Severs disease is like a stress fracture of the heel bone

There are various reasons for heel pain in adults, but in kids the commonest by far is a problem called Severs disease. Since this is an injury to the growing plate at the back of the heel bone, it would not occur in adults. The most typical age of coming on is around the early teens or possibly a bit before. When we are born the heel bone develops from two locations, one being the main area of the heel bone and the other being the growth zone at the back of the heel bone. These two zones of bone are divided by an area of cartilage material.Severs disease happens when there is a lot of stress on that area of cartilage.

The primary causes are simply just excessive physical activity done to increasing rates so that the bone does not get time to adapt to the loads that are put on it. Almost always the child is involved in lots of sporting activity, typically on hard surfaces. Tight calf muscles are also commonly present. The primary sign is pain around the sides of the heel bone at the back of the heel and pain on activity. Increasing the amount of sporting activity also can make it more painful.

The important approach to its treatment is a cut in physical activity so that load on the growing zone of bone is reduced. Commonly a cushioned heel lift is necessary to protect the zone and reduce the force from the Achilles tendon. Ice after exercise to help with pain can be useful. If this isn't helping, an additional reduction in the amount of weightbearing activity is required and in the most stubborn ones, a walking splint or cast can be used to significantly minimize physical activity levels. If all this does not help, which it sometimes does, then it is just a matter of managing it until the two areas of growing bone merge to form one and this will no longer be an issue.