Sever’s Disease
What Is Sever’s Disease?
Sever’s disease, or calcaneal apophysitis, is a condition that affects the growth plate in the heel of growing children. Growth plates are areas of developing cartilage found at the ends of bones in children and teens. Because they are softer and more vulnerable than mature bone, growth plates are prone to irritation and injury—especially during periods of rapid growth.
Sever’s disease occurs when repetitive strain—often from sports or high-impact activities—causes inflammation at the back of the heel, where the Achilles tendon attaches to the heel bone.
Common in children aged 8 to 12, but can occur up to age 16 or 17
The condition resolves once the growth plate matures and solidifies
What Causes Sever’s Disease?
Sever’s disease is triggered by repetitive stress on the heel bone during growth. When the bones grow faster than the surrounding muscles and tendons, tightness in the Achilles tendon pulls on the soft heel bone, leading to inflammation and pain.
Risk factors include:
Sports involving running, jumping, or sudden stops and starts (e.g., football, basketball, badminton, gymnastics)
Wearing unsupportive or worn-out shoes
Increased physical activity during growth spurts
Flat feet, high arches, or other biomechanical issues
Running or training on hard surfaces
Boys are more commonly affected than girls
Signs and Symptoms
Look out for these common signs of Sever’s disease:
Pain at the back or bottom of the heel, usually on one or both feet
Pain that worsens after sports or prolonged activity
Limping or avoiding putting pressure on the heel
Walking on tiptoes to reduce heel pressure
Mild swelling, redness, or tenderness at the back of the heel
Stiffness in the foot, especially in the morning or after rest
Symptoms typically come and go, depending on activity level and rest.
How Is Sever’s Disease Diagnosed?
At KL Foot Specialist Podiatry, diagnosis is made through:
A detailed clinical history and physical examination
Assessment of gait, posture, foot structure, and range of motion
Imaging (like X-rays) is not usually required unless a fracture or other serious condition is suspected
Treatment for Sever’s Disease
Sever’s disease is a self-limiting condition—meaning it will resolve over time once growth is complete. However, we focus on relieving symptoms, reducing stress on the heel, and helping your child stay active and pain-free.
At-Home Strategies
Rest: Reduce or modify high-impact activities (e.g., take a break from sports)
Ice: Apply an ice pack wrapped in a towel for 10–15 minutes after activity
Supportive footwear: Choose shoes with cushioning and heel support
Stretching and massage: Gentle calf stretches and foot massage can reduce muscle tension
Avoid walking barefoot on hard surfaces
How We Can Help
At KL Foot Specialist Podiatry, our podiatrist provides:
Footwear & Activity Advice
Guidance on choosing the right sports shoes and modifying training schedules
Gait & Biomechanical Assessment
We check your child’s walking pattern, posture, and foot alignment to identify any contributing factors
Custom Orthotics
Prescription orthotics to improve foot mechanics, reduce heel pressure, and support healthy development
In-shoe Modifications
Heel lifts, cushioning, or offloading pads to reduce tension on the growth plate
Strengthening & Stretching Programs
Child-friendly exercises to improve flexibility and strength in the lower limbs, promoting faster recovery and prevention
DolorClast® High Power Laser Therapy
A safe, painless laser treatment to reduce inflammation and stimulate tissue regeneration at the cellular level.
Can Sever’s Disease Be Prevented?
While you can’t stop growth spurts, you can reduce your child’s risk of developing heel pain:
Invest in quality, well-fitting shoes with good arch and heel support
Limit time spent in barefoot or flat slip-ons
Encourage daily stretching of calves and hamstrings
Gradually increase training intensity instead of sudden jumps
Monitor for early signs of heel discomfort and seek help promptly
Book a Consultation for Your Child Today
Don’t let heel pain interrupt your child’s fun or performance. Our experienced podiatrist can provide clear answers, a personalised plan, and fast-acting solutions.
Call us now or book online
KL Foot Specialist Podiatry – Children’s foot health experts in Kuala Lumpur