Tag Archives: Sever’s Disease

X-Ray of Growth Plate on Heel for Post Sever's Disease in Children

Sever’s Disease in Children – Is It Affecting Your Child’s Game?

You are here because you are wondering if either your child, or the child of someone you know, has a condition called Sever’s Disease.Picture of lady thinking

Am I right?

With Sever’s Disease being the #1 cause of heel pain in children, it is IMPERATIVE that you read the information provided below so that you can determine exactly what is affecting your child’s game and treat it!

Sever’s Disease in children is NO JOKE, and here, I will detail (very simply) exactly what this impairing condition is in order for you to feel confident about what is impeding your child from excelling!


Let’s Talk About Bones

To fully understand Sever’s Disease (also known as Calcaneal Apophysitis), we must understand a little bit of basic knowledge surrounding bones in general.

We all have bones in our bodies… 206 to be exact!Skeleton of Body for Post Severs Disease in Children

Our bones have a purpose and that purpose is to form the shape of our bodies and allow us to move around.

Because we are tiny little things when we are brought into this world and eventually develop into adult-sized creatures over time, our bones MUST have the ability to expand with us. This massive expansion of our bones is made possible by something called growth plates.

Every single bone has a growth plate (also called the epiphysis) and they are exactly what they sound like… the area within a bone that allows the bone to grow.

Once a bone grows to its adult size, these growth plates close and become solid bone, but during growth (while the growth plate still exists), these areas are more fragile and are at greater risk for injury.

Enough about bones…


So… What is Sever’s Disease?

You reached this page due to a google search on “Sever’s Disease in children” or something similar. But… what is this condition really about?

You have probably figured out by now that it has something to do with bones and growth plates and you are correct!

Let’s discuss…

Sever’s Disease in children is definitely NOT a disease as it sounds but actually an injury.

The foot is comprised of 26 bones one of which is the heel bone (calcaneus). Look at the x-ray below of the adult foot… pay attention to the heel!

X ray of adult heel for post severs disease in children

Guess what? The heel bone has a growth plate! This particular growth plate (in the heel) is called the Calcaneal Apophysis and is actually one of the first in the body to reach adult size and close.

Below is an x-ray of a child’s foot. See the growth plate on the heel?

x ray of growth plate on heel for post severs disease in children

Sit tight… this is where Sever’s Disease comes in!

Because the calcaneus (heel bone) grows faster than most other bones in the body, quite often the muscles and tendons that connect to it (and are growing also) just can’t keep up. When this occurs, the tendon attached to the back of the heel becomes very tight and pulls on the heel.

Picture of tendon pulling on heel for post Severs Disease in Children

Couple this tightness of the tendon pulling on the heel around the area of the growth plate with added strain from sports or other strenuous activities and boom… you get Sever’s Disease in children!

So… in a nut shell, Sever’s Disease is when the growth plate of the heel bone becomes irritated and inflamed due to a tight tendon pulling on the area.


Is Age a Factor with Sever’s Disease in Children?

You can probably answer this question on your own by now, but YES… age is definitely a factor in determining the risk for sign-with-puberty-for-post-severs-disease-in-childrenSever’s Disease in children.

As stated above, Calcaneal Apophysitis (Sever’s Disease) has a direct correlation with puberty… when our bodies are growing their fastest.

So… because girls hit puberty first, we tend to see this condition diagnosed in them when they are around the ages of 8-13.

Boys, on the other hand, typically have later growth spurts and can be anywhere between the ages of 10-15 when and if they develop Sever’s Disease (which is much more common in boys vs. girls).


Typical Signs & Symptoms of Sever’s Disease

Do you still think that Sever’s Disease could be your child’s problem?

If your child is between the at-risk ages for their sex (noted above), is involved in extra-curricular activities that consist of running, pivoting, and jumping on hard surfaces, and has recently been complaining of heel pain, take a look at the common signs and symptoms associated with Sever’s Disease in children noted below to see if this condition could be the culprit.picture-of-painful-heel-for-post-severs-disease-in-children

  • pain, mild redness, and/or swelling in one or both of the heels
  • difficulty walking due to pain in one or both feet
  • limping and/or walking on tiptoes in an attempt to lessen the pain felt with each step
  • intensifying pain upon squeezing both sides of one or both heels
  • pain in one or both heels that increases during an activity that involves running or jumping and improves upon rest
  • complaints of a stiffness felt in the feet when first waking up in the mornings

Often times we see the development of Sever’s Disease in children that are beginning a new sport OR those who are starting a new season after a break from the sport.


