Heel Pain in Kids: Understanding Sever’s Disease

Heel pain in children can be alarming for parents, especially when it interferes with sports, school activities, or daily play. One of the most common causes of heel pain in growing children is Sever’s disease, a condition that sounds serious but is actually a temporary growth-related issue that responds well to proper care.

What Is Sever’s Disease?

Sever’s disease, also known as calcaneal apophysitis, is an overuse injury that affects the growth plate of the heel bone. It typically occurs in children between the ages of 8 and 14, during periods of rapid growth.

The heel bone (calcaneus) grows faster than the surrounding muscles and tendons. This can place extra tension on the Achilles tendon, which attaches near the heel’s growth plate. Repeated stress and pulling can cause inflammation and pain in this sensitive area.

Common Symptoms of Sever’s Disease

Children with Sever’s disease may experience:

• Heel pain that worsens with running, jumping, or sports

• Pain during or after physical activity

• Tenderness at the back or bottom of the heel

• Limping or walking on toes to avoid heel pressure

• Stiffness or soreness after rest, especially in the morning

Symptoms often affect one heel but can occur in both.

What Causes Sever’s Disease?

Several factors increase the risk of developing Sever’s disease, including:

• Rapid growth spurts

• High-impact sports such as soccer, basketball, football, or gymnastics

• Tight calf muscles or Achilles tendons

• Poorly supportive or worn-out shoes

• Flat feet or high arches

• Excessive physical activity without adequate rest

How Is Sever’s Disease Diagnosed?

A podiatrist can usually diagnose Sever’s disease through a physical exam and medical history. Imaging such as X-rays may be used to rule out other causes of heel pain, but Sever’s disease itself does not always show visible changes on imaging.

Treatment Options for Sever’s Disease

The good news is that Sever’s disease is self-limiting, meaning it resolves once the growth plate matures. Treatment focuses on relieving pain and reducing stress on the heel.

Common treatments include:

• Activity modification or temporary rest from sports

• Ice therapy to reduce inflammation

• Stretching exercises for the calves and Achilles tendon

• Supportive footwear with proper cushioning

• Heel cups or custom orthotics to absorb shock

• Anti-inflammatory medications, when appropriate

In more severe cases, short-term immobilization may be recommended.

Can Kids Continue Playing Sports?

Many children can continue participating in sports with modifications, depending on symptom severity. Pain should guide activity levels. Playing through pain can prolong recovery, so it’s important to follow a podiatrist’s recommendations.

How Long Does Sever’s Disease Last?

Symptoms can last anywhere from weeks to several months, depending on activity level and adherence to treatment. While it may recur during growth spurts, Sever’s disease does not cause long-term damage.

When to See a Podiatrist

You should seek evaluation if your child:

• Has persistent heel pain lasting more than a few weeks

• Is limping or avoiding activities they enjoy

• Has pain that interferes with daily function or sports

• Does not improve with rest and supportive shoes

Early diagnosis and treatment can help your child return to activity faster and more comfortably.

Expert Care at Restore Foot and Ankle Specialists

At Restore Foot and Ankle Specialists, we specialize in diagnosing and treating pediatric heel pain, including Sever’s disease. Our team provides personalized treatment plans, activity guidance, and supportive solutions to keep kids active and pain-free as they grow.

If your child is experiencing heel pain, schedule an evaluation with our podiatry team to get answers and relief. Contact our office today with Dr. Gireesh Reddy or Dr. Sirisha Pokala by calling (469) 573-3427 or by booking an appointment online.