Calcaneal Apophysitis or Sever’s Disease

The typical presentation of calcaneal apophysitis is an active child (aged 9-13) 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 xray can be obtained to rule out any underlying fractures.

Sever's Disease back of heel pain Orange County, Mission Viejo, Aliso Viejo, Lake Forest, Laguna Hills, Laguna Beach, Irvine, Newport Beach, Tustin, Orange, Anaheim, Fullerton, Santa Ana, Laguna Niguel, Dana Point.

Heel Lift

Treatment of Sever’s Disease in Orange County

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

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. Gennady Kolodenker, DPM, AACFAS


lateral heel



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Last Updated 1-05-2017