Severs Disease, also known as calcaneal apophysitis, is a common cause of heel pain in growing children and adolescents. This condition occurs when the growth plate at the back of the heel becomes inflamed due to repetitive stress or overuse. While Severs Disease typically resolves on its own with time and rest, innovative therapies can help alleviate symptoms and promote healing. Let's explore some of the latest treatment options for Severs Disease, from conservative measures to advanced interventions.

Understanding Severs Disease

Severs Disease typically affects active children and adolescents, particularly those involved in running, jumping, or sports that involve repetitive impact on the heels. Symptoms of Severs Disease may include heel pain, swelling, tenderness, and difficulty walking or participating in activities. Diagnosis is usually based on clinical evaluation, including a physical examination and imaging studies such as X-rays or ultrasound.

Rest and Activity Modification

The cornerstone of Severs Disease Treatment involves rest and activity modification to relieve pressure on the inflamed heel. This may include temporarily reducing or avoiding activities that exacerbate symptoms, such as running or jumping. Switching to low-impact activities like swimming or cycling can help maintain fitness while allowing the heel to heal. Additionally, supportive footwear with cushioning and arch support can help alleviate pressure on the heel during daily activities.

Physical Therapy and Stretching Exercises

Physical therapy plays a crucial role in Severs Disease treatment by focusing on strengthening and stretching exercises to improve flexibility and reduce pain. Physical therapists can tailor a customized exercise program to address muscle imbalances, tightness, and weakness that may contribute to heel pain. Common exercises for Severs Disease may include calf stretches, heel lifts, toe curls, and eccentric strengthening exercises to improve lower limb stability and function.

Orthotic Devices and Shoe Inserts

Orthotic devices and shoe inserts can provide additional support and cushioning to the heels, reducing stress on the affected area. Custom-made orthotics can be tailored to individual foot shape and biomechanics, providing optimal arch support and shock absorption. Over-the-counter heel cups or inserts may also be beneficial for some patients, offering temporary relief from heel pain during activities.