Calcaneal Apophysitis
What is it?
Calcaneal Apophysitis is the most common cause of posterior heel pain in active, growing children. Often described as a bruising 'pulling pain', the condition is caused by repetitive micro-trauma to the growth plate (apophysis) of the heel bone (calcaneus), hence the term Calcaneal Apophysitis.
Common Symptoms:
Posterior heel pain (after exercise)
Made worse by kicking/jumping
Limping
Tight calf muscles
Risk factors:
Sudden increase in activity
Poor footwear
Biomechanical issues
Between ages 7-15 (boys>girls)
Active children
Previous trauma to heel bone
How is it diagnosed?
A thorough clinical examination will most commonly diagnose Sever's disease. Depending on severity of symptoms, you may be referred for an x-ray to determine the extent of the damage and to rule out further pathology.
Possible Treatments:
Ice
Rest
Footwear advice
Heel raises in shoes
Strapping/stretching
Custom Orthotics
Non-Steroidal Anti-inflammatories
Neuromuscular needling
Prognosis:
Although Calcaneal Apophysitis is a debilitating condition, the majority of patients respond to well to the treatments listed above. Complete recovery time varies on how severe the case is however 90% of patients respond within 1-3 months.