Sever condition is an inflammation of the growth plate of the bone at the back of the heel (apophysitis of the calcaneus). The inflammation of Sever condition is at the point where the Achilles
tendon attaches to the back of the heel bone. What causes Sever condition? Sever condition is caused by sprain injury where the Achilles tendon attaches to the calcaneus bone at the back of the heel.
Sever condition occurs in adolescent or older children, particularly active boys. It can be very painful. It is one of those conditions commonly referred to as "growing pains." Patients are evaluated
for signs of conditions that can mimic Sever condition, such as ankylosing spondylitis and other forms of arthritis. Usually Sever condition is self-limited; that is, it disappears as the child
Sever's disease also can result from standing too long, which puts constant pressure on the heel. Poor-fitting shoes can contribute to the condition by not providing enough support or padding for the
feet or by rubbing against the back of the heel. Although Sever's disease can occur in any child, these conditions increase the chances of it happening, pronated foot (a foot that rolls in at the
ankle when walking), which causes tightness and twisting of the Achilles tendon, thus increasing its pull on the heel's growth plate, flat or high arch, which affects the angle of the heel within the
foot, causing tightness and shortening of the Achilles tendon, short leg syndrome (one leg is shorter than the other), which causes the foot on the short leg to bend downward to reach the ground,
pulling on the Achilles tendon, overweight or obesity, which puts weight-related pressure on the growth plate.
As a parent, you may notice your child limping while walking or running awkwardly. If you ask them to rise onto their tip toes, their heel pain usually increases. Heel pain can be felt in one or both
heels in Sever's disease.
Sever?s disease can be diagnosed based on the symptoms your child has. Your child?s doctor will conduct a physical examination by squeezing different parts of your child?s foot to see if they cause
any pain. An X-ray may be used to rule out other problems, such as a broken bone or fracture.
Non Surgical Treatment
The good news is that the condition doesn?t cause any long-term foot problems. Symptoms typically go away after a few months. The best treatment is simply rest. Your child will need to stop or cut
down on sports until the pain gets better. When she's well enough to return to her sport, have her build up her playing time gradually. Your doctor may also recommend ice packs or nonsteroidal
anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, to relieve the pain. Supportive shoes and inserts that reduce stress on the heel bone. These can help if your child has another foot
problem that aggravates Sever?s disease, such as flat feet or high arches. Stretching and strengthening exercises, perhaps with the help of a physical therapist. In severe cases, your child may need
a cast so her heel is forced to rest.
Treat symptoms when they occur with RICE and NO HARM. RICE (Rest Ice, Compression and Elevation) will help following activity and when symptoms flare, while No HARM (No Heat, alcohol, running or
massage) will help reduce the symptoms from occurring. Orthotics. The use of an Interpod Orthotic will assist in realigning the foot, which will reduce the stress on the Achilles Tendon and prevent
reoccurring symptoms. The orthotic achieves this by reducing the forces and stress placed on the limbs during walking and running. Exercise reduction. Patients may need to reduce their level of
activity if this is seen as a contributing factor. Training errors. Ensue athletes warm up and cool down correctly with stretching activities. Footwear. Sporting and school shoes should have an
appropriate heel height to assist in offloading of the Achilles tendon.