Heel pain in children is often caused by the inflammation of the heel growth plates. This is caused by repeated abuse of the heels from sports activities. This is common in child athletes who have underdeveloped heel growth plates. This foot condition is also medically referred to as Sever’s disease or calcaneus apophysitis. 

Sever’s disease is common among adolescents who are currently undergoing growth spurts. However, this disappears as the heel becomes fully developed.

Causes of Sever’s Disease

Rapid bone growth occurs in the feet during childhood. The heel bone in particular undergoes major development which outpaces surrounding ligaments. This results to high tension in the ligaments which can easily be injured during high impact activities. Heel pain is caused by injuries resulting from repeated stress on the Achilles tendon which over time can damage the heel growth plate.

• Activities that can lead to Heel Pain
• Sports and physical activities that require jumping or running especially when done in hard surfaces
• Weight bearing activities that places pressure on the foot and its structures
• Standing for long periods of time

Wearing footwear that provide additional support for the heels can help reduce the risk of developing Sever’s disease in children. Children with previous history of heel pain or Sever’s disease are also advised to refrain from participating in sports activities. Consult a podiatrist if your child is experiencing chronic heel pain.  Dr. Jonathan Kletz is a podiatrist who specializes in helping children suffering from Sever’s disease.

Symptoms of Sever’s Disease

Pain and tenderness in one or both heels is a possible indication of the disease. Pain is usually felt at the back of the heels but can also radiate to the sides and bottom of the heels. Children with Sever’s disease can also experience these symptoms.

• Foot stiffness especially in the morning
• Swelling, redness and tenderness in the heels
• Pain and discomfort when running and jumping
• Heel pain that goes away with rest

Diagnosis of Sever’s Disease

Severe cases of Sever’s disease can cause tenderness and swelling in the heel area. But for those with milder symptoms a physical examination by a podiatrist can confirm if your child is suffering from the disease. An X-ray can also be used to rule out other foot injuries such as a broken bone or fracture. Children are also advised to wear footwear which provide additional heel support.

Consult a podiatrist if heel pain persists even after treatment. Texas Foot Works located in Dallas, Athens and Gun Barrell City, TX, we specialize in helping children with foot disorders.  To schedule an appointment, call 214-340-8885.