Definition: Common heel injury that occurs in athletic youth (more common in boys) typically between the ages of 8-15 years old. Sever's Syndrome (also known as 'calcaneal apophysitis' ) is a growth plate disturbance at the heel bone. It usually occurs during the growth spurt of adolescence.

Mechanism of Injury

There is not always a mechanism of injury for Sever’s syndrome although a sudden impact or intense sport or activity may begin the inflammatory process.

Signs & Symptoms

  • Sharp or dull pain in the heel bone which increases with weightbearing activities
  • Heel is painful to touch
  • Child may develop an avoidance of heel contact when walking


Condition is a product of the age of the child because the growth plate solidifies after about age 14 or 15 and is no longer a painful area.

Pedorthic Treatments

Custom made Orthotics are the most effective methods to reduce your growth plate heel pain. They are able to redistribute and load the foot in a different way in order to decrease stress to the affected area. Pedorthists use interventions such as a deep heel cup, and a stabilizing arch support, along with a cushioned or elevated heel. Proper footwear is also pivotal to your recovery. Talk to your Pedorthist about proper footwear choices for you.

Other Treatment

STRETCHING: calf stretch ICE: 10-15 minutes to relieve pain and reduce swelling.

OTHER TREATMENT: may include pain medication, physiotherapy. A ceasation of activity will limit repetitive trauma and may allow healing.

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