Pain in the heels in children can be really common. There exists a problem that has an effect on the rear of calcaneus bone in youngsters called Sever’s disease which lots of youngsters have. This is a growth plate condition, so for this reason it is a problem that the youngster is going to grow out of ultimately. It is recommended to understand or know that this is simply not a "disease", but the term is a thing which has stuck so it's still commonly used. The better right name is calcaneal apophysitis. You will find a growth area (the apophysis) at the rear of the heel bone in which growth happens, so the disorder is an injury to this growth area. This problem commonly has an effect on youngsters around the ages of about 9-13 years old, with some affected outside these age groups. When growth for this heel bone finishes around the mid- teen years, after that Sever’s disease is no longer a concern or an issue.
Detecting Severs disease is usually easy and it is depending on the age of the youngster and the signs or symptoms. There is little which can be viewed on x-rays or other radiology, so these are useless for any investigation. The symptoms are normally even worse upon physical exercise. The pain is normally on the back and sides of the heel bone and is a lot more painful should you press the side of the calcaneus bone. The pain often generally are likely to go up and down from week to week. The cause of Sever’s disease is simply too much use, making it more common in kids which might be a lot more sporty or have a weightier body weight since this simply adds more load to the calcaneus bone and overloads the area. When the surface that the youngster plays sports upon is harder, this can be a risk factor. Some are convinced restricted calf muscles can also be an issue, however other authorities don't think that it's a problem.
The management of Severs disease is mainly simply cutting down exercise amounts until the pain get better. Exercising levels should really be influenced by how much pain there is and taking care of that. In the event the symptoms are getting improved, then physical activity amounts might be higher. If the pain is becoming more painful then activity levels ought to be decreased. Therefore the youngster and parents have to be well-informed about the self-limiting characteristics of this problem and approaches to handle these loads to maintain the discomfort under control with time. The most frequent treatment for Sever's disease is generally a shock reduction heel pad that cushions the heel by hard impacts on the floor and also from the force with the Achilles tendon. Should the discomfort is quite bad, then taping can be used to limit motion and an ice pack could be applied to help with the symptoms following athletic activity. When the feet are particularly flat or overpronated, then foot supports are occasionally used to help that alongside with the painful heel. The biggest problem may be to persuade the youngster to help reduce sports once the symptoms are getting worse since the innate impulse might be to keep as active as possible.