Pain in the rearfoot of children isn't very common, however when it does happen, the most prevalent cause is a disorder called Severs disease. It is not a real “disease”, however it is the term which has regrettably stuck. It is appropriately called calcaneal apophysitis. It is a issue with the growing area at the rear of the heel bone. Since it is a problem, of the growing bone, the disorder is self-limiting and definately will not be a concern when the growth of that bone has concluded. It is more common around the ages of 10-12 years.
The typical symptom of Severs disease are usually soreness on exercise and pain on compressing the sides of the back part of the heel bone. Initially the soreness is not that bad and does not impact action much, however later it will become more severe and impacts activities involvement and might lead to limping. The actual reason for it is not known, but it is clearly an excessive use type condition since it is more common in kids who participate in more sport and more common in children who have got a higher bodyweight. Children with tighter calf muscles may also be at a increased possibility for the chances of this disorder.
Commonly, the treatment of Severs disease is load management. The child is encouraged to stay active, but simply decrease exercise levels to a level that can be tolerated and not too painful. A cushioning heel pad in the footwear might be useful to protect it. Ice following sport might also be helpful to help the symptoms. If the calves are tight, then a stretches ought to be started. Occasionally foot supports may help when the arch of the foot is overpronated. On rare occasions a brace can be utilized, and all exercises ceased until it heals. By the mid-teens the growth plate that this occurs at merges with the rest of the heel bone, and this stops being a problem at those age groups.