Severs disease is a common cause of heel pain in the younger athlete.
It typically affects boys more than girls between the ages of 9-13. The child may describe pain during activity, with swelling and tenderness at the base of the Achilles tendon.
What causes it?
Sudden increases in sports training or other physical activities. Poor biomechanics such as flat foot or high arched feet. Tightness in the calf muscles and restriction in ankle joint range of motion may also be a risk factor.
Like treating plantar fasciitis, there is a greater improvement with this condition if a combination of treatment options is used together. It is recommended to modify the activity that is aggravating the pain. Treating any localized pain with soft tissue techniques such as low level laser therapy, myofascial release and dry needling can provide immediate relief. Taping and Orthotic therapy can help to address any biomechanical issue. Exercise prescription with either stretching or strengthening can help rehabilitate the Achilles tendon. It is not recommended to do surgery or cortisone injections for this condition.