Severs disease (Calcaneal apophysitis)
Heel pain in growing children is most commonly a result of Severs disease. Repetitive stress to the heel causes inflammation of the growth plate in the heel bone (calcaneus). The pain will usually go away in a few months as the growth plate ossifies. Meanwhile, rest, pain relief with ice packs and non-steroidal anti-inflammatories are helpful. It is important to check for and address any underlying biomechanical issues, to reduce the risk of problems after ossification has occurred. Orthoses, sometimes with an additional heel lift in the short term, will address any underlying biomechanical issues and take the tension from the Achilles tendon, reducing the stress on the area. Low level laser therapy may reduce the inflammation and help with pain relief.