Sever's disease, despite its name, is not actually a disease but rather a common condition affecting children during periods of rapid growth. Also known as calcaneal apophysitis, Sever's disease occurs when the growth plate at the back of the heel bone becomes inflamed due to repetitive stress or overuse. This condition commonly affects active children and adolescents, particularly those involved in sports like running or jumping. Symptoms of Sever's disease typically include heel pain, tenderness, and swelling, which may worsen with physical activity and improve with rest. Although Sever's disease is temporary and does not cause long-term damage, it can be debilitating and affect a child's participation in sports and daily activities. With proper care and management, most children recover from Sever's disease within a few weeks to months, allowing them to resume their normal activities pain-free. If your child has heel pain and participates in sporting activities, it may be possible Sever’s disease has developed. It is suggested that you consult a podiatrist who can help you to manage this condition.
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.
Foot stress fractures, although often underestimated, can pose significant challenges to individuals, particularly those engaged in high-impact activities or sports. These fractures occur when excessive and repetitive stress is placed on the bones of the foot, leading to small cracks or fissures. Common causes of foot stress fractures include sudden increases in physical activity, wearing inadequate footwear, improper training techniques, and underlying conditions such as osteoporosis or nutritional deficiencies. Athletes and military personnel, who frequently engage in activities that subject their feet to repetitive stress, are especially susceptible to stress fractures. Symptoms of foot stress fractures typically include localized pain, swelling, tenderness, and difficulty bearing weight on the affected foot. If left untreated, stress fractures can worsen over time and lead to more severe complications. Therefore, early recognition of symptoms and prompt medical evaluation are essential for effective treatment and prevention of further injury. If you have endured a stress fracture, it is suggested that you schedule an appointment with a podiatrist who can effectively treat this condition.
Stress fractures occur when there is a tiny crack within a bone. To learn more, contact one of our podiatrists from Pennsylvania Foot & Ankle. Our doctors can provide the care you need to keep you pain free and on your feet.
How Are They Caused?
Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon. Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.
Risk Factors
Gender – They are more commonly found in women compared to men.
Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures
Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.
Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.
During infancy, a child's feet are pliable and mostly made of cartilage, gradually ossifying into bones over time. Until the age of six, children's feet are still forming, with the arches gradually developing. It is normal for children to have flat feet during this period, as the arches develop and muscles strengthen. Additionally, children's feet grow rapidly, often requiring new shoes every few months during growth spurts. As they become more active, ensuring proper footwear fit is essential to support their growing feet and prevent discomfort or injury. Children's feet may appear pigeon-toed or have other gait abnormalities as they learn to walk and run. Most of these issues resolve on their own as they develop coordination and muscle strength. Regular monitoring of children's foot health and providing adequate support through appropriate footwear can contribute to their overall well-being and comfort. If you have questions or concerns about your child’s feet, it is suggested that you contact a podiatrist who can provide you with the information you are seeking.
The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, 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.
Tips for Keeping Children's Feet Healthy
Make sure their shoes fit properly
Look for any signs of in-toeing or out-toeing
Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
Cut toenails straight across to avoid ingrown toenails
Keep your child’s foot clean and dry
Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.
