Severs disease is the popular name for a problem which should be termed calcaneal apophysitis. It truly shouldn't be referred to as Severs disease because it is not a disease. It is just a self limiting condition of the growth plate in the heel bone of kids that always goes away on its own sooner or later without having long term problems. This is a quite frequent disorder in kids close to ages 10 to 12 years and should you ask a group of kids of that age if they have it or have a friend who may have had it, then the majority of them will probably say yes. There is a growth plate behind the heel bone in which growth of that bone takes place at. The achilles tendon connects to this growth area, therefore it is just not difficult to note that a great deal of force is placed on the growing area, particularly if the child is overweight or busy in sport. The condition is a overuse of the growing region. The growing area merges with the rest of the heel bone by the early teenage years, therefore it is just not possible for it to become a issue beyond that.
Whilst the disorder is self-limiting and they'll outgrow this, it is painful and can cause problems so does ought to be managed. The best approach is to start with education with regards to the Severs disease and the way to handle exercise loads to keep it in check. It's quite common to use ice on the heel after sports activity to help relieve the pain. Cushioned gel heel pads are often good and might make it more bearable so they can continue with exercise. If there are biomechanical problems, then good foot orthotics may be required to improve that. The key part of the management is simply handling the loads. Children of that age try to be active and be a part of sport, which means this is definitely a challenge.