Sever's Disease

Sever's disease, also known as calcaneal apophysitis, is a type of overuse injury that affects the growth plate in the heel of children and adolescents. It is a common cause of heel pain in growing kids, and is most often seen in active children between the ages of 8 and 14. Sever's disease is caused by repetitive stress to the heel, which can occur from activities such as running, jumping, and walking.

What Causes Sever's Disease?

Sever's disease is caused by repetitive stress to the heel, which can occur from activities such as running, jumping, and walking. It is most common in children who are physically active, and is more likely to occur when a child's foot is flat or has an unusually high arch. Tight calf muscles can also contribute to the development of Sever's disease, as they can limit the amount of motion in the heel.

Diagnosis of Sever's Disease

Sever's disease is typically diagnosed based on a physical examination of the heel. X-rays may be taken to rule out other causes of heel pain, such as a fracture. The doctor may also ask the child to perform certain activities, such as walking or running, to assess the severity of the pain.

Prevention of Sever's Disease

The best way to prevent Sever's disease is to make sure that children are wearing properly fitting shoes and are engaging in activities that are appropriate for their age and level of physical development. Stretching the calf muscles before and after physical activity can also help to reduce the risk of developing Sever's disease. Additionally, it is important to make sure that children are taking regular breaks from physical activity to allow their feet to rest.

Common Symptoms of Sever's Disease

• Pain in the heel, especially when walking or running
• Swelling or tenderness in the heel
• Pain when the heel is squeezed on both sides
• Pain when the foot is bent up and down
• Difficulty walking
• Limping

Diagnosis and Treatment of Sever's Disease

If your child is experiencing any of the symptoms of Sever's disease, it is important to seek medical attention. A doctor can diagnose Sever's disease through a physical examination and X-rays. Treatment typically includes rest, ice, and anti-inflammatory medications. Stretching and strengthening exercises may also be recommended to help reduce pain and improve flexibility. In some cases, a heel lift or orthotic device may be prescribed to help reduce stress on the heel.

Preventing Sever's Disease

The best way to prevent Sever's disease is to make sure your child is wearing properly fitting shoes with good arch support. It is also important to encourage your child to take regular breaks from physical activity, and to avoid activities that involve a lot of running and jumping. If your child is involved in sports, make sure they are wearing the appropriate protective gear.

Risk Factors for Sever's Disease

There are several risk factors that can increase the likelihood of a child developing Sever's disease. These include:

• Being physically active, especially in sports that involve running and jumping
• Having flat feet or high arches
• Having tight calf muscles
• Having an abnormal walking pattern
• Wearing shoes with poor arch support or heel cushioning

These risk factors can put extra stress on the heel bone, leading to inflammation and pain. It is important to note that Sever's disease is not caused by one single factor, but rather a combination of factors.

Preventing Sever's Disease

The best way to prevent Sever's disease is to reduce the risk factors. This can include:

• Encouraging children to take part in low-impact activities, such as swimming or biking
• Making sure children wear shoes with good arch support and heel cushioning
• Stretching the calf muscles regularly
• Using orthotics to correct any abnormal walking patterns

By reducing the risk factors, the chances of a child developing Sever's disease can be significantly reduced.

Signs and Symptoms of Sever's Disease

The most common symptom of Sever's disease is pain in the heel, which is usually worse during or after physical activity. Other signs and symptoms may include:

• Swelling or tenderness in the heel
• Pain when the heel is squeezed on both sides
• Pain when walking or running
• Difficulty walking
• Limping

Diagnosing Sever's Disease

Sever's disease is usually diagnosed based on a physical examination. Your doctor may ask you questions about your child's activity level and symptoms, and may also examine their feet and legs. X-rays may be taken to rule out other causes of heel pain, such as a fracture.

If your doctor suspects Sever's disease, they may recommend rest, ice, and over-the-counter pain medications. Stretching and strengthening exercises may also be recommended to help relieve the pain and prevent recurrence. If these treatments do not provide relief, your doctor may recommend custom orthotics or physical therapy.

Symptoms of Sever's Disease

The most common symptom of Sever's disease is pain in the heel, which can range from mild to severe. Other symptoms may include swelling, tenderness, and difficulty walking. The pain may be worse after physical activity, such as running or jumping.

Diagnosis of Sever's Disease

Your doctor will likely diagnose Sever's disease based on your child's symptoms and a physical examination. X-rays may be taken to rule out other causes of heel pain, such as a fracture. Your doctor may also recommend an MRI or CT scan to get a better look at the heel bone.

Treatment of Sever's Disease

Treatment for Sever's disease typically involves rest, ice, and over-the-counter pain medications. Your doctor may also recommend stretching and strengthening exercises to help reduce pain and improve flexibility. In some cases, a heel lift or orthotic device may be recommended to reduce pressure on the heel. If the pain persists, your doctor may recommend a corticosteroid injection.

