Sever’s disease, also know as calcaneal apophysitis, is a common source of heel pain in young, growing athletes. The most common symptoms are pain or tenderness in one or both heels, discomfort when the heel is squeezed, and more severe pain when walking, running, jumping, or playing sports. The pain associated with Sever’s disease is typically localized to the side and back of the heel bone, though there may sometimes be pain at the bottom of the heel. In severe cases, Sever’s disease can result in limping.

Sever’s disease is caused by irritation of the bony growth plate at the back of the heel bone, and is directly related to overuse of the bone and tendons in the heel. It occurs in children ages 7-15, though it is most common in 10-14 year olds. Overuse can come from playing sports (e.g., soccer, basketball, or football) or any other activity that involves a lot of lots of heel movement. This is sometimes associated with starting a new sport, or the start of a new season.

Treatment: Sever’s disease is “self-recovering,” meaning that it will go away on its own when activity subsides or when the heel bone is through growing. It generally subsides within 2-8 weeks, though it can recur, for example, at the start of the next sports season. Possible treatments include elevation of the heel, regular stretching of the hamstring and calf muscles, following the R.I.C.E. regimen, and foot orthotics. In severe cases, a cast or medication might be necessary. Seek the advice of a trained medical professional.