Calcaneal Apophysitis

Calcaneal apophysitis (also known as Sever's disease or Sever's condition ) is an inflammation of the growth plate of the bone at the back of the heel, the calcaneus. The inflammation occurs at the point where the Achilles tendon attaches to the back of your heel bone. Because it's an inflammation of a growth bone, calcaneal apophysitis most often affects children and adolescents who are active in sports. Boys experience the condition more often than girls.

Causes of Calcaneal Apophysitis

  • Excessive physical activity
  • Sprain injury where the Achilles tendon attaches to the back of your heel bone

Symptoms of Calcaneal Apophysitis

  • Enlargement of heel bone, in long-standing cases
  • Heel pain that begins gradually but worsens dramatically during or after exercise or physical activity
  • Swelling at the heel bone
  • Tenderness of the heel bone when pressure is placed upon it

Treatments for Calcaneal Apophysitis

  • Anti-inflammatory drugs
  • Custom-made orthotics --NOPA offers more than 150 unique possibilities!
  • Heel lift shoe inserts
  • Ice on the heel using an ice pack or ice wrapped in a towel
  • Limiting activity and sports for a period of time determined by your podiatrist
  • Physical therapy
  • Stretching exercises

Prevention of Calcaneal Apophysitis

  • Avoiding exercising or running on hard surfaces
  • Stretching and warming up properly before exercising or participating in sports
  • Wearing comfortable, properly fitting shoes that are also sport-appropriate and sport-specific--Dr. Lang and his team at NOPA can recommend      shoes best for you or your child

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