Heel pain in children often occurs during periods of rapid growth. Sever’s disease is frequently linked to overuse and strain on the developing structures of the foot. Children between the ages of eight and 14 are especially at risk because their bones may grow faster than the surrounding muscles and tendons. This imbalance can place added tension on the heel, leading to irritation and pain. Active children who participate in sports that involve running and jumping may experience this condition more often.
Symptoms of heel pain in children include tenderness at the back or bottom of the heel, discomfort during physical activity, and stiffness after rest. Some children may limp or avoid placing full weight on the affected foot. Pain may increase during sports and improve with rest, but it can return when activity resumes. In some cases, swelling or tightness in the calf muscles may also be present. Early recognition of these symptoms can help prevent worsening discomfort and support proper healing.
The main cause of heel pain in children, often called Sever’s disease, can be related to growth spurts. During their adolescent years, the heel bone grows rapidly, while the surrounding muscles and tendons may not keep pace. This can lead to increased tension on the heel. Repetitive impact from sports and physical activities can further strain the area. Relief often includes stretching exercises to improve flexibility and reduce stress on the heel. Parents should never push children through heel pain, as this can lead to more serious issues.
Risk factors for heel pain in children include high levels of physical activity, tight calf muscles, and participation in sports played on hard surfaces. Early attention is important for maintaining comfort and mobility. If your active child has heel pain, it is suggested that you consult a podiatrist for effective relief and management solutions.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Mack Jay Groves IV, DPM from Groves Foot & Ankle. Our doctor can treat your child’s foot and ankle needs.
Sever’s Disease
Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.
Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.
Symptoms
Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.
Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.
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