What is Calcaneal Apophysitis?
Calcaneal Apophysitis, also commonly known as Sever’s disease, is a condition commonly found in children and adolescents during periods of rapid growth.
Causes of Calcaneal Apophysitis
The main symptom indicative of Calcaneal Apophysitis is inflammation and pain in the growth plate of the heel bone, otherwise known as the calcaneus. This growth plate is a soft area of developing tissue where bone growth occurs. Children who are active and participate in sports that heavily encourage running and jumping, such as soccer, basketball or gymnastics, are more likely to develop Calcaneal Apophysitis. The repetition and stress that these sports have on the heel bone can lead to the irritation and inflammation found in the growth plate.
Symptoms of Calcaneal Apophysitis
Someone with Calcaneal Apophysitis can expect to encounter the following symptoms:
- Heel pain, especially during or after physical activity
- Limping
- Tenderness and swelling of the heal
- Difficulty walking or running
Diagnosing Calcaneal Apophysitis
Your doctor will diagnose Calcaneal apophysitis with a physical exam that includes applying gentle pressure to the heel and foot to best determine where the pain is originating. X-rays and MRI scans may help your doctor further confirm a diagnosis and rule out other conditions, like a broken bone.
Treatment for Calcaneal Apophysitis
Treatment for Calcaneal Apophysitis can vary based on the severity of your case, but the most prescribed protocol involves rest, ice, stretching and wearing supportive footwear with cushioned insoles. In some cases, your doctor may recommend physical therapy or orthotic devices to further relieve symptoms and prevent recurrence. In more severe cases, Calcaneal Apophysitis may require immobilization with a cast or boot to allow the heel to properly heal. It’s imperative that children with Calcaneal Apophysitis avoid activities that can exacerbate their pain, and to always follow their doctor’s recommendations for treatment and rehabilitation.
With the proper care and management, most children with Sever’s disease can recover fully, resume normal activities and live a normal, active lifestyle.