Expert Sever's Disease Treatment in Silverstream, Upper Hutt

What is Severs?

Sever's Disease, also known as calcaneal apophysitis, is a common cause of heel pain in growing children and adolescents. It occurs when the growth plate (the area of developing tissue near the heel bone) becomes irritated or inflamed. This condition is most often seen in children aged 8-14 years who are active in sports or activities that involve running, jumping, or sudden movements. It is more common in boys.


Although the name might sound concerning, Sever's Disease is not actually a disease, but a self-limiting condition that typically resolves on its own once the growth plates close as the child matures

What Causes Severs?

Sever's Disease is caused by repetitive stress on the heel bone during periods of growth. Children and teens often experience a growth spurt, during which their bones grow faster than the muscles and tendons. The Achilles tendon, which attaches to the heel, can pull on the growth plate in the heel, causing irritation, pain, and swelling.

The main factors that increase the risk of developing Sever's Disease include:

  • Active participation in sports: Sports like running, basketball, soccer, gymnastics, and ballet can put additional strain on the heel.
  • Flat feet or high arches: Abnormal foot mechanics can increase pressure on the heel.
  • Tight Achilles tendon: If the tendon is too tight, it may exert more stress on the heel.
  • Sudden increase in physical activity: Overuse or sudden intensification of activity can trigger symptoms.

Symptoms of Sever’s Disease:

The main symptom of Sever's Disease is heel pain, which may be felt in one or both heels. The pain tends to worsen with activity, especially sports or activities that involve running and jumping. Other common symptoms include

  • Pain in the back or bottom of the heel.
  • Swelling or tenderness in the heel area.
  • Pain that worsens with physical activity and improves with rest.
  • Pain when pressing on the heel or squeezing the sides of the heel.

In some cases, children may begin to limp or avoid putting weight on the affected foot.

How is Sever’s Disease Diagnosed?

A podiatrist can usually diagnose Sever's Disease through a physical examination and a review of the patient's medical history. The podiatrist may ask about the child’s activity level, sports participation, and symptoms.


In some cases, X-rays or other imaging tests may be ordered to rule out other causes of heel pain, such as fractures or infections, though these are not typically necessary for diagnosis.

Treatment:

While Sever's Disease is not a serious or permanent condition, treatment focuses on relieving pain and reducing inflammation. The goal is to allow the child to continue their activities without causing further injury. Treatment options may include:

  1. 1Rest: Taking a break from activities that worsen the pain, such as running or jumping, is essential to give the heel time to heal.
  2. Ice: Applying ice to the heel for 15-20 minutes several times a day can help reduce swelling and pain.
  3. Over-the-counter pain relief: Nonsteroidal anti-inflammatory (NSAIDs) oral medication or gels, such as Ibuprofen or Voltaren Gel, can help reduce pain and inflammation. Always follow the recommended dosage.
  4. Stretching & Strengthening exercises: Stretching the Achilles tendon and calf muscles can help relieve tension on the heel and reduce pain along with exercises to strengthen the foot and ankle and improve flexibility.
  5. Orthotics: Custom-made or prefabricated insoles can help cushion the heel and reduce the pressure on the growth plate.
  6. Footwear adjustments: Wearing well-fitting, structured shoes can help reduce stress on the heel.

In rare cases, if symptoms persist, more specific interventions may be recommended such as using a moonboot.

How Long Does It Take to Recover?

The recovery time for Sever's Disease varies depending on the severity of the condition and the treatment provided. Most children experience improvement within 2-3 months with proper care. However, symptoms may occasionally come and go until the growth plates in the heel close, which usually happens by the time the child reaches the age of 15-16.

Preventing Sever’s Disease:

While Sever's Disease can’t always be prevented, there are several steps parents and children can take to reduce the risk of recurrence:

  • Gradually increase activity levels: Avoid sudden increases in physical activity or sports intensity.
  • Stretching and strengthening: Regular stretching of the Achilles tendon and calf muscles can reduce strain on the heel.
  • Proper footwear: Make sure shoes provide adequate support, especially when playing sports. Avoid worn-out shoes.
  • Orthotics: (Bespoke or Prefabricated) If prescribed, must be worn to be effective
  • Rest and recovery: Make sure there is enough time for rest between activities, especially intense physical activity.

When to See a Podiatrist:

  • The pain becomes severe or does not improve with rest and self-care measures.
  • Swelling in the heel worsens.
  • There is persistent redness, warmth, or fever.
  • The child is limping or avoiding putting weight on the affected foot.

Conclusion: 

Sever's Disease is a common and manageable condition that can cause temporary heel pain in active children and adolescents. With the right care and treatment, most children recover fully and can return to their normal activities without long-term issues. If you have concerns or questions, always reach out to a podiatrist for guidance tailored to your child’s needs.

Don't let foot pain hold you back—contact Silverstream Podiatry on +64 4 528 7650 for expert Sever's Disease treatment and get back on your feet!