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Severs disease is the common name for a disorder which should probbaly be better termed calcaneal apophysitis. It truly should not be referred to as Severs “disease” since it is not a disease. It is just a self limiting problem of the growth plate in the heel bone of children which always goes away on its own sooner or later with no long term problems. This is a really frequent condition in kids about age 10 to 12 years and should you ask a number of children of that age if they have it or have an acquaintance who may have had it, then a lot of them probably will say yes. There is a growth plate at the back of the heel bone in which growth of that occurs at. The achilles tendon attaches to that growth area, so it is just not difficult to see that a lot of force is placed on the growing area, particularly if the child is overweight or active in sport. The ailment is a strain of that growing area. The growing area merges with the rest of the heel bone by the early teenage years, therefore its not feasible for it to become a issue past that.
Although the disorder is self-limiting and they will outgrow this, it is painful and can cause problems so will have to be managed. The ideal method is to get started with education concerning the Severs disease and how to handle sports loads to keep it manageable. It is common to use ice on it after sports activity to help settle the discomfort. Cushioned gel heel pads are often helpful and might make it more bearable so they can continue with exercise. If there are biomechanical problems, then proper foot supports are usually necesary to fix that. The most crucial element of the treatment is merely handling the loads. Children of that age want to be active and take part in sport, so this might be a nightmare.