Sever’s disease, also called calcaneal apophysitis, causes pain in the growth plate at the back of the heel, oftentimes affecting children. A growth plate is an area of developing bone found in children and teenagers. Repeated pulling from the Achilles tendon can irritate the growth plate, especially during periods of rapid growth. Heel pain usually becomes worse while walking, running, or participating in sports. The pain can affect one heel or both. Some children also limp or avoid placing full weight on the affected foot because of discomfort. Early evaluation helps identify the condition before pain begins to interfere with school, sports, and other daily activities.
Several factors increase the chance of developing Sever’s disease. Running and jumping sports place repeated stress on the heel. Tight calf muscles can increase pulling on the growth plate. Flat feet or high arches can also change how force is distributed across the foot. Shoes that lack proper support can place additional strain on the heel during activity. A podiatrist diagnoses the condition by discussing symptoms, examining the foot, and checking for tenderness around the back of the heel. Imaging tests are not always necessary, but they can help rule out other causes of heel pain when the diagnosis is uncertain.
A podiatrist creates a treatment plan that reduces stress on the irritated growth plate and improves comfort. Treatment includes custom orthotics, heel cushions, and wearing supportive shoes. These options help reduce pressure and improve foot alignment while walking. Regular follow-up visits allow a podiatrist to monitor healing and adjust treatment as the child grows. Early care can reduce pain, improve mobility, and support a safe return to normal activities. Most children recover completely once the growth plate matures. If your active child has symptoms of Sever’s disease, it is suggested that you schedule an appointment with a podiatrist for effective relief and management tips.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our doctors from New Jersey and New York. 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.
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