Sever’s disease is a common cause of heel pain in growing children, particularly those who are active in sports. It occurs when the growth plate in the heel becomes inflamed due to repetitive stress and tension from the Achilles tendon. This condition is most common during periods of rapid growth, when bones lengthen faster than muscles and tendons can adapt. Causes include excessive running, jumping, and footwear that lacks adequate support. Symptoms include pain and tenderness at the back of the heel, swelling, and difficulty walking or participating in physical activities. The discomfort may worsen with activity and improve with rest. If your active child has heel pain, it is suggested that you consult a podiatrist who can accurately diagnose and manage Sever’s disease.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from Pennsylvania Foot & Ankle. Our doctors can treat your child’s foot and ankle needs.
Sever’s Disease
Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.
Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.
Symptoms
Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.
Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.
Dancers place significant strain on the Achilles tendon due to repetitive movements, jumps, and intense footwork. This can lead to inflammation, microtears, or even more severe injuries if not properly managed. Overuse, inadequate warm-ups, and wearing improper footwear increase the risk of injury. Strengthening the calf muscles and improving flexibility through targeted exercises can help reduce strain on the tendon. Proper technique, gradual intensity progression, and sufficient rest between training sessions are essential for injury prevention. Supportive footwear and using appropriate dance surfaces can also minimize stress on the Achilles tendon. Paying attention to early signs of discomfort, such as stiffness or pain, allows for timely intervention. If you have sustained an Achilles tendon injury from dancing, it is suggested that you promptly contact a podiatrist who can offer effective treatment solutions and prevention tips.
Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Pennsylvania Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.
What Is the Achilles Tendon?
The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.
What Are the Symptoms of an Achilles Tendon Injury?
There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.
Achilles Tendinitis Symptoms
Inflammation
Dull to severe pain
Increased blood flow to the tendon
Thickening of the tendon
Rupture Symptoms
Extreme pain and swelling in the foot
Total immobility
Treatment and Prevention
Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:
Thorough stretching of the tendon before and after exercise
Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses
Stretching the feet and ankles is essential for preventing running injuries and maintaining flexibility. One exercise involves picking up small objects like marbles or coins with the toes, strengthening the foot muscles and improving coordination. Single-leg balancing on a ball enhances stability by engaging the ankle and foot muscles, which reduces the risk of sprains. Plantar stretching helps loosen the plantar fascia, which can become tight from repetitive impact. This can be done by pulling the toes back gently or rolling the foot over a frozen water bottle to relieve tension. Incorporating these stretches into a regular routine helps improve strength, flexibility, and balance. If you have sustained a foot or ankle injury while running, it is suggested that you consult a podiatrist who can treat various foot conditions, and guide you on additional running injury prevention tips.
Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact one of our podiatrists of Pennsylvania Foot & Ankle. Our doctors will treat your foot and ankle needs.
How to Prevent Running Injuries
Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.
What Are Some Causes of Running Injuries? - One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury. - Stress fractures can occur from overtraining, lack of calcium, or even your running style.
Best Ways to Prevent Running Injuries - Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury. - Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.
Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.
