Severs disease is repetitive micro trauma or overuse of the heel in young athletes. Severs is caused by overloading the insertion of the Achilles tendon onto the calcaneus and the apophyseal growth plate. Active Children (7 to 15 years), particularly during the pubertal growth spurt or at the beginning of a sport season (e.g. gymnasts, basketball and football players), often suffer from this condition.
Contributing factors to the development of Severs disease
There are several factors which may increase the likelihood of developing this condition. These need to be assessed and corrected with direction from a physiotherapist to ensure an optimal outcome. Some of these factors include:
Treatment of Severs disease
Consulting with a physiotherapist to confirm the diagnosis is important. Physiotherapists will advise on a management plan, usually consisting of activity modification (a reduction in playing and training) and addressing the contributing factors as outlined above. Treatment may include:
Examples of treatment: calf stretches, ice massage protocol