Calcaneal apophysitis is also called Sever's Disease, although it is not a true "disease". It is the most common cause of heel pain in children, and can occur in one or both feet.
Overuse and stress on the heel bone through participation in sports is a major cause of calcaneal apophysitis. The heel's growth plate is sensitive to repeated running and pounding on hard surfaces, resulting in muscle strain and inflamed tissue. For this reason, children and adolescents involved in soccer, track, or basketball are especially vulnerable.
Other potential causes of Sever's Disease include obesity, a tight Achilles tendon, and biomechanical problems such as a flat foot or high arch.
Symptoms of Sever's Disease include:
- Pain in the back or bottom of the heel.
- Limping.
- Walking on toes.
- Difficulty running, jumping, or participating in usual activities or sports.
- Pain when the sides of the heels are squeezed.
The surgeon may select one or more of the following options to treat Sever's Disease:
- Reduce activity. The child needs to reduce or stop any activity that causes pain.
- Support the heel. Temporary shoe inserts or custom orthotic devices may provide support for the heel.
- Medications. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, help reduce the pain and inflammation.
- Physical therapy. Stretching or physical therapy modalities are sometimes used to promote healing of the inflamed issue.
- Immobilization. In some severe cases of pediatric heel pain, a cast may be used to promote healing while keeping the foot and ankle totally immobile.
The chances of a child developing heel pain may be reduced by:
- Avoiding obesity.
- Choosing well-constructed, supportive shoes that are appropriate for the child's activity.
- Avoiding or limiting wearing of cleated athletic shoes.
- Avoiding activity beyond a child's ability.
Heel Pain Doctor in CT
Podiatrist in Rocky Hill and Middletown, CT
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