Prevention of Sever's Disease

The best way to prevent Sever's disease is to make sure your child wears properly fitting shoes and avoids activities that put too much strain on the heel. Stretching and strengthening exercises can also help reduce the risk of developing the condition. If your child is involved in sports, make sure they take regular breaks and wear appropriate footwear.

Rest

Rest is the most important treatment for Sever's disease. It is important to reduce or stop any activities that cause pain in the heel. This may include running, jumping, and other activities that involve repetitive stress to the heel. It is also important to avoid walking barefoot, as this can increase the risk of injury.

Ice

Applying ice to the affected area can help reduce inflammation and pain. Ice should be applied for 10-15 minutes at a time, several times a day. It is important to wrap the ice in a towel or cloth to avoid causing further damage to the skin.

Stretching and Strengthening Exercises

Stretching and strengthening exercises can help reduce pain and improve flexibility. Stretching exercises should focus on the calf muscles and Achilles tendon. Strengthening exercises should focus on the muscles in the feet and lower legs. It is important to perform these exercises regularly to ensure that the muscles remain strong and flexible.

Orthotics

Orthotics, such as heel cups or arch supports, can help reduce pain and improve the alignment of the foot. These devices can be purchased over-the-counter or custom-made by a podiatrist. It is important to wear the orthotics as directed to ensure that they are effective.

Medication

Over-the-counter pain medications, such as ibuprofen or acetaminophen, can help reduce pain and inflammation. It is important to follow the directions on the package and not take more than the recommended dose. If the pain persists, it is important to speak to a doctor about other treatment options.

Conclusion

Sever's disease is a common cause of heel pain in children. Fortunately, it is not a serious condition and can be treated with simple home remedies and lifestyle changes. Rest, ice, stretching and strengthening exercises, orthotics, and medication can all help reduce pain and improve flexibility. If the pain persists, it is important to speak to a doctor about other treatment options.

What Causes Sever's Disease?

Sever's disease is caused by repetitive stress on the heel bone. This stress can be caused by activities such as running, jumping, and other sports. It can also be caused by wearing shoes that do not fit properly or are too tight. The stress causes the growth plate in the heel to become inflamed, which can lead to pain and discomfort.

How is Sever's Disease Treated?

The most common treatment for Sever's disease is rest. It is important to reduce or stop activities that cause pain in the heel. Ice can also be used to reduce swelling and pain. Over-the-counter pain medications such as ibuprofen can also be used to reduce pain and inflammation. Orthotics or heel pads can also be used to reduce pressure on the heel. In some cases, physical therapy may be recommended to help strengthen the muscles and tendons in the foot and ankle.

What Drugs are Used to Treat Sever's Disease?

Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen are commonly used to reduce pain and inflammation associated with Sever's disease. Corticosteroid injections may also be used to reduce inflammation. In some cases, antibiotics may be prescribed to treat any underlying infection.

What to Eat

A healthy diet is important for children with Sever's disease. Eating a balanced diet that includes plenty of fruits, vegetables, whole grains, and lean proteins can help reduce inflammation and promote healing. Foods that are rich in omega-3 fatty acids, such as salmon, tuna, and walnuts, can also help reduce inflammation. Additionally, foods that are high in calcium, such as dairy products, can help strengthen bones and reduce the risk of further injury.

What to Avoid

Certain foods can increase inflammation and make Sever's disease symptoms worse. Foods that are high in sugar, such as candy and soda, should be avoided. Additionally, processed foods, such as chips and fast food, should be limited. Foods that are high in saturated fat, such as red meat and full-fat dairy products, should also be avoided.

Conclusion

Sever's disease is a common cause of heel pain in children. While it is not preventable, there are certain dietary changes that can help reduce the symptoms. Eating a balanced diet that includes plenty of fruits, vegetables, whole grains, and lean proteins can help reduce inflammation and promote healing. Additionally, avoiding foods that are high in sugar, saturated fat, and processed ingredients can help reduce inflammation and improve symptoms.

Tips for Reducing Sever's Disease Symptoms

• Encourage your child to wear supportive shoes with good arch support and a cushioned sole. Avoid shoes with a lot of heel elevation.
• Have your child stretch their calf muscles and Achilles tendon before and after physical activity. This can help reduce tension on the heel.
• Encourage your child to take breaks during physical activity and avoid activities that involve a lot of running and jumping.
• Apply ice to the heel for 15-20 minutes after physical activity to reduce inflammation.
• Have your child take over-the-counter pain relievers, such as ibuprofen, to reduce pain and inflammation.
• Encourage your child to maintain a healthy weight. Excess weight can put additional strain on the heel.

If your child is experiencing heel pain, it is important to have them evaluated by a doctor to rule out other causes of heel pain. With the right lifestyle modifications, your child can reduce the symptoms of Sever's disease and get back to their normal activities.