Calcaneal Apophysitis or Sever’s Disease
The typical presentation of calcaneal apophysitis is an active child (aged 9-13 y) who complains of pain at the posterior heel, pain at the back of heel or pain at the insertion of the achilles tendon made worse by physical activities, especially those involving soccer, running or jumping.

The heel pain or distal achilles tendon pain is related to a growth center in the calcaneus.

The growth center has the
consistency of butter taken out of the freezer.

Pain and inflammation occur after injuring the growth center.

An x-ray can be obtained to rule out any underlying fractures.

Treatment of Sever’s Disease in Orange County

Initially rest, ice, compression, and elevation to decrease the edema.

Some patients need to wear a walking boot. 

It is vital to stretch the achilles tendon properly prior to performing any physical activities. The most efficient stretching is after exercise.

Orthotics or heel lifts could be used to prevent recurrence of calcaneal apophysitis.

Sometimes physical therapy will be required in order to speed up the recovery of Sever’s disease.

Very rarely is surgery performed. PRP is not indicated for Calcaneal Apophysitis or Sever’s Disease. If symptoms are not resolving, a minimally
invasive lengthening of the achilles tendon can be done to surgically lengthen the tendon.

For a Consult contact Dr. Kolodenker, DPM, AACFAS 949-651-1202


These videos are for information only. The contents of the videos, such as graphics, images, text, quoted information and all other materials (“Content”) are provided for reference only, do not claim to be complete or exhaustive or to be applicable to any particular individual’s medical condition. Viewers should always consult with a qualified and licensed physician or other medical care provider. Users are warned to follow the advice of their physicians without delay regardless of anything seen or read in these videos. OC Podiatry assumes no duty to correct or update the Content nor to resolve or clarify any inconsistent information that may be a part of the Content. Reliance on any Content is solely at the User’s risk. The videos may contain health or medically related materials considered sexually explicit. Users are warned that if they may be offended by such Content, an alternate source of information should be found. Publication of information or reference in videos to specific sources such as specific products, procedures, physicians, treatments, or diagnoses are for information only and are not endorsements.

Last Updated 11-15-2016