Heel pain in children and adolescence: is the most common osteochondrosis (disease that affects the bone growth). Osteochondrosis is seen only in children and teens whose bones are still growing of
the foot. Sever's disease or Apophysitis is a common condition that afflicts children usually between the ages of 8 to 15 years old. Often this is confused with plantar fasciitis which is rare in
children. This is a condition of inflammation of the heel's growth plates.
Having flatfeet or very pronated feet can make one prone to Sever's disease. But also patient?s that have a very high arch foot structure tend to have a very high shock and high impact heel strike.
This also puts extra stress on the heel and apophysis.
The typical patient is a child between 10 and 13 years of age, complaining of pain in one or both heels with running and walking. The pain is localized to the point of the heel where the
tendo-Achilles inserts into the calcaneus, and is tender to deep pressure at that site. Walking on his toes relieves the pain.
It is not difficult for a doctor to diagnose Sever's disease in a youngster or teenager. A personal history and a physical examination are usually all it takes to determine the cause of heel
Non Surgical Treatment
Orthotics, The orthotics prescribed are made to align the foot in its correct foot posture. This will reduce stress and force at the site of the growth plate of the heel bone. Rest and Ice the heel
20 minutes before and after sporting activity. Calf muscle stretching exercises.
Sever?s disease is self-recovering, meaning that it will go away on its own when the foot is used less or when the bone is through growing. The condition is not expected to create any long-term
disability, and expected to subside in 2-8 weeks. The disease may also take several years to stop, because it is often triggered by growing too fast. It is more common in boys, although occurs in
girls as well. The average age of symptom onset is 9-11.