How effective is paediatric physiotherapy for Sever's disease?

Sever's disease involves irritation near the growth area at the back of the heel. It often becomes more noticeable during growth and with repeated running or jumping. Physiotherapy cannot shorten growth, but it can reduce loading and help the ankle, calf and foot work more comfortably.

Assessment may include walking, calf flexibility, foot control and the demands of training. Treatment can include stretching, strengthening, footwear advice and a staged activity plan. Improvement is followed through pain, walking and the ability to complete daily activities.

Reduce or pause the activities that clearly trigger heel pain, especially repeated sprinting and jumping, while keeping comfortable movement. Complete the prescribed exercises consistently and tell the physiotherapist if symptoms last into the next day.

A gradual return to sport usually begins with ordinary walking and low-impact activity before faster running and jumping. Do not use pain as a test of fitness, and do not return to full training while limping.

Arrange medical review if heel pain is severe, persistent, present at rest, or associated with swelling, redness, fever or a recent injury. Seek urgent care if your child cannot bear weight or has sudden severe pain after a fall.

Ask how much running is suitable, whether footwear or an insert may help, which exercises fit your child, and what signs show that sport can be increased safely.