Pes Cavus: Causes, Symptoms, Daignosis, Prevention and Treatment (1)

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Severs Disease
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Severs Disease

• Severs disease is known to be the most common
  form of heel pain that is experienced by children
  and adolescents. As the bones grow in the leg and
  foot, an extra tension is put on the tendons and
  ligaments which can further cause trauma to the
  growth plate in the heel bone.Generally,
  Severs Disease affects children aged between
  10-12 years and is most common in males.

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How is Severs disease diagnosed?

• There are a number of techniques that a
  podiatrist can do to diagnose Severs disease. To
  begin with, a baseline assessment of the legs and
  feet should be conducted to identify any
  abnormalities such as tight muscle groups or flat
  feet.This baseline assessment should also
  include an inspection of the patient walking.
  Identifying any underlying problems or
  abnormalities is important so that the correct
  treatment can be used.A footwear assessment is
  another important factor when diagnosing Severs
  disease unsupportive, or worn out shoes may be
  further contributing to the symptoms.

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Will Severs disease resolve?

• Severs disease is classified as a self-limiting
  condition which means that with time the
  condition will generally go away on its own.
  Return to normal activity is usually possible
  after approximately two to three months however
  this does vary.Treatments such as those
  mentioned above should not only reduce the
  healing time but improve the quality of life of
  the child by reducing pain levels and increasing
  functionality.Recurrence of Severs disease is
  rare however long term management strategies such
  as orthotics may be necessary in patients with
  certain foot types to prevent the development of
  other pathologies later in life.

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What are the signs symptoms of Severs Disease?

• Pain when squeezing the heel bone
• Pain is worse when standing or wearing closed
  shoes
• Tight calf muscles
• Tenderness along the Achilles tendon
• Decreased movement at the ankle joint
• Symptoms often worsen at the beginning of a
  sports season
• Symptoms worsen during a growth spurt
• Heel pain during physical activity

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How is Severs disease managed?

• Rest from activities that increase the pain
• Ice should be applied for 20 minutes every hour
  to assist in decreasing the pain and swelling
• Anti-inflammatory medications and topical creams
  are also useful in reducing the swelling and pain
  in the short term
• Strapping tape can be used to improve the
  alignment of the foot and ankle
• A heel raise placed in the childs shoes can be
  useful in reducing symptoms
• Stretching exercises of the calf muscles are
  almost always essential
• Good, supportive footwear should be worn
  especially when playing sport
• Orthotics may be necessary for patients with
  underlying problems such as flat feet

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