Taking Care of Sever’s Disease

This is a very common problem of the back of the heel bone in growing children. It is not really a disease and should not really be named after Dr Sever as there is a trend in medicine away from naming conditions after people, so the term calcaneal apophysitis should be the preferred term, however the term ‘Sever’s’ is much more commonly used and more frequently used in the search engines. An episode of PodChatLive had an in-depth discussion on Sever’s disease and it is well worth a watch:
Sever’s disease can sometime be a bit difficult to manage due to a high level of a lack of compliance by the child to advice to reduce activity levels. Load management, lifestyle adjustments and education about the expectations of outcomes  are key to managing this condition so getting the compliance of the child really is key. A cushioned heel insert is also commonly used to help protect the heel. The natural development of Severs disease is that it will get better on its own if the loads are managed and normal growth is allowed to occur. All cases will be gone by about the mid-teenage years. What this means is that the best strategy is to manage the loads and activity levels and the pain and wait for it to heel up on its own eventually.

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