Sever’s Disease

Sever’s disease is a common cause of heel pain in active children, usually between about 8 and 14 years old. Despite the name, it is not really a disease. It is irritation of the growth plate at the back of the heel bone, where the Achilles tendon pulls on it. It settles completely once the growth plate fuses, and the right advice and treatment can ease the pain in the meantime.

Or call 02920 644900 · info@feetinfocus.com

Symptoms

Pain at the back or bottom of the heel, in one or both feet
Pain during or after running and jumping sports
Limping, or walking on tiptoe
Tenderness when the sides of the heel are squeezed
Stiffness first thing in the morning

Common causes

Growth spurts, when the bones grow faster than the muscles and tendons, leaving the calf muscles tight
Lots of running and jumping sports, such as football, rugby, netball and gymnastics
Playing on hard surfaces
Football boots or trainers with little heel support
Flat feet or over-pronation
A sudden increase in training or matches

What else can look similar

Achilles tendinopathy
Plantar fasciitis
A stress fracture of the heel bone
A bruised heel
Rarely, infection or other bone problems. Heel pain at night, with a fever or with swelling should be checked by a GP

What you can try at home

Reduce running and jumping sports for a while, rather than stopping completely
Cold compresses or ice on the heel after activity
Gentle calf stretches
Supportive trainers with a cushioned heel
Heel cups or cushions in shoes and boots
Pain killers suitable for your child’s age
If the pain is ongoing or keeps coming back, it needs a professional podiatry assessment

How we can help

An assessment and a clear diagnosis, in a relaxed setting for children
An activity plan that keeps your child as active as possible
Heel raises and cushioning
Foot orthoses, ranging from off the shelf and semi bespoke to tailor made
Calf stretching and strengthening exercises
Advice on trainers and football boots
Strapping if needed
Reviews as your child grows

Which appointment to book

If your child has heel pain that sounds like Sever’s disease, you are recommended to book one of the following appointments:

A children’s MSK consultation
A biomechanical assessment, if a more extensive assessment and custom made orthoses are required

If you are not sure which appointment is right for you, call us on 02920 644900 or email info@feetinfocus.com and we will help.

Common questions

Will my child have to stop playing sport?

Usually not completely. Most children can carry on with some sport while the pain is managed, by cutting back for a while, adding rest days and using heel cushions or orthoses. Your podiatrists will agree a plan with you and your child.

How long does Sever’s disease last?

It can come and go over several months, often flaring up during growth spurts or busy sports seasons. It settles completely once the growth plate in the heel fuses, usually by the mid teens.

Does Sever’s disease cause long-term damage?

No. Sever’s disease does not cause lasting damage to the heel. Treatment is aimed at easing the pain and keeping your child active while they grow.