When children experience a growth spurt during puberty there can be an imbalance in the growth rate of their muscles, bones, and tendons. This is termed Sever’s disease, which generally affects children between the ages of 8 and 14. This condition occurs because the muscles and tendons in the heel become tight, pulling on the growth plate (cartilage) in the back of the heel. It is quite common in children who are particularly active in sports with a lot of running and jumping or other strenuous activities, such as gymnastics and dancing. Your child may experience redness or swelling in the back of the heel, stiffness in the feet first thing in the morning, and pain when the heel is squeezed on both sides. You also may notice them limping or walking on their tiptoes. Cutting down on the activities which induce the pain is one way to help alleviate symptoms of Sever’s disease, which may last for a few months. To be on the safe side, however, it is a good idea to introduce your child to a podiatrist who can conduct a full examination and suggest a program of treatment. 

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.

If you have any questions, please feel free to contact one of our offices located in Bensalem, Pennsylvania, Port Richmond, Philadelphia, and Hamilton, New Jersey . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.