Severs disease is the frequent name for a problem which should be called calcaneal apophysitis. It really ought not to be known as Severs “disease” because it is not a disease. It is just a self limiting problem of the growth plate in the heel bone of children that always disappears altogether on its own sooner or later without having long term problems. This is a really common disorder in kids around ages 10 to 12 years and if you question a number of children of that age should they have it or know someone that has had it, then the majority of them will likely say yes. There is a growth plate at the rear of the heel bone in which growth of that bone takes place at. The achilles tendon connects to that growth plate, and so it is just not difficult to note that a great deal of force is placed on that growing area, particularly if the child is overweight or active in sport. The condition is a overuse of the growing area. The actual growing area merges with the rest of the heel bone by the early teenage years, therefore it is just not feasible for it to become a problem after that.
Even though Severs disease is self-limiting and they will grow out of this, it is painful and can cause discomfort so will have to be treated. The best method is to focus on education concerning the Severs disease and the way to control activity loads to keep it manageable. It's quite common to use ice on the heel after activity to help manage the discomfort. Cushioned gel heel pads are frequently good and may make it more tolerable so they can continue with activity. If there are biomechanical problems, then proper foot orthotics are usually necesary to improve that. The most crucial element of the management is just handling the loads. Children of that age try to be active and engage in sports activity, so this is definitely a challenge.