Diagnosing Sever’s Disease in Children

If you are STILL pretty positive that your child is suffering from Sever’s Disease, what is your next step?picture-of-doctor-for-post-severs-disease-in-children

As expected, I ALWAYS recommend a visit to a podiatric physician (such as myself) or your child’s pediatrician for a verified diagnosis.

At your appointment, you can expect your physician to review your child’s medical history and discuss any changes in recent activity. In addition, your child’s doctor should perform a thorough medical examination of the feet and legs. Radiographs (x-rays) may also be performed to rule out any structural deficiencies or other conditions affecting your child’s foot.


That’s a Wrap

I hope that I have done a good job aiding in your understanding of Sever’s Disease in children… that was my goal (just in case you didn’t know).

The main take-away that I would like you to hold onto is that Sever’s Disease is the #1 cause of heel pain in children, not Plantar Fasciitis (which is the #1 cause of heel pain in adults).

Treatment options for Sever’s Disease do exist and you can read more about them in my article titled “How to Treat Heel Pain – Get Back in the Game“.

If your child is experiencing heel pain, it is essential to determine the cause in order for proper treatment to be implemented in a timely fashion. Hopefully, my article was able to either validate or eliminate Sever’s Disease as the culprit of your child’s pain.

To read about other causes of heel pain in children, CLICK HERE!

As always, I am here and willing to help you. If you have any questions, please feel free to drop a comment below and I will get back with you. In addition, myself (as well as my readers) would love for you to comment on any experience that you have had regarding Sever’s Disease below.

Your Online Foot Expert,

Dr. Misty

Podiatric Physician and Owner/Creator of FixUglyNails.com

Picture of boy resting feet for post heel pain in kids

Heel Pain in Kids – Everything YOU Need to Know

Heel pain in kids is an increasingly common complaint amongst the youngsters of today’s Heel Pain in Kids with Boy Cryingsociety. Often times parents will mistakenly contribute this type of pain to merely “growing pains” and either ignore their child’s cries OR wait to implement treatment believing that this pain will eventually “go away” on its own.

In this article, I will examine heel pain in kids via discussing the symptoms, difference of this pain in adults versus children, causes, diagnostic modalities, treatment options, and prevention.

Common Signs & Symptoms of Heel Pain in Kids

For clarification purposes, I feel it is essential to state that heel pain is NOT a diagnosis nor disease within itself, but rather a symptom. Having this pain potentially indicates that an underlying disease or injury exists.

When a child complains of heel pain, this should alert the parent that a condition is present that deserves their attention.

Signs and symptoms commonly associated with heel problems in children include:

  • Pain in the bottom or back of the heelHeel Pain in Kids with Boy not Participating
  • Walking with a noticeable limp
  • Toe-walking or walking on the toes with body weight lifted off of the heels
  • Increasing desire to sit and “rest” when walking normal, everyday distances
  • Decreasing desire and difficulty participating in usual sporting events and/or activities.

The Difference Between Heel Pain in Kids & Adults

The unknowing parent may inaccurately self-diagnose their child’s heel pain as a condition called Plantar Fasciitis. With a simple google of “heel pain”, hundreds of articles will discuss Plantar Fasciitis as the most common cause of heel pain. However, there is a HUGE difference regarding the cause of heel pain in kids versus that of adults.

Plantar Fasciitis, usually seen in adults, results in pain within the heel that is most prevalent on the first step out of bed in the mornings or when taking a step after an extended period of sitting down. This pain typically improves in intensity upon walking short distances.

Oppositely, heel pain in kids usually feels better after rest and the intensity of the pain is noticed to increase upon walking and activity.

Why is this?

A child’s bones have what we call growth plates, also known as the epiphysis. This area is the location that new bone forms as the child grows until the particular bone reaches its adult size.

picture of growth plate of heel for post heel pain in kids

The epiphysis of the calcaneus (heel bone) is an area that doesn’t fully develop until a child is around 14 years of age or older. This growth plate is located on the back of the heel and is very weak until it becomes adult-sized.

Excessive stress on this area of the heel bone is the primary cause of heel pain in kids.

