Soreness in the heel of children isn’t very common, but when it does happen, the most frequent cause is a problem referred to as Severs disease. It’s not really a “disease, ”, but it is the label that has regrettably widely used. It is actually properly known as calcaneal apophysitis. It is an issue with the growing area at the rear of the heel bone. Since it is a condition of the growing bone, the disorder is self-limiting and will not be a problem when the growth of that bone has finished. It is more common around the ages of 10-12 years.
The most common symptom of Severs disease is pain on activity and discomfort on squeezing the sides of the heel bone. Initially the discomfort is minor and does not affect activity much, however later it becomes more painful and impacts activities levels and might result in limping. The precise cause of it is not clear, but it is obviously an too much use type condition because it is more prevalent in children who participate in more sport and more prevalent in kids who have got a higher body weight. Children with tighter calf muscles might also be at an increased possibility for the chances of this condition.
Typically, the management of Severs disease is load management. The child is encouraged to remain active, but simply scale back exercise amounts to a level that can be coped with and not too uncomfortable. A shock-absorbing heel raise in the footwear may be useful to protect it. Ice soon after activity might also be helpful to help the symptoms. If the leg muscles are tight, then stretches ought to be started. Sometimes foot orthotics may help when the arch of the foot is overpronated. On rare occasions, a splint can be used, and all activities stopped until it gets better. By the mid-teens the growth plate that this takes place at combines with the rest of the heel bone, which means this ceases to be an issue at those age groups.