
Severs Disease
Is your child limping off the pitch with heel pain?
Sever's disease is the most common cause of heel pain in growing children, and despite the name it is not a disease. It is an irritation of the growth plate at the back of the heel, where the Achilles tendon attaches. During a growth spurt the bone lengthens faster than the calf can adapt, so the tendon pulls harder on a growth plate that is already under load from daily sport. Most children affected are between 8 and 14, play several sports a week, and are rarely getting a full day of recovery between sessions. Paul assesses growth, training load, calf and ankle range, footwear and foot function to identify exactly what is driving it, then builds a plan that keeps your child playing rather than sitting out the season.


Possible Cause
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Rapid growth spurts
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High training load across multiple sports
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Limited calf and ankle range of motion
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Flat or thin-soled footwear
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Studded boots on hard surfaces
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Excessive pronation loading the heel at an angle
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Sudden increase in activity or a new season
Possible Treatment
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Custom orthoses for boots, school and sports shoes
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Footwear assessment and modification
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Strapping and taping for training and matches
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Training load modification
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Stretching, strengthening and mobility programmes
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Heel raises
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Structured return to sport planning
