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Heel Pain in Growing Children

Tuesday, 08 July 2025 00:00

Sever’s disease, also known as calcaneal apophysitis, is a common cause of heel pain in children, especially during growth spurts between ages 8 and 14. It occurs when the growth plate in the heel becomes inflamed due to repetitive stress from sports or activity. A less commonly known fact is that Sever’s disease often appears in both heels, not just one. Symptoms include heel pain during or after activity, limping, walking on toes, and tenderness at the back of the heel. The heel may look normal but feels sore to the touch, especially after running or jumping. A podiatrist diagnoses Sever’s disease through a physical exam, symptom review, and sometimes imaging to rule out other conditions. Treatment includes rest, stretching exercises, heel cushions, supportive footwear, and sometimes custom orthotics to relieve pressure. If your child is dealing with this condition, it is suggested that you make an appointment with a podiatrist for evaluation and treatment.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact our office located in Carrollton, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

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