Sever’s disease, also known as calcaneal apophysitis, is a common cause of heel pain in growing children and adolescents. It occurs when the growth plate in the heel becomes inflamed due to repetitive stress and tension from the Achilles tendon. This condition is most often seen in physically active children who participate in running or jumping sports. During growth spurts, bones can grow faster than muscles and tendons, which increases strain on the heel. This imbalance leads to irritation and discomfort that can affect mobility and performance in daily and athletic activities.
Symptoms of Sever’s disease include heel pain that worsens with activity and improves with rest. Children may complain of soreness at the back or bottom of the heel, especially after sports. Tenderness, mild swelling, and stiffness are also common. Some children may walk on their toes or limp to avoid placing pressure on the heel. Recognizing these symptoms early is important to prevent worsening pain and to support proper healing during active growth phases.
Risk factors include participation in high-impact sports, rapid growth periods, and tight calf muscles that increase tension on the heel. Improper footwear that lacks cushioning or support can further contribute to stress on the growth plate. Flat feet or high-arched foot structure may also affect how weight is distributed, increasing strain on the heel. These combined factors make active children more vulnerable to this condition, especially during periods of increased activity or training intensity.
Relief from Sever’s disease focuses on reducing stress on the heel and allowing the growth plate to recover. Rest, activity modification, and stretching of the calf muscles are essential components of care. Supportive footwear and heel cushions can help absorb shock and reduce discomfort. Early treatment helps prevent prolonged pain and supports a safe return to activity. If your child has heel pain, it is suggested that you consult a podiatrist who can accurately diagnose Sever’s disease and provide effective relief tips.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from Princeton Foot and Ankle Associates. 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 our offices located in Princeton, and West Windsor, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
