SEVERS-DISEASE AND OTHER CAUSES OF HEEL PAIN IN ADOLESCENTS

Sever's disease, or apophysitis of the calcaneus, is a common but freq uently undiagnosed source of heel pain in young athletes. This conditi on frequently occurs before or during the peak growth spurt in boys an d girls, often shortly after they begin a new sport or season. Sever's disease often occurs in running and jumping sports, particularly socc er. Patients present with intermittent or continuous heel pain occurri ng with weight bearing. Findings include a positive squeeze test and t ight heel cords. Sever's disease cannot be diagnosed radiographically. The condition usually resolves two weeks to two months after the init iation of conservative treatment, which may include rest, ice applicat ion, heel lifts, stretching and strengthening exercises, and, in more severe cases, nonsteroidal anti-inflammatory drugs.