Sever’s Disease (Paediatric heel pain)
Sever’s disease is a common cause of heel pain in Children. At 360 Podiatry we can provide Solemaids® insole to provide immediate relief for this condition!
What are the risk factors?
Rapid growth associated with the adolescent growth spurt, typically 8 – 12 years in girls or 10 – 14 years in boys. Regular high impact sports such as repetitive running, jumping, football and gymnastics.
What are the clinical features?
Sever’s disease is painful over the calcaneal tuberosity at the insertion of the Achilles tendon. It is usually unilateral but can be bilateral in some cases although never symmetrical. The pain is made worse by sporting or high impact activities and can commonly cause pain after prolonged walking. Flat shoes tend to exacerbate the pain. It is focally sore to palpation over the posterior heel and sometimes can swell in this area.
How should this condition be investigated?
History and examination are sufficient to form a clinical diagnosis. X-rays are not diagnostic and only required if alternative diagnoses are being considered.