What to expect from paediatric physiotherapy for Sever's disease

Sever's disease is irritation around the growing heel area. The therapist may watch your child's walking, hopping and sport movements, then check calf tightness, ankle movement and tenderness. Treatment can include gentle calf stretching, strengthening for the foot and leg, and advice about shoes, surfaces and training loads.

The plan is usually adjusted around growth, symptoms and the sport your child enjoys. A temporary reduction in running or jumping may be recommended, with low-impact alternatives where suitable. Improvement is guided by function and comfort rather than by pushing through heel pain.

Encourage the home exercises exactly as demonstrated and use any recommended heel support or footwear consistently. Let the therapist know about pain during school, sport or the next morning. Return to impact activity in stages, increasing one demand at a time when walking and daily movement are comfortable.

Arrange a review if heel pain is worsening, persists despite the activity plan, or causes a marked limp. Seek prompt medical assessment if your child cannot bear weight, has severe swelling, develops fever, or seems acutely unwell, because these features need assessment beyond routine physiotherapy.

Ask how much sport is appropriate now, which substitute activities are suitable, and when stretching or strengthening should be progressed. Also ask how to use footwear or heel supports and which symptoms should trigger a reassessment.