports such as soccer, tennis, or rugby. Shoes with inadequate support or cleats can exacerbate the problem, making it more common in children who engage in sports that involve running and jumping.

Signs and Symptoms of Sever’s Disease

Identifying Sever’s disease early can make a significant difference in managing the condition effectively. Look out for these symptoms in your child:

  • Pain or tenderness in one or both heels.
  • Discomfort that worsens with activity, particularly running or jumping.
  • Swelling or redness around the heel.
  • Difficulty walking, especially first thing in the morning or after prolonged rest.
  • Reluctance to participate in physical activities due to pain.

Causes and Risk Factors

Sever’s disease is primarily caused by overuse and stress on the heel during growth spurts. Other contributing factors include:

  • Tight Achilles Tendon: The tendon pulls on the heel’s growth plate, increasing the likelihood of inflammation.
  • Rapid Growth Spurts: Bone growth outpaces tendon lengthening, causing additional strain on the heel.
  • Improper Footwear: Shoes without adequate support or with cleats can worsen the condition.
  • High Activity Levels: Sports that involve running, jumping, or sudden directional changes can stress the heel further.

Effective Treatment for Sever’s Disease

While Sever’s disease resolves naturally as the growth plate matures, treatment is often necessary to manage pain and allow your child to remain active. At M Maddocks Inc, we use evidence-based approaches to provide relief and support for your child.

  1. Rest and Activity Modification: Encouraging your child to take a break from high-impact activities reduces stress on the heel.
  2. Ice Therapy: Applying ice packs to the affected area helps reduce inflammation and ease pain.
  3. Stretching Exercises: Regularly stretching the calf muscles and Achilles tendon can relieve tension on the growth plate.
  4. Orthotics and Heel Lifts: Customised shoe inserts provide additional cushioning and support, helping to redistribute pressure away from the heel, and reducing the pull of the achilles tendon on the heel bone.
  5. Anti-Inflammatory Medication: Over-the-counter options may be recommended to reduce pain and swelling.
  6. Severe Cases: In rare instances, a non-weight-bearing cast or splint may be necessary to allow the heel to heal fully.

Prevention Tips for Sever’s Disease

While it’s not always possible to prevent Sever’s disease, these steps can minimise the risk:

  • Ensure your child wears supportive, well-fitted shoes appropriate for their sport.
  • Incorporate regular stretching exercises to maintain flexibility in the Achilles tendon.
  • Encourage a balance between activity and rest to avoid overuse injuries.

FAQ: Addressing Common Concerns About Sever’s Disease

Q: How long does Sever’s disease last?
A: Symptoms typically improve within weeks to months with proper treatment. However, the condition may recur until the growth plate fully matures, usually by age 15.

Q: Can my child continue playing sports while managing Sever’s disease?
A: Limited activity and avoiding high-impact sports are crucial during recovery. Once symptoms improve, your child can gradually return to their usual activities with guidance from a podiatrist and/or physiotherapist.

Q: When should I see a podiatrist for my child’s heel pain?
A: If your child experiences persistent heel pain, difficulty walking, or symptoms that worsen despite rest and home care, it’s time to consult a professional.

Helping Your Child Stay Active and Pain-Free

At M Maddocks Inc, we understand how challenging it can be to see your child in pain. Our mission is to provide effective, evidence-based care to help your child recover quickly and return to the activities they love. With years of experience, we’re here to guide you every step of the way.

If your child is struggling with heel pain or you suspect Sever’s disease, don’t wait. Contact M Maddocks Inc today to book a consultation. Together, we’ll ensure your child gets back on their feet—comfortably and confidently.

📍 Visit us at: UMED Sandton Medical Suites, 134 Grayston Dr, Sandown, Sandton, 2196
📞 Call us now: 072 046 5001

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