If your child has been complaining of heel pain especially after sports or physical activity, they might be dealing with a condition called Sever’s disease. Despite its name, Sever’s disease isn’t actually a disease at all. It’s a growth-related condition, medically known as calcaneal apophysitis, and it’s one of the most common causes of heel pain in children and adolescents between the ages of 8 and 14.
What Is Sever’s Disease?
Sever’s disease occurs when the growth plate in the heel becomes irritated. During periods of rapid growth, the bones grow faster than the muscles and tendons can keep up with. This can lead to tightness in the calf muscles and Achilles tendon, which puts strain on the heel’s growth plate, especially during high-impact activities.
Kids who play sports like soccer, basketball, gymnastics, or track are particularly at risk because of the repeated stress these activities place on the heel.
Common Causes and Risk Factors
Several factors can contribute to the development of Sever’s disease, including:
- Rapid growth spurts
- Tight calf muscles
- Limited ankle flexibility
- High levels of physical activity or sudden increases in training
- Flat feet or excessive foot pronation
- High BMI (body mass index)
- Poor or unsupportive footwear
Signs and Symptoms to Watch For
Symptoms of Sever’s disease can show up in one or both heels and typically worsen with activity. If your child is affected, you might notice:
- Heel pain that flares up during or after exercise and improves with rest
- Tenderness when pressing on the back of the heel
- Stiffness in the foot, especially in the morning
- Limping or walking on tiptoes to avoid putting pressure on the heel
- Discomfort when wearing hard or unsupportive shoes
How Is Sever’s Disease Treated?
The good news is that Sever’s disease usually resolves on its own once your child’s growth plates close. Until then, treatment is focused on relieving pain and reducing stress on the heel. Surgery is not required.
Effective treatment options include:
- Activity modification: Reducing or taking breaks from high-impact activities
- Rest, ice, and elevation: Especially after sports or during flare-ups
- Stretching and soft tissue therapy: To relieve tension in the calves and Achilles tendon
- Supportive footwear: Avoid barefoot walking or flat, unsupportive shoes
- Heel lifts or orthotics: To cushion the heel and improve foot mechanics
Final Thoughts
While Sever’s disease can be painful and frustrating, it’s very manageable with the right care. If your child is experiencing heel pain, early intervention can make a big difference. Encouraging rest, proper footwear, and gentle stretching can help them stay active and pain-free while their bodies continue to grow.
Book an appointment with us today for a thorough assessment. With the right treatment plan, you can reduce pain, prevent further injury, and get back to moving comfortably and confidently. For a consultation or to learn more about our services, call us today at (02) 8745 6297 or visit our Contact Us page.
Helen Fong (Podiatrist)
