Severs Disease

Heel pain in children, no it’s not plantar fasciitis!

Severs disease is a growth plate disorder of the heel bone, commonly occurring in active children aged 8-14.

It is characterised by pain in the heel bone, caused by:

  • excessive stress/strain from the Achilles tendon and/or the plantar fascia.
  • Poor footwear
  • High activity levels
  • Rapid growth
  • Vitamin deficiencies
  • Trauma

When we are born, our heel bone is actually in 2 separate pieces, joined together by a growth plate. By the age of 14-16 the heel then fuses into one large bone.

Treatment

Sever’s disease is very easily treated and often had quick results.

Treatment usually involves:

  • footwear modifications
  • heel lifts
  • exercises
  • orthotic therapy

Children1
X-ray of a child’s foot showing the growth plate at the heel

 

Children2

X-Ray of an adult, showing the heel bone which has fused