Painful heels in children is actually really common. There exists a problem that affects the rear of calcaneus bone in children described as Sever’s disease which a great deal of kids get. This condition is a growth area condition, therefore for this reason it is a condition that the child definitely will outgrow ultimately. It is recommended to be aware that this is simply not a disease, however the name is a thing that has caught on therefore it is nonetheless frequently used. A lot more proper term is calcaneal apophysitis. There exists a growth area (the apophysis) at the rear of the heel bone in the foot in which growth occurs, therefore the condition is an injury with this growth zone. Sever's disease generally affects kids between the ages of about 8-14 years old, with some impacted outside those age range. When growth for this heel bone finishes around the middle of the teenage life, after that Sever’s disease is no longer a concern or a dilemma.
The diagnosis of Sever’s disease is generally straight forward which is depending on the age of the kid and also the symptoms. There is little that is visible on xrays or other radiology, so they are useless to obtain a diagnosis. The symptoms are commonly more painful upon physical activity. The discomfort is usually at the back and sides of the heel bone and is a lot more uncomfortable if you squeeze the side of the heel bone. The pain do generally tend to go up and down from week to week. The main cause of Sever’s disease is simply too much overuse, so it's more prevalent in youngsters which have been more physically active or have a weightier bodyweight as this simply puts a lot more stress to the calcaneus bone and overloads it. If the surface that the youngster plays sporting activities on is harder, then this could be a factor. Many feel that restricted leg muscles can also be a concern, but other experts do not think that it's a concern.
The treatment of Severs disease is mainly just simply lowering physical activity amounts until the signs and symptoms improve. Physical activity amounts needs to be guided by the level of discomfort there is and taking care of that. Should the pain is getting better, after that activity levels might be higher. Generally if the symptoms are getting more painful then physical activity levels really should be decreased. Because of this the youngster along with parents have to be educated about the self-limiting nature of this problem and the ways to manage these loads to help keep the symptoms in check with time. The commonest treatment for Severs disease is typically a shock reduction heel pad which protects the heel coming from hard impacts on to the ground and also with the pull of the Achilles tendon. If the pain is particularly bad, then taping can be used to control motion and ice can be applied to help with the pain after athletic activity. If the feet are particularly flat or overpronated, then foot orthotics are now and again used to help that alongside with the painful heel. The most significant concern may be to influence that child to lower sports when the pain are getting worse since the natural impulse might be to keep as active as possible.