Sever's disease

Overview

Sever's disease is a common cause of heel pain in growing, active children, from irritation at the heel's growth area. It is self-limiting and managed with load management, heel support and calf strengthening.

Symptoms

• Heel pain with running and jumping
• Tenderness at the back of the heel
• Limping after sport
• Pain that eases with rest

Causes

• Rapid growth combined with sport
• Repetitive running and jumping
• Tight calf muscles

Treatment

• Load management and activity pacing
• Heel cups and supportive footwear
• Calf stretching and strengthening
• Reassurance about the self-limiting course