May 2025

Sever's disease, known as calcaneal apophysitis, is a common source of heel pain in growing children. Conservative management typically consists of reducing high-impact activities, easing pain and inflammation, and performing gentle stretches to relax tight calf muscles. Rest and wearing supportive footwear are beneficial in alleviating pressure on the heel. Other treatment methods may include the use of custom orthotics to improve foot alignment, or, in persistent cases, immobilization with casts to allow the heel to heal. Overall, treatment is individualized based on the child, the severity of symptoms, and daily activity demands. If your child displays worsening heel pain or discomfort, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Pete O’Donald, DPM from Texas. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact our office located in Nederland, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.