Severs disease is the frequent name for a disorder which should be called calcaneal apophysitis. It genuinely shouldn't be termed Severs “disease” as it is not a disease. This is a self limiting condition of the growth plate in the heel bone of children which always disappears altogether on its own sooner or later without any long term issues. This is a extremely frequent condition in children close to age 10 to 12 years and if you ask a number of kids of that age should they have it or know someone who has had it, then the majority of them probably will say yes. There is a growth plate in the rear of the heel bone where growth of that heel bone takes place at. The achilles tendon connects to that growth plate, therefore it is just not hard to see that a great deal of force is placed on that growing area, particularly if the child is overweight or active in sports activity. The condition of Severs disease is an overload of stress of that growing area. The growing area merges with the rest of the heel bone by the early teenage years, and so its not feasible for it to become a issue after that.
Although the disorder is self-limiting and they will grow out of this, it is painful and can cause discomfort so will need to be managed. The best strategy is to begin with education with regards to the Severs disease and the way to manage activity loads to keep it manageable. It is common to use ice on the heel after sport to help settle the pain. Cushioned gel heel pads are often good and may make it more bearable to allow them to continue with activity. If there are biomechanical issues, then correct foot supports are usually necesary to take care of that. The most crucial aspect of the treatment is just handling the loads. Kids of that age need to be active and participate in sports activity, so this could be a difficult task.