Severs Condition

Severs Condition

Calcaneal Apophysitis (Severs) is a painful inflammation of the heel’s growth plate. It typically affects children between the ages of 8 and 14 years old, because the heel bone (calcaneus) is not fully developed until at least age 14. Until then, new bone is forming at the growth plate (epiphysis), a weak area located at the back of the heel. When there is too much repetitive stress on the growth plate, inflammation can develop.

Severs Condition


Symptoms of calcaneal apophysitis may include:

  • Pain in the back or bottom of the heel
  • Limping
  • Walking on toes
  • Difficulty running, jumping, or participating in usual activities or sports
  • Pain when the sides of the heel are squeezed


Our Podiatrist may select one or more of the following options to treat calcaneal apophysitis

Reduce activity The child needs to reduce or stop any activity that causes pain.
Support the heel Temporary shoe inserts or custom orthotic devices may provide support for the heel.
Physical therapy Stretching or physical therapy modalities are sometimes used to promote healing of the inflamed issue.
Immobilization In some severe cases of paediatric heel pain, a cam walker boot may be used to promote healing while keeping the foot and ankle totally immobile.

Pain in your feet is never normal, and should not be ignored. Call Sole Motion Podiatry, Point Cook on 03 9395 9402 or make an appointment online to speak to our Podiatrist, Justin Kalopa. Our mission is to ensure that your feet stay healthy and strong in order for you to continue to do the things you love pain-free.


This information is for educational purposes only and is not intended to replace professional podiatric advice. Treatment will vary between individuals depending upon your diagnosis and presenting complaint. An accurate diagnosis can only be made following personal consultation with a Podiatrist, your Doctor or your foot specialist.