What to know about Sever's disease in children

The heel bone has a growth area where the Achilles tendon and other tissues attach. Repeated pulling and impact during a growth spurt can irritate this area. A child may describe aching or tenderness at the back or underside of the heel, with symptoms becoming more noticeable after practice, sprinting, or jumping. Walking may cause a limp, and squeezing the heel from both sides can be uncomfortable. The condition is not the same as an adult tendon problem, and the diagnosis is usually based on the story and an examination.

Temporarily reduce activities that trigger heel pain, while keeping gentle movement that remains comfortable. A clinician may suggest calf stretching, gradual strengthening, supportive footwear, or a heel cup. Ice wrapped in a cloth after activity can ease soreness. Do not push through pain or restart full training in a single jump; increase running and jumping in stages when normal walking and daily activity are comfortable. A physiotherapist can help adjust training, landing technique, and flexibility for the child's sport.

Arrange an assessment if heel pain keeps returning, limits walking, causes a persistent limp, or does not settle after activity changes. Seek prompt medical care after a fall or blow, or when there is marked swelling, redness, warmth, fever, numbness, or inability to put weight on the foot. These features can point to another problem that needs examination.

Ask whether the pain pattern fits Sever's disease, which activities should pause, whether a heel cup or exercise plan could help, and how to judge readiness for sport. Also ask what symptoms would require a return visit.