Severs Disease is a problem with the growth area at the back of the heel in children. The heel bone has two centres of growth separated by a thin plate of cartilage. It is at this area of cartilage that growth occurs. Severs disease is thought to be a strain of that growth plate. Some liken Severs disease to being like a stress fracture. It is more common in active children, especially on hard surfaces. The most common symptoms of Severs disease are pain at the back of the heel and pain on lateral compression of the back part of the heel. The standard treatment for Severs Disease is a reduction in sporting activities and the use of a cushioned heel raise. Sometimes foot orthotics is needed if there is a problem with foot biomechanics. If this is not helpful then a further reduction in activity is warranted and sometimes a walking brace is needed. The Asics Gel Lethal football boots are also particularly useful due to the cushioning in the heel for those with Severs Disease.
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