Understanding Sever's Disease in Children

(Also Known as Calcaneal Apophysitis)

If your child is experiencing heel pain—especially after sports or physical activity—they may be suffering from a condition called Sever’s disease. Despite the name, it’s not a disease in the traditional sense, but a common and treatable growth-related condition.

What Is Sever’s Disease?

Sever’s disease, medically referred to as calcaneal apophysitis, is one of the most common causes of heel pain in growing children. It typically affects kids between the ages of 8 and 14, especially during periods of rapid growth.

The condition is most frequently seen in physically active children who participate in sports or activities that involve a lot of running and jumping.

Causes of Sever’s Disease

Sever’s disease occurs due to repetitive stress on the growth plate located at the back of the heel bone (calcaneus). This area is particularly vulnerable during growth spurts when the bones, muscles, and tendons are developing at different rates.

Contributing Factors Include:

• Repetitive stress: High-impact activities (running, jumping) increase the load on the heel.

• Rapid growth: Bones may grow faster than muscles and tendons can adapt, leading to tension and irritation.

• Tight calf muscles: These can pull on the Achilles tendon, placing even more strain on the heel bone.

  
  

Common Symptoms

Children with Sever’s disease may display a combination of the following symptoms:

• Heel pain: Usually worse after physical activity and improves with rest.

• Limping: The child may favor one foot or walk with a noticeable limp.

• Tiptoeing: Some children avoid placing pressure on the heel by walking on their toes.

• Mild swelling: The heel may appear slightly swollen or tender to the touch.

  
  

Treatment Options

Fortunately, Sever’s disease is self-limiting—meaning it resolves on its own once the growth plate matures. However, managing symptoms and preventing worsening of the condition is important.

Effective Treatment Strategies:

• Rest: Reduce or pause high-impact activities to allow healing.

• Activity modification: Switching to low-impact activities like swimming can help maintain fitness without stressing the heel.

• Icing: Applying ice packs can help reduce inflammation and pain.

• Stretching and strengthening: Calf stretches and foot strengthening exercises can relieve tension on the heel.

• Orthotic support: Custom or over-the-counter orthotics may provide additional cushioning and support.

• Proper footwear: Supportive shoes with good heel cushioning are essential.

  
  

When to Seek Help

If your child is experiencing persistent heel pain, especially if it affects their daily activities or sports performance, it’s worth consulting a podiatrist or physiotherapist for a proper assessment and tailored treatment plan.

Conclusion

Sever’s disease is a common, temporary condition seen in growing children—particularly those who are active. With appropriate care and management, most children recover fully and can return to their favourite activities pain-free.

Need help managing your child’s heel pain? Book an appointment with our team to get expert advice and personalized care.