What is Sever's Disease?
Sever's Disease, also known as calcaneal apophysitis, is a common condition among children and adolescents experiencing growth spurts.
It primarily affects the growth plate in the heel bone (calcaneus), where the Achilles tendon attaches. This condition is not actually a disease but rather an inflammation of the growth plate caused by repetitive stress and tension on the heel.
Side Effects of Sever's Disease
The main symptoms of Sever's Disease include:
- Heel Pain: Typically felt at the back or bottom of the heel, especially during or after physical activity.
- Swelling: Around the heel area where the Achilles tendon attaches to the calcaneus.
- Limping or Walking on Toes: Some children may adjust their gait to minimize heel pain.
These symptoms can vary in intensity but generally worsen with increased physical activity, such as running or jumping.
How is Sever's Disease Diagnosed?
Diagnosing Sever's Disease usually involves:
- Medical History and Physical Examination: The doctor will inquire about the child's symptoms and perform a physical examination, focusing on the heel area.
- Diagnostic Tests: While imaging tests like X-rays are not always necessary to diagnose Sever's Disease, they may be used to rule out other possible causes of heel pain.
Potential Treatment of Sever's Disease
Treatment for Sever's Disease aims to relieve pain and inflammation, as well as reduce stress on the growth plate. Common approaches include:
- Rest: Avoiding activities that exacerbate symptoms, such as running or jumping, can help the heel recover.
- Ice Packs: Applying ice to the affected area for 15-20 minutes several times a day can reduce pain and inflammation.
- Stretching Exercises: Gentle stretching exercises for the calf muscles and Achilles tendon can help alleviate tension on the heel.
- Orthotic Devices: Shoe inserts or heel cups can provide cushioning and support to reduce strain on the heel bone.
- Medication: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen may be recommended to manage pain and inflammation.
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