Re: Severs Disease
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First of all, she needs a professional diagnosis, not just one gleaned by reading on the Internet. Sever's is a disorder commonly seen in physically-active pre-adolescents and early teenagers, but it is not the only condition which might cause heel pain. One of the more consistent diagnostic signs is pain elicited when squeezing the back of the heel just below the insertion of the Achilles tendon. But that, in itself, is not definitive. So, see a podiatrist first. The nature of the required treatment can then be determined by him/her. In general, treatment of actual Sever's is one of relative rest and support. This might be accomplished by anything from simply not running and jumping, to wearing of appropriate orthotics, to the use of heel pads and heel cups inside the shoes to the non-wearing of shoes without heels to casting. It is very important, though, that the child not be returned to activity too quickly after symptomatic relief, and certainly such return to activity should be in gradual stages. If indeed, your child has Sever's, it is a self-limiting condition, and will commonly resolve on its own when the calcaneal apophysis closes in her mid to late teens. The question is . . how much aggravation it will give her until then, and that is a case by case situation. Choose a good podiatrist who has an interest both in sports medicine and the care of young feet, and follow his/her advice.
Last edited by FootDoc; 8th January 2009 at 03:53 PM.