Sever's Diseaseenteenshttps://kidshealth.org/EN/images/headers/KH_generic_header_11_2.jpgSever's disease, a common heel injury, is due to inflammation (swelling) of the growth plate in the heel. While painful, it's only temporary and has no long-term effects.Sever, Sever's, heel pain, pain in heel, Achilles, Achille, apophysis, apophysitis, growth plate, heel bone, calcaneus, calcaneal, epiphysis, epiphyseal, plate, Osgood, Schlatter, heel cord, stress injury, repetitive stress, tenderness, redness, foot pain, heels, heels hurt, feet, foot probelms, foot pain, feet hurt, ortho, orthopedics, orthotics, icing, ice packs, casts, foot casts, heel casts, heel injuries, foot injuries, growth plate injuries, severs, server's servers, server's disease, severes disease, severes, sevier, seviers, inflammation, inflamed, heel inflammation, bones, problems with bones, overweight, obese, obesity, Osgood-Schlatter disease, muscles and tendons, muscles, tendons, tendins, swelling, tenderness, heel swelling, heel tenderness, red heels, short leg syndrome, archs, arches, flat feet, high arch, low arch, foot arch, pronated, pro-nated, pronated foot, arch supports, heel pads, inserts, shoe inserts, shoes01/17/201903/25/201909/02/2019Alvin Su, MD01/14/2019bb2dcd46-ec56-4b89-a3f4-dabd6d1935b8https://kidshealth.org/ws/RadyChildrens/en/teens/severs-disease.html/<h3>What Is Sever's Disease?</h3> <p>Sever's disease is a swelling and irritation of the growth plate in the heel. The growth plate is a layer of cartilage near the end of a <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/bones-muscles-joints.html/">bone</a> where most of the bone's growth happens. It is weaker and more at risk for injury than the rest of the bone.</p> <p>With proper management, Sever's disease usually goes away within a few months and doesn't cause lasting problems.</p> <h3>What Are the Signs &amp; Symptoms of Sever's Disease?</h3> <p>Sever's disease usually causes pain or tenderness in one or both heels. It also can lead to:</p> <ul> <li>swelling and redness in the heel</li> <li>stiffness in the feet when first waking up</li> <li>limping, or walking on tiptoes</li> <li>pain when the heel is squeezed on both sides</li> </ul> <p>Symptoms are usually worse during or after activity and get better with rest.</p> <h3>What Causes Sever's Disease?</h3> <p>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.</p> <p>Less often, Sever's disease can happen from standing too long, which puts constant pressure on the heel.</p> <p><img class="center_this" title="Diagram labels inside the heel, muscle, heel bone, growth plate, tendon, heel bone, and area that hurts" src="https://kidshealth.org/EN/images/illustrations/severs-415x233-rd5-enIL.png" alt="Diagram labels inside the heel, muscle, heel bone, growth plate, tendon, heel bone, and area that hurts" /></p> <h3>Who Gets Sever's Disease?</h3> <p>Sever's disease usually happens in kids and teens who are:</p> <ul> <li>in their growth spurt (usually 9–14 years old)</li> <li>active in sports or activities that involve a lot of <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/safety-running.html/">running</a> or jumping, especially on hard surfaces (such as <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/safety-basketball.html/">basketball</a>, <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/safety-gymnastics.html/">gymnastics</a>, and track)</li> </ul> <h3>How Is Sever's Disease Diagnosed?</h3> <p>To diagnose Sever's disease, health care providers:</p> <ul> <li>ask about a teen's physical activities</li> <li>do an exam, paying special attention to the heel</li> </ul> <p>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.</p> <h3>How Is Sever's Disease Treated?</h3> <p>A teen with Sever's disease needs to cut down or avoid all activities that cause pain. Walking and non-weight bearing exercises (like <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/safety-swimming.html/">swimming</a>) are usually OK.</p> <p>These steps can help if you have Sever's disease:</p> <ul> <li>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.)</li> <li>Use heel gel cups or supportive shoe inserts to lower the stress on the heel.</li> <li>Wear shoes that are open in the back so the heel is not irritated.</li> <li>Use an elastic wrap or compression stocking to help with pain and swelling.</li> <li>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.</li> <li>Try <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/pt.html/">physical therapy (PT)</a> or a home exercise program given to you by your health care provider to help with stretching and strengthening.</li> <li>Wear a walking boot that limits the movement of the ankle/heel.</li> </ul> <p>Sometimes a short leg <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/casts.html/">cast</a> is put on for about a week if:</p> <ul> <li>Symptoms are severe.