Sever's disease is a swelling and irritation of the growth plate in the heel. The
growth plate is a layer of
near the end of a bone
where most of the bone's growth happens. It is weaker and more at risk for injury
than the rest of the bone.
With proper management, Sever's disease usually goes away within a few months and
doesn't cause lasting problems.
What Are the Signs & Symptoms of Sever's Disease?
Sever's disease usually causes pain or tenderness in one or both heels. It also
can lead to:
swelling and redness in the heel
stiffness in the feet when first waking up
limping, or walking on tiptoes
pain when the heel is squeezed on both sides
Symptoms are usually worse during or after activity and get better with rest.
What Causes Sever's Disease?
Sever's disease happens during the growth spurt of puberty. During a growth spurt,
the bones, muscles, and tendons grow at different rates. The muscles and tendons can
become tight, pulling on the growth plate in the heel. Activities and sports pull
on the tight muscles and tendons, injuring the growth plate. This injury leads to
the pain of Sever's disease.
Less often, Sever's disease can happen from standing too long, which puts constant
pressure on the heel.
Who Gets Sever's Disease?
Sever's disease usually happens in kids and teens who are:
in their growth spurt (usually 9–14 years old)
active in sports or activities that involve a lot of running
or jumping, especially on hard surfaces (such as basketball,
gymnastics, and track)
How Is Sever's Disease Diagnosed?
To diagnose Sever's disease, health care providers:
ask about a teen's physical activities
do an exam, paying special attention to the heel
Usually no testing is needed. Although Sever's disease can't be seen on X-rays,
health care providers sometimes order them to check for other problems.
How Is Sever's Disease Treated?
A teen with Sever's disease needs to cut down or avoid all activities that cause
pain. Walking and non-weight bearing exercises (like swimming)
are usually OK.
These steps can help if you have Sever's disease:
Put ice or a cold pack on the heel every 1–2 hours, for 15 minutes at a time.
(Put a thin towel over your skin to protect it from the cold.)
Use heel gel cups or supportive shoe inserts to lower the stress on the heel.
Wear shoes that are open in the back so the heel is not irritated.
Use an elastic wrap or compression stocking to help with pain and swelling.
Take medicine for pain, such as ibuprofen or acetaminophen. Follow the directions
that come with the medicine for how much to take and how often.
Try physical therapy (PT) or
a home exercise program given to you by your health care provider to help with stretching
Wear a walking boot that limits the movement of the ankle/heel.
Sometimes a short leg cast
is put on for about a week if:
Symptoms are severe.
Symptoms don't go away with a few weeks of rest and treatment.
Can Teens with Sever's Disease Still Do Sports?
Teens can go back to sports when the activity does not cause any pain.
With rest, Sever's disease usually gets better within 2 weeks to 2 months. Most
teens can do all of the sports and activities that they did before.
After healing, you can help prevent Sever's disease from coming back by:
wearing shoes and sneakers that fit well and have padded soles