Understanding Sever's Disease: A Guide to Physiotherapy Management for Parents

If your pre-adolescent child is complaining of heel pain, then it could be Sever’s Disease.  Read on to find out more about this common musculoskeletal condition of childhood, and how physiotherapy can help alleviate symptoms and help your child continue to participate in the activities they love.

What is Sever’s Disease?

Sever's Disease, also known as calcaneal apophysitis, is a common condition among active children, particularly those involved in sports that require running and jumping. It occurs when the growth plate at the back of the heel becomes inflamed due to repetitive stress or overuse. Typically, Sever's Disease occurs during the growth spurts of preadolescence, when bones and muscles are rapidly developing.

Symptoms of Sever's Disease:

  • Heel pain, particularly during or after physical activity

  • Swelling and tenderness at the back of the heel

  • Difficulty walking or running comfortably

Physiotherapy Management:

Physiotherapy plays a crucial role in managing Sever's Disease and promoting a swift recovery. Here's how:

  1. Individualized Treatment Plans: A qualified physiotherapist will assess your child's condition and develop a personalized treatment plan tailored to their specific needs and level of activity.

  2. Strengthening Exercises: Targeted exercises to strengthen the muscles and tendons around the heel can help alleviate strain on the growth plate, reducing pain and promoting healing.

  3. Stretching: Flexibility exercises can improve range of motion and reduce tightness in the calf muscles and Achilles tendon, further easing discomfort.

  4. Biomechanical Assessment: A thorough biomechanical assessment can identify any underlying issues such as flat feet or improper gait mechanics that may contribute to the condition. Addressing these issues can prevent future injuries.

  5. Pain Management Techniques: Physiotherapists employ various techniques such as heel raise inserts, massage and taping to manage pain and inflammation effectively.

  6. Education and Prevention: Educating both parents and children about proper footwear, warm-up routines, and techniques to avoid overuse can significantly reduce the risk of recurrence.

Sever's Disease can be a challenging condition for both children and parents alike, but with the right approach, it can be effectively managed and overcome. Physiotherapy offers a holistic and individualized approach to treatment, focusing not only on alleviating symptoms but also on addressing underlying factors and preventing future injuries. By working closely with a physiotherapist and implementing their recommendations, you can help your child navigate through Sever's Disease with minimal disruption to their active lifestyle. Remember, early intervention is key, so don't hesitate to seek professional help if you suspect your child may be suffering from Sever's Disease.

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