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Old 8th January 2009, 04:04 AM
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Question Severs Disease

My daughter is 12 yrs old and this is her first year playing basketball. She has been experiencing pain in the bottom of her right heel for about 2-2 1/2 months. We have put an ice wrap around it which doesn't really help all that much. It went from only hurting during practice and games to now hurting all the time and has moved to the other heel. She has 2 weeks left of basketball season and would like to finish the season. I have read several articles on severs disease and I am guessing that is what she has. My question is can we tape her for an achilles tendon injury for her games and practice? We have tried the gel heel cups, which hasn't helped and also an air cast for heel injuries, also didn't help. She is now wearing a hard arch support, only during school and not during gym and sports. She is working up to wearing them for gym and sports. She has 1 1/2 months until track, if the rest is enough to help her heels feel better what can we do about track? She is a distance runner. Should she sit out this year or is there something we can do to help her get thru the season? Thanks for your information.
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Old 8th January 2009, 03:50 PM
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Default Re: Severs 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.
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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.
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Last edited by FootDoc; 8th January 2009 at 03:53 PM.
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