Sever’s Disease is a condition of growth, where the rapidly growing bones of the lower leg (tiba and fibula) pull on the muscles (gastrocnemius / soleus) and tendons (achilles) along the back of the leg.
It commonly effects highly active children between the ages of 8 and 14 This can cause pain at the point of attachment between the Achilles tendon and the calcaneus (heel bone). Pain can be felt either at the back of the heel, or under the heel. The child will often complain of pain or discomfort following prolonged sporting activities, especially running or jumping.There may be localised swelling, and the calf muscles are often tight. A limp may also be present.
Advice for Parents At Footpath Podiatry Balwyn, we highly recommend that any child suffering from heel pain have a full biomechanical assessment. While the condition often settles down with 6-12 months, it is critical to correct an biomechanical anomalies that are present.
Treatment generally consists of: –
mobilisation and manipulation of the joints
muscle testing and activation
activity modification or rest
orthotics if clinically appropriate
If you'd like to read more about Severs, head to our blog here