Sever's disease, or calcaneal apophysitis, is a common cause of heel pain in growing children, typically between ages eight and 14. It occurs when the growth plate in the heel bone becomes inflamed due to repetitive stress, often from sports or activities that involve running and jumping. Symptoms include heel pain, tenderness, and swelling, particularly after physical activity. The discomfort may worsen when walking or standing on tiptoes. Diagnosis is based on a clinical examination, medical history, and occasionally imaging scans to rule out other causes. Treatment focuses on reducing pain and inflammation through rest and targeted stretching exercises. In some cases, custom orthotics or heel cups may be prescribed by a podiatrist to provide cushioning. Most children recover fully with proper management, and the condition resolves once the heel bone finishes growing. If your child complains of persistent heel pain, is limping, or avoiding walking, it is suggested that you visit a podiatrist for a proper diagnosis and relief options.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dr. Jennifer Woo from California. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact our office located in North Hollywood, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.