Sever’s Apophysitis (Heel Pain in Young Athletes)

Sever’s apophysitis is a temporary, painful inflammation of the growth plate located at the back of the heel bone (calcaneus). It commonly affects active children and young adolescents during growth spurts.

Symptoms

• Heel pain during or after physical activity, especially running or jumping
• Tenderness when squeezing the back sides of the heel
• Stiffness upon waking or walking on tiptoes to relieve pressure
• Swelling or mild redness around the heel

Causes 

Repetitive stress on the heel growth plate from the pulling of the Achilles tendon. Rapid growth spurts cause the Achilles tendon to tighten, pulling forcefully on the soft growth plate during impact.

Risk Factors

• Participation in high-impact sports (soccer, basketball, gymnastics, track)
• Rapid growth spurts (ages 8 to 14)
• Tight calf muscles or tight Achilles tendons
• Flat feet or high arches
• Playing on hard surfaces or wearing cleats with minimal cushioning

Diagnosis 

Our foot and ankle specialists perform a thorough physical exam, evaluating tenderness, calf flexibility, and gait. X-rays may be taken to rule out fractures or other conditions.

Treatment

• Rest, activity modification, and ice therapy
• Stretching and physical therapy
• Supportive orthotics or heel cups
• Over-the-counter anti-inflammatories

Get your young athlete back in the game safely. Schedule an expert foot and ankle evaluation with Premier Orthopaedics today!