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Sever's Disease is probably the most frequent cause of heel pain in children. It commonly occurs in (but is not limited to) children aged 8-14 years. Boys and girls are both equally affected by the disease, although  active children seem most prone to the disease.


Activity related pain at the back of the heel bone (cal-cane-e-us) where the Achilles Tendon attaches is the most common characteristic of Sever's Disease.  There may also be swelling and tenderness around this area.  Sports that require a lot of running, jumping or other high impact activities are particularly associated with Severs Disease (football, basketball, gymnastics etc.). 

Main contributing factors 
  • 8-14 years of age
  • High impact activities or increased activity levels
  • Excessive pronation – ‘rolled-in feet’
Treatment for Severs Disease
  • RICE – rest, ice, compression & elevation
  • Soft tissue massage & stretching exercise
  • Heel raises and supportive strapping
  • Address biomechanical abnormalities with orthotics
  • Casting if very severe
    What can you do?
  • Footwear assessment – it may be time for a new pair
  • Reduce or modify current activities
  • Gradually resume normal activity as symptoms resolve
  • Ice after training/ activity 15 minutes on, 2 hours off, 15 minutes on
  • Stretch your lower leg muscles – but not to the point that it causes pain
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