Calcaneal apophysitis, also known as Sever’s disease, is a common cause of heel pain in children and adolescents. It is an overuse injury that occurs when there is inflammation of the growth plate in the heel bone, where the Achilles tendon attaches. It typically affects children between the ages of 8 and 15, particularly those who are involved in sports that involve running and jumping.
Symptoms of calcaneal apophysitis include:
- Pain in the heel, particularly with activity
- Swelling and tenderness in the heel
- Difficulty walking or running
- Stiffness in the heel upon waking up in the morning
Treatment for calcaneal apophysitis typically involves rest, ice, compression, and elevation (RICE). Anti-inflammatory medications, such as ibuprofen, may also be used to reduce pain and inflammation. In some cases, a heel cup or other supportive device may be recommended to help cushion the heel and reduce stress on the growth plate.
It is important for children and adolescents with calcaneal apophysitis to avoid activities that aggravate the condition until the symptoms have completely resolved. In most cases, symptoms will resolve within a few weeks to a few months with proper treatment and rest. However, if left untreated, calcaneal apophysitis can lead to chronic heel pain and other complications.