What to Expect from Custom Orthotics for Sever's Disease

Sever's disease, also called calcaneal apophysitis, affects the growth area at the back of a child's heel. Repeated pulling from the calf and Achilles tendon can make running, jumping, or prolonged standing painful. An orthotic can provide heel cushioning and may guide foot motion in a way that reduces stress. It supports comfort; it does not stop growth or guarantee that symptoms will disappear.

The fitting assessment may include the child's foot posture, activity, shoes, and the exact place of tenderness. Introduce the device for shorter periods before using it through a full school or sports day, as advised. Choose supportive shoes with adequate heel space and avoid forcing a child to continue painful activity. Ice after activity, calf stretching, and a temporary reduction in running or jumping may be part of the plan. Ask the child about rubbing, pressure, or pain rather than judging fit by appearance alone.

Contact a clinician if pain remains limiting despite reduced activity and a comfortable device, or if your child develops a limp. Prompt assessment is appropriate after a significant fall, with sudden swelling, fever, night pain, numbness, or inability to put the heel down. Pain on one side may be typical, but a clinician should assess persistent or unusual symptoms rather than assuming they are from Sever's disease.

Ask which activities can continue, how to phase the orthotics into school and sport, whether heel cups could be enough, and which stretches are suitable for your child.