Sever’s disease is inflammation of the growth center of the heel bone in children. It can occur when the growth center is still open before the heel bone has matured. When a child has unstable feet, and pronated, or arches that flatten excessively, excessive stresses or abnormal stresses, then excessive tension occurs on the plantar fascia where it attaches to the bottom of the heel. It also occurs in the Achilles tendon where it attaches to the back of the heel. This causes inflammation to develop along the calcaneal apophysis, or growth center, leading to heel pain.
We arrive at a diagnosis for Sever’s disease after reviewing the child’s extensive history, including history of their activities and exercising, as well as, utilizing x-rays and diagnostic ultrasound.
We need to reduce the inflammation and address the overall instability that is causing the condition. The inflammation can be reduced with anti-inflammatory medication, heel lifts, and temporarily decreasing activities such as sports and running. In extreme cases, immobilizing the foot and ankle in a walking cast will help calm down the inflammation and pain. Long term comfort is achieved with custom molded functional orthotics in order to address the instability that is leading to the inflammation and pain.
If you, or someone you know, struggle with Sever’s Disease, please contact our office. We would be happy to assist you at the Heel Pain Center of Kansas City.