Calcaneal Apophysitis also known as Sever’s Disease is a
very common problem among active children from the age of 6 to 16. This condition occurs when there are
microtraumas to the growth plate that is located on the back of the heel in a
growing child. Inflammation and pain may
occur during, or following sports. This pain usually will subside with rest,
but returns with activity. Radiographs
of the heel often show fractures within the growth plate at the areas of
tenderness. Treatment consists of Custom
Orthotics which are shoe inserts with special custom modifications. They are
created from a scan or mold of the child’s feet. Usually once a child is fitted
for these devices they are able to continue with their sports activity without
any significant pain. Growth spurts
naturally become a factor with these medical devices, they are only correcting
the problem while they fit properly. For
immediate treatment the parents can ice the heels and place the child on
children’s Ibuprofen.