Sydney Sports Podiatry
Severs Disease – Calcaneal Apophysitis
Calcaneal Apophysitis is a common cause of heel pain in children and adolescents. The condition usually occurs between the ages of 8 and 14 in active individuals who participate in sports involving high volumes of running and jumping.
The condition is typically associated with repeated stress from the calf muscles pulling on the growth plate of the heel bone (calcaneus), which can lead to localised inflammation and discomfort. Foot posture and biomechanical factors are often contributing elements; for example, children with significant pronation or “flat feet” may be more predisposed to developing calcaneal apophysitis.
Common symptoms may include:
- Pain at the back or bottom of the heel
- Limping, particularly during or after sport
- Toe walking as a strategy to manage heel pressure
- Discomfort during activity that often increases with intensity
- Mild heat or swelling around the heel bone
- Tightness in the calf muscles
- Sensitivity when the sides of the heel bone are squeezed
Our Clinical Management Plan
At Sydney Sports Podiatry, we provide a comprehensive assessment to differentiate calcaneal apophysitis from other causes of paediatric heel pain. Our goal is to support your child’s return to sport through a structured management plan.
Depending on the clinical assessment, management may include:
- Activity Modification: Advice on managing training loads during growth spurts.
- Biomechanical Support: Provision of heel lifts or custom orthotics to reduce tension on the growth plate.
- Rehabilitation: Tailored stretching and strengthening plans for the lower limb.
- Footwear Guidance: Assessment of school and sports shoes to provide adequate support and cushioning.
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