Severs disease is the common name for a disorder which should be termed calcaneal apophysitis. It really ought not to be termed Severs “disease” because it is not a disease. It is just a self limiting disorder of the growth plate in the heel bone of children which always goes away completely by itself sooner or later without any long term complications. This can be a really frequent ailment in children around age 10 to 12 years and should you question a number of kids of that age if they have it or know someone who may have had it, then most of them will probably say yes. There exists a growth plate at the back of the heel bone where growth of that heel bone takes place at. The achilles tendon connects to this growth plate, and so it is just not difficult to note that a great deal of force is placed on the growing area, particularly if the child is overweight or busy in sports activity. Severs disease is a strain of the growing area. The growing area combines with the rest of the heel bone by the early teenage years, so its not feasible for it to be a problem beyond that.
Although the disorder is self-limiting and they will outgrow this, it is painful and can cause discomfort so will have to be treated. The best strategy is to commence with education with regards to the Severs disease and the ways to manage sports loads to keep it in check. It is common to use ice on it after sports activity to help settle the discomfort. Cushioned gel heel pads are often good and will make it more tolerable so they can continue with exercise. If there are biomechanical problems, then correct foot orthotics are usually necesary to fix that. The key aspect of the treatment is simply managing the loads. Children of this age need to be active and take part in sports activity, which means this is definitely a nightmare.