Severs disease is the frequent name for a condition which should be termed calcaneal apophysitis. It truly ought not to be called Severs “disease” since it is not a disease. It is a self limiting problem of the growth plate in the heel bone of kids that always goes away completely on its own eventually with no long term issues. This is a very common ailment in kids about age 10 to 12 years and should you question a number of children of that age should they have it or know someone who may have had it, then a lot of them will likely say yes. There exists a growth plate at the rear of the heel bone in which growth of that heel bone takes place at. The achilles tendon connects to this growth area, and so its not hard to see that a lot of force is put on that growing area, particularly if the child is overweight or busy in sports activity. Severs disease is a overuse of that growing region. The growing area merges with the rest of the heel bone by the early teenage years, and so its not feasible for it to become a problem after that.
Whilst Severs disease is self-limiting and they'll outgrow this, it is painful and can cause distress so does ought to be treated. The best strategy is to begin with education about the ailment and how to handle activity loads to keep it manageable. It is common to use ice on the heel after sport to help settle the pain. Cushioned gel heel pads are frequently helpful and may make it more tolerable to allow them to continue with activity. If you can find biomechanical problems, then good foot orthotics may be required to correct that. The key aspect of the treatment is simply managing the loads. Kids of that age need to be active and engage in sport, which means this can be a difficult task.