Severs disease is a common problem in children that is treated by Podiatrists. It is considered to be a strain of the small growth area at the back of the heel bone where the Achilles tendon attaches to the bone. There is a small thin area of cartilage that growth of this bone occurs at, so because of this, severs disease is only a problem of youngsters. This growth plate is put under a lot of strain, especially in active children from the pull of the Achilles tendon and from impact on hard grounds. The classic symptoms of Severs disease is pain when compressing the sides of the back of the heel and it is also painful on activity. As it gets worse, the pain continues after activity. The treatment of severs disease is to relieve the strain on the growth plate. This is done by having the child cut back on activity levels and using heel raises. Calf muscle stretching and foot orthotics can sometimes be helpful. Severs disease is always self limiting eventually as the growth plate merges with the surrounding bone around the mod-teens.
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