Sever’s disease is the inflammation of tendons around the heel’s growth plate. In children and adolescents, the growth plate at the heel is where the bone remodels (grows). During growth spurts of this bone, the Achilles tendon and muscles of the leg may not be growing at the same rate as the bone. The tendons can become over-stretched causing pain or inflammation around the heel.
Symptoms of Sever's disease
- One or both heels show some redness and swelling causing pain.
- When the back of the heel is squeezeed it feels tender and tight with the pain getting worse after daily walking, running or jumping.
- Trouble walking or running creating a limp or compensating by walking on tip toes to avoid the heel pain.
What causes Sever's disease?
- Sever's disease is caused by repetitive stress to the heel and often occurs during growth spurts, when bones, muscles, tendons, and other structures are changing rapidly and may not grow at the same speed.
- Children and adolescents who participate in athletics - especially running and jumping sports - are at an increased risk of getting this condition.
Treatment and prevention of Sever's disease
- Initial treatment focuses on managing and reducing the inflammation - rest and take anti-inflammatory medication if necessary for a short period.
- Wear Enertor Walking PX1 insoles that have a slight heel raise to give shock absorption and helping not to overstretch the Achilles tendon.
- Once the initial inflammation has reduced, a graduated program of exercises given by a medical proffessional to gently stretch the Achilles tendon will ease the pain and lessen the pressure felt on the heel.
- Continue to wear the insoles in your daily shoes or trainers to prevent the condition reoccuring.