How long do custom orthotics take to work for Sever's disease?

Sever's disease is irritation where the heel bone is still growing, often in active children and adolescents. A custom orthotic may cushion the heel or change how force is distributed through the foot. It supports comfort but does not stop growth or make a child ready for every sport immediately.

Pain can rise after running, jumping, hard surfaces, or a sudden training increase. A child may feel better in ordinary walking before they can tolerate repeated sprinting or games. The aim is a steady return guided by symptoms and examination.

Have the child wear the orthotic in supportive, correctly sized shoes according to the fitting plan. Increase wear gradually and check for heel rubbing, pressure, or changes in walking. Do not squeeze the device into shoes that leave too little room.

Reduce impact activity when it provokes heel pain, while keeping movement that the clinician considers suitable. Calf stretching, strength work, and a staged return to sport may be recommended. Tell the clinician if pain returns after each practice or lingers into the next day.

Arrange assessment if pain is worsening, the child is limping, the orthotic causes new discomfort, or activity cannot be increased despite a consistent plan. Seek prompt care after a significant injury, inability to bear weight, marked swelling, redness, fever, or pain that occurs at rest or wakes the child.

Ask how long the initial wear period should be, which sports are acceptable now, and how to judge readiness for more impact. Clarify which exercises are suitable, when the orthotic needs checking as the child grows, and which symptoms need an earlier appointment.