What is Sever's disease?24 May 2016
Sever's disease or calcaneal apophysitis is a common cause of heel pain in children. It usually appears between 7 and 12 years of age and is more frequent in the male gender and in those children who perform sports activities.
What is Sever's disease?
Sever's disease or calcaneal apophysitis is a common cause of heel pain in children. It usually appears between 7 and 12 years of age and is more frequent in the gender
masculine and in those children who carry out sports activities.
What is the origin of Sever's disease?
Calcaneal apophysitis is an acute inflammation of the heel growth cartilage derived from muscular tension of the Achilles tendon and the fascia of the foot (Achilles-calcaneus-plantar system) exerted on the area during the growth period.
When does it usually appear?
In the early stages, heel pain usually appears at the end of sports practice and disappears after a short period of rest.
If no solution is put, the pain increases, appearing at the beginning of the sport and remaining in later days. Even in very advanced stages, it can cause the cessation of any activity that involves a request for the posterior leg muscles and an impact with the ground (running, jumping...). The onset of symptoms is usually related to sports activities such as football, basketball and gymnastics as the most predominant disciplines.
How can it be treated?
As it is a pathology caused by excessive and repeated traction of the Achilles tendon, the treatment will be aimed at reducing this tension.
We have to distinguish two phases in the treatment:
-Acute phase of treatment: The use of anti-inflammatory therapies (ice, massage, anti-inflammatories, etc.) and the reduction of sports activity are recommended.
-Second stage. It is about evaluating the causes of the increase in tension in the plantar fascia and seeking definitive solutions. At this time it is especially important to carry out a correct study of the march, since in most cases, the cause is in a certain way of stepping. By conducting a custom template Correctly, recurrences can be avoided and the child can continue his sports activity normally in a short period of time. Giving up sports should be the last possible option since it is very important to try to encourage physical activity and sports in children and this is an easily solvable injury with the right treatment.
In this sense, the Podoactiva technique (patented worldwide) achieves very positive results since it allows a 3D image to be obtained at a micron of the foot (without the foot deforming against glass), thus obtaining a perfect adaptation of the insole.
Once we have managed to relax the plantar fascia, it is very important to maintain a regular pattern of stretching.
Is it necessary to go to the podiatrist?
At Podoactiva, specialists in sports podiatry, we believe that it is very important to go to a sports podiatrist to make a correct diagnosis of gait. Although it is usually a pathology associated with "growing pains", in most cases it has a high biomechanical component and by carrying out the appropriate treatment, we can easily prevent the child from abandoning sports practice.
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