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Sever's disease

Sever's Disease advice.

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Paediatric Orthopaedic Service/ Ganglion Cyst information

Information Version 2 (Code: 4.5.2)

Date of Issue: January 2020

Date of review: January 2022

Review Date: January 2025

If review date has passed, the content will apply until the next version is published

What is Sever’s Disease?

Sever’s Disease is a common cause of heel pain in children and young people. It is caused by repeated stress of the large calf muscle tendon, where it attaches to the heel bone. This repeated stress results in the heel area becoming inflamed and painful.

What are the common Symptoms?

  • Heel pain either during or after participation in sports
  • Tenderness around the heel
  • Tightness of your leg muscles, in particular your calf

These symptoms usually appear gradually and often after you have grown quickly. These symptoms can appear in one or both of your heels. It will settle in time and cause no long term harm.

Treatment Advice?

By following the advice below your Sever’s Disease should fully go away/get better within 3-6 months.

  • Reduce your activity levels to the point that you do not experience heel pain during the activities. This will allow the pain and swelling to settle down.

  • Ice works very well. You can use ice cubes or a small bag of frozen vegetables wrapped in a towel for 10-15 minutes.

  • Please check your skin regularly during this time. Repeat this every 2-3 hours as required.

  • Start a daily stretching programme as suggested below.

  • Wear well fitting, supportive footwear. Children often find wearing trainers helpful.

  • Commercial gel heel cups may be helpful.

Stretches

Only do these stretches when you are not in pain.

Stand in a walking position with the leg to be stretched straight behind you and the other leg bent in front of you. Take support from a wall or chair.

Lean your body forwards and down until you feel the stretching in the calf of the straight leg. Hold approx 30 secs. - relax. Stretch the other leg.

Repeat 2 times but 3x/day. Repeat with other leg.

 

Sever's disease exercise

Lying on your back. Lift your leg towards your chest. Place your hands behind the knee.

Gently pull your leg towards your chest. Feel the stretch behind your thigh. Hold 20 secs.

Repeat 2 times but 3x day. Repeat with other leg.

Sever's disease exercise

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We provides a range of ways in which you can communicate with us. You can use our website with its accessible functions. These will help you find and understand the information you need. You can also find a variety of translated materials in community languages and in British Sign Language.

If you require interpreting services, you can contact us by emailing fife.EqualityandHumanRights@nhs.scot, by calling 01592 729130, or using our SMS text service on 07805800005 which is available for people who have a hearing or speech impairment.

Other pages in Children and Young people's orthopaedic information

General conditions

Life-long conditions

Referral routes

Outpatient waiting list

Clinic appointments and outcomes

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