Recognizing and Treating Severs Disease

A real “growing pain” that we at Southern Maryland Foot & Ankle sometimes see in children between the ages of 8 and 15 is Sever’s Disease. This is a very painful inflammation of the growth plate of the heel. The heel bone does not finish developing completely until about the age of 15. New growth continues to form at the back of the heel, creating a weak spot that can become irritated with overuse.

Who Gets Sever’s Disease?

Sever’s Disease affects boys and girls. Children and teens who participate in sports that require running or pounding of the feet are at high risk. Those who play basketball, soccer and run track, for example, are especially prone to getting Sever’s Disease. Other causes for this disorder include:

• Faulty foot structure such as flatfeet or a very high arch

• Obesity

• An overly tight Achilles tendon

• Certain types of cleats and poorly fitting shoes can also contribute to the inflammation

What are the Symptoms?

Pain the bottom or back of the heel is the most obvious sign of Sever’s Disease. Another telltale sign may be pain when the sides of the heel are squeezed. Sometimes younger children are unable to articulate that their heel hurts but you may notice that they are walking on tip toe, limping or suddenly don’t want to participate in activities that they usually enjoy.

How is it Treated?

First and foremost, a youth with Sever’s Disease needs to stop any activities that are causing pain in the heel. After that, our foot and ankle surgeon, Dr. Larry Hotchkiss, will determine the best plan for your child. In cases where the pain is severe, the podiatrist may immobilize the heel with a cast to speed healing. Physical therapy and stretching can help with healing and prevent a reoccurrence of the condition. Orthotic devices may be recommended as well to protect and support the heel.

Parents need to be vigilant about their children’s foot health. Allowing your child to “finish the game” or “play through the pain” can lead to a serious disability. If you notice anything different about your child’s or teen’s feet, or he or she is in pain, don’t delay. Make an appointment at our Waldorf or Clinton office today.