Sever’s disease is a painful heel condition that affects growing children, especially those who participate in running and jumping activities. Despite its name, it is not an illness or an infection. It develops when repeated pulling on the growth plate, which is an area of developing bone near the end of a bone, irritates the back of the heel. Growth plates are weaker than mature bone, making them more vulnerable during periods of rapid growth. Symptoms include heel pain, tenderness, limping, and discomfort that becomes worse after sports or other physical activities. Some children also walk on their toes to avoid placing pressure on the painful heel. The condition usually affects children between 8 and 15 years of age and can involve one or both heels.
A podiatrist evaluates the child's foot structure, walking pattern, ankle movement, and heel tenderness to identify factors contributing to the condition. The examination also looks for tight muscles and abnormal foot mechanics that increase stress on the heel. Treatment includes custom orthotics when appropriate, footwear recommendations, and exercises that improve flexibility and strength. Wearing shoes that provide proper support can also reduce repeated stress on the heel during sports and everyday activities. Regular follow-up visits help monitor progress and adjust treatment as the child's feet continue to grow. Early podiatry care also supports comfortable movement and encourages a safe return to normal activities.
Although Sever’s disease can be painful, it does not cause permanent damage to the heel when properly managed. Symptoms usually improve once the growth plate matures and closes. Early evaluation helps reduce unnecessary strain on the heel and identify contributing factors before pain interferes with sports or daily life. Prompt podiatry care supports healthy foot development, improves comfort, and helps children stay active with greater confidence. If your child has symptoms of Sever’s disease, it is suggested that you schedule an appointment with a podiatrist for diagnosis and treatment.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from William Street Podiatry. Our doctors 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 one of our offices located in William Street in New York, NY, Forest Hills, NY, and Broadway in New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
