Sever's disease is one of the most frequent causes of heel pain in active children. It occurs when repetitive stress affects the growth plate in the heel, leading to irritation and discomfort. As children grow, their bones develop quickly, while muscles and tendons may remain tight. This creates increased tension at the heel, particularly during sports and physical activity. The condition is most often seen in children between 8 and 14 years old who are involved in activities that require running and jumping.
Common symptoms include heel pain that worsens with activity and improves with rest. Children may complain of soreness after sports or physical education. Limping or favoring one foot is also common, especially after prolonged activity. The heel may feel tender to the touch, and pressure can increase discomfort. These symptoms may come and go but tend to return if the underlying cause is not addressed.
Several risk factors increase the likelihood of developing Sever's disease. Rapid growth during adolescence is a primary factor, as it affects the balance between bones and soft tissues. High impact sports, tight calf muscles, and lack of proper shoe support can all contribute. Children with flat feet or high arches may place uneven stress on the heel, increasing irritation. Understanding these risks can help guide prevention and early care.
Treatment focuses on relieving stress on the heel and promoting healing. Rest, stretching, and wearing supportive shoes are key components of recovery. Heel cushions and orthotic devices can provide additional support and reduce impact. Early management allows children to remain active while minimizing discomfort. If your active child has heel pain, it is suggested that you consult a podiatrist for an accurate diagnosis and effective relief and management tips.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from Palm Beach Foot & Ankle. Our doctors can treat your child’s foot and ankle needs.
Sever’s Disease
Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.
Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.
Symptoms
Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.
Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.
If you have any questions, please feel free to contact our offices located in Boynton Beach, Palm Beach Gardens, and West Palm Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