</li> <li>Symptoms don't go away with a few weeks of rest and treatment.</li> </ul> <h3>Can Teens with Sever's Disease Still Do Sports?</h3> <p>Teens can go back to sports when the activity does not cause any pain.</p> <h3>Looking Ahead</h3> <p>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.&nbsp;</p> <p>After healing, you can help prevent Sever's disease from coming back by:</p> <ul> <li>wearing shoes and sneakers that fit well and have padded soles</li> <li>avoiding heavy or high-heeled shoes</li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/teens/stretching.html/">stretching</a> before and after activity and sports</li> <li>putting ice on the heel for 15 minutes after activity and sports (with a towel over the skin to protect it from the cold)</li> <li>using special shoe inserts</li> <li>losing weight (if <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/obesity-overweight.html/">overweight</a>)</li> </ul> <p>Usually by age 15, the growth plate is finished growing. After that, you won't get Sever's disease again.</p> Enfermedad de SeverLa enfermedad de Sever es una inflamación e irritación del cartílago de crecimiento del talón. Con un cuidado adecuado, la enfermedad de Sever suele desaparecer en unos pocos meses y no causa problemas a largo plazo. https://kidshealth.org/ws/RadyChildrens/es/teens/severs-disease-esp.html/0bc1d0fc-2f6e-42ae-a6f1-05abb1dae0b7
Achilles TendonitisIf the tendon just above your heel becomes swollen or irritated due to overuse, it can lead to a painful condition called Achilles tendonitis. Find out how to treat it - and prevent it.https://kidshealth.org/ws/RadyChildrens/en/teens/achilles.html/b76164e9-b222-48bb-8113-4e1df39b9672
Ankle SprainsA sprained ankle is a very common injury that happens when the ligaments that support the ankle get overly stretched or torn. Find out how to avoid ankle sprains and what to do if you get one.https://kidshealth.org/ws/RadyChildrens/en/teens/ankle-sprains.html/8d2d4396-e73f-4669-8c55-45471faa6e8a
Dealing With Sports InjuriesYou practiced hard and made sure you wore protective gear, but you still got hurt. Read this article to find out how to take care of sports injuries - and how to avoid getting them.https://kidshealth.org/ws/RadyChildrens/en/teens/sports-injuries.html/e49f63c7-6ae0-446e-a953-4b458a82eaeb
Hamstring StrainA hamstring strain happens when one or more of the muscles in the back of the leg gets stretched too far and starts to tear. Find out how to treat hamstring strains in this article for teens.https://kidshealth.org/ws/RadyChildrens/en/teens/hamstring-strain.html/916a5522-34cb-41b2-bfa0-79128d0b135c
Jumper's KneeJumper's knee is an overuse injury that happens when frequent jumping, running, and changing direction damages the patellar tendon.https://kidshealth.org/ws/RadyChildrens/en/teens/jumpers-knee.html/16b92a66-48a6-4473-ba2e-87bbe0566229
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Osgood-Schlatter DiseaseOsgood-Schlatter disease (OSD) is an overuse injury that can cause knee pain in teens, especially during growth spurts. Learn more.https://kidshealth.org/ws/RadyChildrens/en/teens/osgood.html/585217d8-dfd4-4357-94f9-431b2791d355
Patellofemoral Pain Syndrome (Runner's Knee)Patellofemoral pain syndrome (or runner's knee) is the most common overuse injury among runners, but it can also happen to other athletes who do activities that require a lot of knee bending.https://kidshealth.org/ws/RadyChildrens/en/teens/runners-knee.html/4589da1f-0851-45ac-a408-8ce20ef2c72b
Repetitive Stress Injuries in SportsRepetitive stress injuries (RSIs) happen when movements are repeated over and over, damaging a bone, tendon, or joint. https://kidshealth.org/ws/RadyChildrens/en/teens/repetitive-stress-sports.html/b3ae50d0-7719-4266-a8c8-6b3c19102540
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Safety Tips: GymnasticsGymnastics is a great sport and a fun way to get a muscular, toned body. But, it also presents a very real risk of injury. To keep things safe during practice and competition, follow these tips.https://kidshealth.org/ws/RadyChildrens/en/teens/safety-gymnastics.html/e1faaf16-f761-4169-8c88-24e8f1ae217a
Safety Tips: RunningInjuries can be common, and runners should always be aware of their surroundings. To keep things safe while running, follow these tips.https://kidshealth.org/ws/RadyChildrens/en/teens/safety-running.html/450ddc50-a087-4be1-8192-bca537b6a0a0
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kh:age-teenThirteenToNineteenkh:clinicalDesignation-orthopedicsNonSportsMedkh:clinicalDesignation-orthopedicsSportsMedkh:genre-articlekh:primaryClinicalDesignation-orthopedicsNonSportsMedBones, Muscles & Joints (for Teens)https://kidshealth.org/ws/RadyChildrens/en/teens/diseases-conditions/bones/7860c047-e722-4a4c-b1f8-2fd11271b697https://kidshealth.org/EN/images/illustrations/severs-415x233-rd5-enIL.png