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.

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Jones's Fracture

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Corns on your Feet?