When is custom orthotics recommended for sever's disease?

Sever's disease, also called calcaneal apophysitis, affects the growth area at the back of a child's heel. Repeated impact and pulling from the calf and Achilles tendon can irritate this area during a growth phase. A custom device may cushion the heel, support the foot and alter how force travels through the leg. It is an aid for comfort and movement, not a way to stop normal growth or permanently correct foot shape.

Have the child assessed before ordering an orthotic, particularly if pain is one-sided or follows a sudden injury. Follow the recommended limits on running and jumping, then return to sport in stages as symptoms settle. Supportive shoes and a heel cushion may be suggested. Check the device for pressure points, and arrange a fit review as the child grows or the shoe size changes.

Book a clinical review when heel pain limits school activities, causes a limp, or does not improve with reduced impact. Seek prompt care for inability to walk, substantial swelling, redness with fever, pain after a significant fall, or new numbness. Those features may point to another problem requiring examination.

Ask whether the symptoms fit Sever's disease, which activities can continue, and whether the child needs a heel lift, a prefabricated insert or a custom orthotic. Ask how to introduce it, how long it should be worn during the day, and when sport can safely resume.