Coping With Calcaneal Apophysitis

Overview


Sever's disease is a term used to describe inflammation of the calcaneal apophysis which occurs in children and adolescents. Sever first described the condition in 1912. Further studies have suggested that the condition is due to repeated 'microtrauma' at the site of the attachment of the Achilles tendon to the apophysis of the heel, often as result of sporting activities. The disorder can be classified among the general osteochondrosis syndromes such as Osgood-Schlatter disease.


Causes


Your child?s heel bone keeps forming new bone until the late teens. The new bone is weak and can be damaged by running or pounding on hard surfaces, like during a basketball game. The new bone may also be irritated by shoes with poor padding in the heels or poor arch supports.


Symptoms


Pain is usually felt at the back of the heel and around the sides of the heel. If you squeeze the back of the heel from both sides simultaneously and pain is experienced Sever?s disease is more than likely present.


Diagnosis


Your podiatrist will take a comprehensive medical history and perform a physical examination including a gait analysis. The assessment will include foot posture assessment, joint flexibility (or range of motion), biomechanical assessment of the foot, ankle and leg, foot and leg muscle strength testing, footwear assessment, school shoes and athletic footwear, gait analysis, to look for abnormalities in the way the feet move during gait, Pain provocation tests eg calcaneal squeeze test. X-rays are not usually required to diagnose Sever?s disease.


Non Surgical Treatment


Your podiatrist can help manage this condition by implementing a treatment program. This may incorporate one or all of the following. RI (Rest and Ice). Activity modification so child becomes pain free. Daily stretching routine. Heel raise within shoes to decrease pull on heel. Biomechanical abnormalities corrected (Orthotics). Strengthening of associated muscles. Footwear modification.

tag : Severs Disease,Calcaneal Apophysitis

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