Severs Disease (Calcaneal Apophysitis)
What is Severs Disease?
Severs disease, also known as calcaneal apophysitis, is not a disease. Severs disease is inflammation at the back of the heel at the growth center and attachment site of the Achilles tendon.
Typically occurs in rapidly growing children between ages 8-14. Can occur in one or both feet. Most often aggravated by physical activity
Causes:
Pain and inflammation of Severs disease is caused by:
- Repetitive stress on the Achilles tendon
- The heel’s growth center is sensitive to repeated running on hard surfaces.
Other potential causes consist of:
- Tight Achilles tendon
- Obesity
- Biomechanical problems such as flat feet or high-arched foot
Signs and Symptoms
Patients with Severs disease can complain of:
- Pain in the bottom or back of the heel
- Pain/stiffness with walking
- Increased pain while walking barefoot
- Foot tiredness
- Pain when squeezing the heel
Treatment
Various treatments of Severs disease include:
- Support the heel with heel cups or orthotics with added cushion
- Reduce activity
- Physical therapy – stretching the Achilles tendon
- Anti-inflammatory medication for pain and inflammation