Causes of Heel Pain in Kids

Because there are a multitude of causes of heel pain in kids and the diagnosis can be quite challenging, a visit to a podiatric physician (like myself) is recommended to determine the cause of the pain and implement an effective mode of treatment.

Some of the most common causes of pediatric heel pain include the following conditions.

Sever’s Disease

Also referred to as Calcaneal Apophysitis, Sever’s Disease is the #1 cause of heel pain in kids.

Misidentified as a “disease”, this condition is actually a result of inflammation occurring within the growth plate of the heel bone. This inflammation is commonly witnessed in our young athletes or obese children due to repetitive stress and muscle strain to the area before the calcaneus (heel bone) is fully formed.

Calcaneal Apophysitis can occur in both feet or just one foot.

Picture of severs disease for post heel pain in kidsThe signs and symptoms associated with this condition tends to include some or all of the following:

  • Tenderness and pain along the back of and/or bottom of the heel when ambulating
  • Pain or tenderness upon a simple touch to the heel that increases when the heel is squeezed
  • Pain in the heel that is intensified by activity and improves with rest
  • Swelling or redness in one or both heels
  • Ambulating with a limp or toe-walking (walking on tip toes)

If interested in learning more about Sever’s Disease, please visit the following two links:

Sever’s Disease in Children – Is it Affecting Your Child’s Game?

How to Treat Heel Pain – Get Back in the Game

Tendo-Achilles Bursitis

There is a natural bursa, fluid-filled sac, located directly between the back of the heel bone and the Achilles Tendon (heel cord). Certain things can cause this bursa to become inflamed. When this occurs, we refer to the condition as Tendo-Achilles Bursitis.

The inflammation of this particular bursa can be a result of multiple scenarios including, but not limited to, direct injury to the heel, inflammatory diseases (such as Juvenile Rheumatoid Arthritis), or even simply wearing shoes that are poorly cushioned where the shoe touches the back of the heel.

picture of achilles bursitis for post heel pain in kidsSymptoms frequently seen with Tendo-Achilles Bursitis can include the following:

  • Tenderness and pain isolated to the back of the heel
  • Pain along the back of the heel that is intensified by walking, running, or standing on tip-toes
  • Warmth and/or area of redness seen on the skin on the back side of the heel area
  • Pain along the back of the heel that is aggravated by wearing shoe gear that rubs the particular area the pain is present

Achilles Tendonitis

Achilles Tendinitis is a condition that we often term as an “overuse syndrome”.

This diagnosis often results in those over the age of 14 (heel bone is fully developed) and is caused by the repetitive nature of running and pounding on hard surfaces usually in sports such as basketball, soccer, and track among others.

picture of achilles tendinitis for post heel pain in kidsSymptoms associated with Achilles Tendinitis include some or all of the following:

  • Pain just above the back of the heel and lower portion of the leg
  • Pain that intensifies with activity and pointing of the toes and improves with rest and the foot in a relaxed state
  • Soreness and stiffness in the back of the heel area that is worse upon rising in the morning
  • Pain along the back of the heel that is aggravated by wearing shoegear that rubs the back-side of the heel.

Plantar Fasciitis

Also categorized as an “overuse syndrome”, Plantar Fasciitis is most commonly seen in adults, but can be seen in children, typically over the age of 14.

The plantar fascia band is a band of tissue that spans the bottom of the foot from the heel all the way to the toes. When this band becomes inflamed, usually due to obesity or overuse, this is termed Plantar Fasciitis.

picture of plantar fasciitis for post heel pain in kidsSymptoms frequently seen with Plantar Fasciitis may include some or all of the following:

  • Sharp pain on the bottom of the heel
  • Pain on the bottom of the heel is most intense on the first step out of bed in the morning and improves some upon walking a bit
  • Pain that increases when standing for extended periods of time

Fractures

Heel pain in kids may also be the direct result of a fracture (break in the bone). There are two types of fractures (stress fracture and acute fracture) that should be ruled out when heel pain exists.

Stress fractures are typically witnessed in athletic adolescents whom suddenly undergo a change in the level of intensity of workouts.

Acute fractures are seen in a direct injury to the area. Pain and swelling can be immediately correlated to the time of injury.

