Heel pain (in kids)

What is apophysitis (Sever’s)?

Calcaneal apophysitis is a condition that children offer suffer from between the ages of 8 and 14 years old. It is characterized by pain and swelling around the back of the heel. This occurs as a result of repetitive stress to the growth plate, which causes inflammation. This is the most common cause of heel pain in children.

Causes

Usually children who are involved in sporting activities are more vulnerable to getting this condition because of the overuse and stress on the heel bone. Impact exercises like running and jumping are especially traumatic to the heel’s growth plate. Other causes or perpetuating factors include obesity, tight calf musculature and biomechanical problems such as flat-feet.

Symptoms

• Pain in the heel
• Swelling in the heel
• Walking on toes or limping
• Difficulty with sporting activities

Diagnosis

In diagnosing this ailment, your foot and ankle doctor will discuss your medical history to rule out and other possible causes of your heel pain. Usually x-rays are ordered but advanced imaging or lab tests may be performed to evaluate your heel pain in more detail.