Often times, the root of heel pain in children can be attributed to Sever’s disease.  This disease occurs in children when the growing part of the heel, called the growth plate, is injured. The foot is one of the first body parts to grow to full size, this usually occurs in early puberty. During this growing period, bones often grow faster than muscles and tendons which results in tight muscles and tendons. Because the heel area is less flexible, these tight muscles and tendons become painful. During weight-bearing activity (activity performed while standing), the tight heel tendons may put too much pressure at the back of the heel (where the Achilles tendon attaches). This could injure the heel and Your child is most at risk for this condition when he or she is in the early part of the growth spurt in early puberty. Sever’s disease is most common in physically active girls 8 to 10 years old and in physically active boys 10 to 12 years old. Children who do any running or jumping activity may be affected. Sever’s disease rarely occurs in older teenagers because the back of the heel has finished growing by the age of 15.
Some common signs to determine if your child’s heel pain is caused by Server’s Disease is if your child suffers from heel pain in one or both heels. It usually starts after a child begins a new sports season or a new sport. Your child may walk with a limp. The pain may increase when he or she stands on tiptoe. Your child’s heel may hurt if you squeeze both sides toward the very back. This is called the squeeze test. Your doctor may also find that your child’s heel tendons have become tight.

Sever’s Disease can be treated. First, your child should cut down or stop any activity that causes heel pain. Apply ice to the injured heel for 25 minutes 3 times a day. If your child has a high arch, flat feet or bowed legs, your doctor may recommend orthotic arch supports or Spenco Kids Polysorb Premium Insoles for cushioning comfort.