Find Out How To Diagnose Severs Disease?

posted on 21 May 2015 08:19 by jenneferraymundo
Overview

Sever?s disease is the most common cause of heel pain in children aged 9 to 14. Sever?s disease results from stress placed on the growth plate of the heel bone. An excessive amount of running or other activities can cause inflammation around the growth plate, which results in pain. Rest, ice and orthotics and proper shoes are usually prescribed.

Causes

There are several theories as to the cause of this condition. These range from a tight Achilles tendon, to micro stress fractures of the calcaneal apopyhsis. The prevailing theory suggests that the condition occurs when the child's growth plate is at its weakest. Combined with increased athletic activity, improper shoe gear and trauma the heel becomes inflamed and painful.

Symptoms

Sever's disease causes pain and tenderness in the back and bottom of the heel when walking or standing, and the heel is painful when touched. It can occur in one or both feet.

Diagnosis

A physical exam of the heel will show tenderness over the back of the heel but not in the Achilles tendon or plantar fascia. There may be tightness in the calf muscle, which contributes to tension on the heel. The tendons in the heel get stretched more in patients with flat feet. There is greater impact force on the heels of athletes with a high-arched, rigid foot.

Non Surgical Treatment

Your child may need to change or stop doing the activities that cause pain until the growth plate heals. Your child needs to wear shoes with good padding in the heels and good arch support. Special shoes or shoe inserts may help. Pain from Sever's disease may last weeks to months. The pain may come back if your child returns to sports or strenuous activities too soon.