Severs disease is the common name for a disorder that is technically or medically known as calcaneal apophysitis. It really should not be called Severs “disease” as it is not a disease and the use of that term causes unnecessary worry. It is a relatively benign self-limiting disorder of the growth plate in the heel bone of kids that always goes away on its own eventually with no long term issues. This is a very frequent condition in children close to ages 10 to 12 years and if you question a group of kids of that age should they have it or have an acquaintance who has had it, then the majority of them will probably say yes. There exists a growth plate at the back of the heel bone where growth of that heel bone takes place at. The achilles tendon attaches to this growth plate, therefore its not hard to note that plenty of force is placed on the growing area, especially if the child is overweight or busy in sports activity. The condition is a overuse of that growing region. The growing area merges with the remainder of the heel bone by the early teenage years, so its not possible for it to be a problem past that.
Although the condition is self-limiting and they’ll grow out of this, it is painful and can cause distress so will have to be treated. The best strategy is to commence with education about the Severs disease and the way to deal with activity loads to help keep it under control. It is common to use ice on the heel after sport to help relieve the discomfort. Cushioned gel heel pads are frequently helpful and can make it more bearable to allow them to continue with exercise. If there are biomechanical problems, then proper foot supports are usually necesary to fix that. The most important element of the management is merely managing the loads. Kids of this age need to be active and engage in sport, so this might be a difficult task.