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.