Sever’s disease is one of the most common causes of heel pain in children and adolescents. It typically occurs during periods of rapid growth and is often seen in children who participate in sports or high levels of physical activity.
Although the condition can be painful, it is temporary and related to the normal development of the growing foot.
Our foot clinic provides professional Sever’s disease assessment and treatment in Toronto focused on relieving pain and supporting healthy growth.
Sever’s disease, also known as calcaneal apophysitis, occurs when the growth plate at the back of the heel becomes irritated. Growth plates are areas of developing bone found in children and adolescents.
During growth spurts, the heel bone may grow faster than surrounding muscles and tendons. This can create increased tension where the Achilles tendon attaches to the heel, leading to inflammation and discomfort.
The condition typically affects children between the ages of 8 and 14.
Common contributing factors include:
Rapid growth during childhood
Participation in running or jumping sports
Tight calf muscles or Achilles tendon
Increased physical activity
Foot structure such as flat feet or high arches
Poorly supportive footwear
Symptoms often appear during periods of increased activity.
You may notice:
Pain at the back or bottom of the heel
Limping after sports or physical activity
Tenderness when squeezing the heel
Heel pain during running or jumping
Discomfort that improves with rest
Symptoms may affect one or both heels.
Treatment focuses on reducing strain on the heel while the growth plate heals.
Comprehensive biomechanical assessment helps evaluate foot structure, walking patterns, and contributing mechanical factors.
Custom orthotics may be recommended to improve foot support and reduce stress on the heel.
Heel cushioning or offloading strategies may be used to reduce impact during activity.
Stretching guidance may be provided to improve flexibility in the calf muscles and Achilles tendon.
Footwear recommendations may help ensure adequate cushioning and support during sports and daily activities.
With appropriate management, symptoms typically improve as growth stabilizes.
Consider booking an assessment if your child:
Complains of heel pain during sports
Begins limping after activity
Experiences recurring heel pain
Avoids physical activity due to discomfort
Early treatment can help reduce pain and allow children to remain active safely.
If your child is experiencing heel pain, a professional assessment can help determine whether Sever’s disease is the cause and guide appropriate treatment.
Book an appointment today for Sever’s disease assessment at our Toronto foot clinic.
