If your child has been complaining of heel pain—especially after sports, running, or physical activity—they may be experiencing Sever’s disease. Despite the name, it isn’t a disease at all. Instead, it’s one of the most common causes of heel pain in active children and adolescents.
What is Sever’s Disease?
Sever’s disease, also known as calcaneal apophysitis, occurs when the growth plate in the heel becomes inflamed. This happens because children’s bones are still developing, and the heel bone (calcaneus) grows faster than the surrounding muscles and tendons. The tightness creates extra stress on the heel, leading to pain and swelling.
Who is Most at Risk?
Sever’s disease usually affects:
- Children between ages 8–14
- Athletes who play sports involving running and jumping, such as soccer, basketball, gymnastics, and track
- Kids going through growth spurts
Common Symptoms
Parents should look out for:
- Heel pain during or after activity
- Limping or walking on toes to avoid pressure on the heel
- Tenderness when squeezing the back of the heel
- Pain that improves with rest but worsens with activity
Treatment Options
The good news is that Sever’s disease is temporary and resolves as the child finishes growing. Treatment focuses on reducing pain and inflammation:
- Rest and activity modification – Limiting high-impact sports until pain improves
- Ice therapy – Applying ice to the heel after activity
- Heel cushions or orthotics – Reducing stress on the heel
- Stretching exercises – Focusing on the calf muscles and Achilles tendon
- Supportive shoes – Avoiding flat or worn-out footwear
In severe cases, a doctor may recommend temporary immobilization to allow healing.
When to See a Specialist
If your child’s heel pain persists or interferes with daily activities, it’s best to consult a podiatrist. They can confirm the diagnosis and create a treatment plan tailored to your child’s needs.