Children have been playing fall sports for several weeks now and you may have heard an increasing number of complaints regarding pain in their heels. These complaints are likely to be more prevalent after a game or activity involving running or jumping. Some of the more common symptoms include pain at the back, side or bottom of the heel that increases in severity after activity. The pain may cause the child to limp. It is important to have a thorough podiatric exam to determine the cause of the pain. The most common diagnosis of pediatric heel pain is calcaneal apophysitis or severs disease, but it is necessary to rule out other causes such as a fracture or bursitis.
Calcaneal apophysitis is an inflammation of the growth plate in the heel. Children between the ages of 8 and 14 are most frequently affected because their growth plates remain open. As the bone finishes growing the prevalence of severs disease decreases. Treatment options vary depending upon the severity of the pain. Some children respond to a decrease in activity level and increased cushioning to the heel while other require immobilization with a cast and crutches. Medication, stretching exercises and custom orthotics are also used to decrease inflammation and help support the foot. Maintaining flexibility and wearing supportive shoes with good shock absorption can help prevent a recurrence of this condition. Your podiatrist will help determine the best treatment plan to help your child feel better and return to their favorite sports.
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