Diagnosis of Pediatric Heel Pain

A visit to your local podiatrist or other medical professional is essential to diagnose the underlying cause of heel pain in your child.Picture of Foot Exam for Post on Heel Pain in Kids

The examination will begin with questions surrounding your child’s recent activity as well as their medical history. A thorough physical exam of the foot in its entirety as well as the leg will then ensue. Radiographs (x-rays) will often follow and will be utilized to evaluate the bones and structure of the foot as well as to determine the maturity of the bones and whether growth plates are still open.

In some cases, additional studies such as an MRI (Magnetic Resonance Imaging), CT Scan (Computerized Tomography), bone scans, or laboratory testing may be ordered or performed to further assist an accurate diagnosis for the heel pain.

Treatment Options for Heel Pain in Kids

Obviously, the treatment for pediatric heel pain needs to be approached in a manner that eliminates, adjusts, or fixes the root cause of the pain.

Most of the time, treatment modes for heel pain in kids is approached by the level of intensity of the pain and broken down into categories of mild, moderate, and severe pain.

Mild Heel Pain in Kids

  • Reduction in Activity. Immediately stop or reduce whatever activity is generating the pain until the pain no longer exists.
    Picture of boy resting feet for post heel pain in kids
  • Heel Cushions. Implement an added cushion within the shoe which will soften the impact upon the heel when walking or participating in activities. I have found the most success and my pediatric patients rant and rave over the Tuli’s Heavy Duty Heel Cups!

Moderate Heel Pain in Kids

With moderate heel pain, you will want to execute the treatments listed above for mild heel pain in addition to the following recommendations.

  • Medication. Administer ibuprofen or other oral NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) to aid in the reduction of pain and inflammation.
    Picture of Medicine for Post Heel Pain in Kids
  • Physical Therapy. Stretching exercises and/or other modalities of physical therapy may be utilized in order to promote healing of the area(s) of inflammation. Icing the area is a very beneficial form of physical therapy although the heel is a hard area to adequately ice. The ProIce Ankle/Foot Ice Therapy Wrap makes icing the heel a breeze and is what I, personally, recommend to my patients.
  • Orthotics. Often times orthotic devices that are prescribed by your podiatrist and are custom-made for your child’s foot are recommended. The goal behind the use of orthotics is to provide support for the feet and redistribute the ground reaction forces that act upon the joints of the feet while weight-bearing.

Severe Heel Pain in Kids

  • Immobilization. Sometimes, with severe heel pain, aggressive measures such as Picture of Foot in Cast for Post Heel Pain in Kidsimmobilization of the area needs to be implemented in order for the condition to fully resolve. Immobilization may entail either becoming non-weightbearing via the use of crutches or casting. Following the immobilization period, orthotic devices and/or physical therapy modalities are usually implemented to ensure the condition does not return.
  • Surgery. While uncommon, there are times when surgical correction is recommended. This is typically reserved for structural abnormalities within the foot and/or the tendons within in.

For more specific information regarding the treatment of heel pain, feel free to go to my article titled “How to Treat Heel Pain – Get Back in the Game“.

Prevention of Heel Pain in Children

While nothing can 100% guarantee that your child will never develop heel pain, there are certain actions that can be taken to be proactive and minimize their risks.

Some ways to prevent adolescent heel pain include the following:

  • Avoid childhood obesity
  • Purchase shoegear that is well-constructed and provides support to the feet
  • For athletes – Ensure that shoegear worn is appropriate for the particular sport or activity and limit the amount of time that cleated shoes are worn
  • Do not push your child above and beyond their individual physical ability

Take Away on Heel Pain in Kids

Typically, it is the nature of a child to be active and desire to participate in extra-curricular Picture of child playing soccer for post heel pain in kidsevents.

When an adolescent complains of heel pain and it becomes evident that this heel pain is beginning to influence their participation in the usual activities, it is time to take action to determine the cause of the pain and implement the appropriate treatment.

Heel pain in kids is nothing to be ignored and with the proper diagnosis and treatment modalities, a parent can easily have their child pain-free and enjoying life again.

I sincerely hope that you found my article informative and that it will help you to alleviate your child’s heel pain.

If you have ANY questions, or even personal experience with heel pain involving your kids, please feel free to comment below. I am here to help!

Your Online Foot Expert,

Dr. Misty

Podiatric Physician and Owner/Creator of FixUglyNails.com