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What is the treatment of Severs disease?

Pain in the heel of children isn't common, however when it does happen, the most prevalent cause is a disorder referred to as Severs disease. It's not a real “disease”, but it is the label which has unfortunately widely used. It is actually appropriately known as calcaneal apophysitis. It is a problem in the growing region at the rear of the heel bone. Because it is a disorder, of the growing bone, the disorder is self-limiting and definately will no longer be a problem when the growth of that bone has completed. It is more prevalent around the ages of 10-12 years.

The typical characteristic of Severs disease are discomfort on activity and discomfort on squeezing the sides of the rear area of the heel bone. In the beginning the discomfort is not that bad and doesn't affect action much, however later it becomes more severe and affects activities levels and may also result in limping. The precise reason for it is not clear, but it is clearly an excessive use type issue as it is more prevalent in children who play more sport and more frequent in kids who have got a higher body weight. Kids with tight leg muscles can also be at a higher possibility for the chances of this problem.

Usually, treating Severs disease is activity modification. The child is urged to stay active, but simply lessen exercise amounts to a level which can be tolerated and not too painful. A cushioning heel raise in the footwear might be useful to cushion it. Ice soon after exercise might also be useful to help the inflammation. If the calf muscles are tight, then a stretches ought to be used. Sometimes foot supports can be helpful if the arch of the foot is flat. On rare occasions a splint can be used, and all sport ceased until it heals. By the mid-teens the growth plate that this occurs at combines with the rest of the heel bone, so this stops being an issue at those age groups.