How is Sever's disease treated in children?

Treatment aims to reduce the repeated pull on the sensitive growth area at the back of the heel. A clinician may recommend a temporary reduction in running and jumping, rather than complete inactivity. Calf and foot flexibility can influence how force travels through the heel, so exercises are usually introduced gently and progressed when comfortable. The diagnosis is based mainly on the history and examination; imaging may be considered when the pattern is unusual or an injury needs checking.

Choose well-fitting shoes with cushioning and avoid activities that reproduce sharp pain. A cold pack wrapped in cloth may be used briefly after activity if it feels soothing. Do not give pain medicine or use a brace without checking the appropriate choice and dose with a qualified clinician. Custom orthotics may be considered when foot mechanics or shoe support need individual attention. Paediatric physiotherapy can guide stretching, strength, and a staged return to sport.

Book a review when pain interferes with school, walking, sleep, or sport, or continues despite reducing triggers. Prompt assessment is needed after an injury, with marked swelling, redness, warmth, numbness, fever, or pain that is present even when resting. A clinician can reconsider the diagnosis when symptoms do not follow the expected pattern.

Ask which activities are safe now, whether an insert is suitable, how often exercises should be done, and what signs show that training can increase. Clarify how to manage pain during school and the point at which a follow-up examination is needed.