Re: 9 year old with sever's disease
DISCLAIMER:
THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
************************************************** *********
Sever's disease is a common foot ailment in active children. It is an inflammation of the apophysis (growth center) on the posterior of the heel. It is arguable as to whether it can be clearly diagnosed by x-rays, although other conditions may be found. But the symptoms, findings and history are so characteristic that a clinical diagnosis is generally adequate. Pain on pinching the posterior of the heel is presumptively characteristic. It is a self-limiting condition, in that when the growth center closes sometime in the child's teens, the condition will resolve by itself, even if it is untreated. But resolving it sooner generally requires a period of rest and reduction of stress to the area, which may mean anything from restricting running and jumping, to strapping, to avoiding shoes without sufficient heels or use of heel pads under the heel, to orthotics, to casting. It is important that the child be conscientious in avoiding activity which is likely to precipitate the problem and not to return to full activity either too soon or too fully after symptoms have dissipated or a recurrence will often be forthcoming. First step is to have a proper diagnosis by a qualified doctor.
__________________
Foot Doc
Last edited by FootDoc; 29th September 2009 at 07:34 PM.
|