Sever's Disease

This is a bone disorder that occurs in kids.

What is Severs disease?

Sever’s disease is when the achilles tendon attaches with the heel, (calcaneus). But when the growth plate grows to fast there is constant pulling on the tendon so it becomes really tight and causes pain in the heel.

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Systems

This disease has to do with the skeletal and muscular system. These two systems help you with everyday movement such as walking. But having this disease the calf area is really tight because the bones are growing faster and the tendons can't keep up, so it causes pain in the back of the heel.
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Who is affected?

This disease is most common in boy athletes. It occurs when the child has a growth spurt. For girls, ages 8-13 but most girls get it at age 9 and boys get this at ages 10-15. The ratio is approximately 3 boys to 1 girl.
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Signs and symptoms

  • Swelling and redness in the foot
  • Difficulty walking such as constantly walking on the tiptoes
  • It hurts when the heel is squeezed on one or both sides
  • Stiffness in the calf area.
  • Having heel pain during or after activity
  • Limping.

Diagnosis

A doctor can tell based on the symptoms reported. The doctor can also tell by doing the squeeze test, you squeeze both sides the heel to see if it causes pain. You could examine the calf area to see if the tendons are tight. Ask the child's sports level and how much the child participates in activity. You can tell by an x-ray to see if the growth plate is damaged. But most of the time x-rays aren't that helpful because Sever's disease can't be seen on it.

Treatment

The most obvious treatment is rest because then there will be no pressure on the heel therefore no pain. Stretching is key, this will help loosen up you muscles and tendons. Applying ice on the heel wrapped in a towel for 20 minutes can reduce swelling, but the ice should not be directly on skin. Avoid all activities that cause pain. Avoid running barefoot on all hard surfaces. If the child has a flat or high arch the doctor might recommend orthotics (heel pads) this will reduce the amount of pressure that is on the heel. The doctor may suggest a shoe with open backs, it prevents the heel from rubbing against the back of the shoe.

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Onset

Any child can get Sever's disease. It occurs in young athletes at the time of an early growth spurt (early puberty) because that is when all your bones grow to their max and mature. This disease does not have to be in family history for you to get it. It just occurs in those who are active.

Prognosis

This condition generally heals quickly. With proper care Sever's disease can go away within 2 weeks to 2 months and doesn't cause any problems later in life. After you are treated most kids return to activity's without any problems.

Connection

I chose this disease because I experienced this and wanted to know more about it. I also used orthotics as a treatment and it helped with the pressure on both of my heels.