Sever's Disease or Calcaneal Apophysitis

Sever's disease or calcaneal apophysitis heel pain is a common problem with children between the ages of 8 to 13 years.  It has usually been more common in boys, but with the increase of girls in athletic activities, both sexes are having equal symptoms.

A high percentage of these children have tight achilles tendons and hamstrings.   This condition may occur in the foot with normal arch height or flat or pronated foot, but can be especially painful in the high arch foot.

This condition can be easily treated by adding Quag heel inserts in the child's shoes.  The Quag is made of soft 1/2 inch polyurethane which is a high shock absorber, thus reducing the trauma to the heel as well as elevating the heel which reduces the stress of the Achilles attachment to the back of the heel.

Mild to moderate stretching exercises should be recommended.  Either the runners stretch or if steps are available, have the child stand on the steps with the ball of the foot on the step and lowering the heel for three second periods, six times each.   The prognosis of ultimate recovery without residual disability will allay parental concerns.

Dean Morgan, Certified Pedorthist has been treating this problem over a 45 year period and has found the Quag heel inserts to be very effective while at a low cost to the parents.