Understanding Sever’s Disease: Acute vs. Chronic

When it comes to Sever’s disease, there are two types: acute and chronic. Understanding the difference between these two types is important because it can impact the treatment options that will be most effective for your child’s recovery.

Acute Sever’s disease is a sudden onset of pain in the heel that occurs during physical activity. It may be accompanied by swelling or redness in the affected area. The pain may be intense, and your child may experience difficulty walking or putting weight on their heel. Acute Sever’s disease typically lasts for a short period of time, but it can still impact your child’s ability to enjoy their daily activities.

Chronic Sever’s disease, on the other hand, is a more long-term condition. The pain and discomfort may come and go over a period of several weeks or even months. Your child may experience stiffness and tenderness in the affected area, and complain of a dull ache rather than a sharp pain. Chronic Sever’s disease can be more challenging to treat but can be managed effectively with proper care and attention.

What are the Symptoms?

Sever’s disease can be identified by its distinctive symptoms, which are usually felt in the heel area. Here are some common indications to look out for:

• Pain in the heel area, which can be sharp or dull.
• Worsening of pain during or after physical activities.
• Tenderness or swelling in the affected area.
• Stiffness in the feet, especially in the morning or after a long period of rest.
• Difficulty walking or running, especially when barefoot.
• Redness or warmth in the heel area.

If your child is currently experiencing any of these signs, it is crucial to seek medical attention. Early diagnosis and treatment can help manage the pain and prevent further complications.

What Ages Does It Affect?

Sever’s disease usually affects children between the ages of 8 to 15 years old during their growth spurts. It is more typical in boys than in girls, and children who are overweight or obese may have a notably higher risk of developing the condition.

How to Treat Sever’s Disease?

Fortunately, this is a self-limiting condition, which means it will ultimately go away on its own as your child’s heel bone matures. However, there are several things that you can do to manage your child’s symptoms and make them feel more comfortable. Here are some ways to manage Sever’s disease:

• Encourage your child to rest and stay away from activities that put pressure on the affected foot. This can include running, jumping, or any other high-impact sports.
• Apply ice to the concerned area for 15-20 minutes, three times a day. This can help reduce inflammation and alleviate pain.
• Consider using heel cups or shoe inserts to cushion and support your child’s foot. These can help distribute pressure more evenly and reduce the strain on the heel bone. Custom orthotics will provide the best help. 
• Over-the-counter pain relievers such as ibuprofen help alleviate pain and reduce inflammation. Always consult with our doctors before administering medication to your child.
• Stretching routines can help improve flexibility and reduce stiffness in the feet. Consult with our podiatrists for specific exercises.
• For chronic cases, a combination of physical therapy, stretching exercises, and custom orthotics may be necessary to manage symptoms and prevent further injury.