What is Sever's Disease?
Sever's disease (calcaneal apophysitis) is a common cause of heel pain in growing children, typically between ages 8-14. It occurs when the growth plate in the heel becomes inflamed due to repetitive stress.
Despite its name, Sever's disease isn't really a disease. It's an overuse injury that's particularly common in active children who play sports involving running and jumping. With proper treatment, it resolves completely without long-term effects.
Common Symptoms
- Pain in one or both heels
- Pain that worsens with activity
- Limping or walking on toes
- Pain when the heel is squeezed
- Stiffness in the foot when waking
- Swelling or redness at the heel
Common Causes
- Growth spurts (bones grow faster than muscles)
- High-impact sports (football, basketball, gymnastics)
- Cleated shoes on hard surfaces
- Overpronation or flat feet
- Tight Achilles tendon
- Being overweight
How We Treat Sever's Disease
We understand how frustrating heel pain is for active children who want to play sport. Our approach balances symptom relief with keeping your child as active as possible, while the growth plate matures. Cushioned heel support and, where needed, custom orthotics reduce the traction on the growth plate during sport.
Heel Cushions/Cups
Stretching Programme
Activity Modification
Custom Orthotics
Ready to get sever's disease treated?
When to Seek Professional Help
- Pain is affecting your child's activities
- Your child is limping or avoiding sport
- Pain persists despite rest
- Swelling or redness is present
- Pain is in both heels
Frequently Asked Questions
Common questions about Sever's Disease at Lower Limb Clinic.
Further Reading
Clinically reviewed by Paul McMullan, BSc(Hons) MSc FRCPSGlasg MRCPod
BSc (Hons) Podiatry · MSc Podiatric Sports Medicine (QMUL) · FRCPSGlasg · MRCPod
Lead Podiatrist & Clinical Director, Lower Limb Clinic Belfast