How to Treat Severs Heel: A Comprehensive Guide
Severs heel, also known as calcaneal apophysitis, is a common condition affecting children and adolescents, particularly those involved in sports activities. It occurs when the growth plate at the back of the heel becomes inflamed and painful. This condition can be quite challenging for both the affected individual and their caregivers. In this article, we will discuss various methods on how to treat Severs heel effectively.
Understanding Severs Heel
Severs heel is caused by repetitive stress on the growth plate, which is a weak area at the back of the heel. This stress can be a result of activities that involve running, jumping, or sudden changes in direction. The condition is more prevalent in children between the ages of 8 and 14, as this is when their growth plates are most active.
Diagnosis and Symptoms
To diagnose Severs heel, a healthcare professional will typically perform a physical examination and inquire about the patient’s medical history and activities. Symptoms of Severs heel include:
– Pain and tenderness at the back of the heel
– Difficulty in walking or running
– Swelling and redness in the affected area
– Pain that worsens with physical activity and improves with rest
Non-Surgical Treatments
The primary goal of treating Severs heel is to reduce inflammation and alleviate pain. Here are some non-surgical treatment options:
1. Rest: Resting the affected foot is crucial to allow the growth plate to heal. This may involve reducing or modifying the activities that cause pain.
2. Ice: Applying ice to the heel for 10-15 minutes several times a day can help reduce inflammation and pain.
3. Stretching: Gentle stretching exercises can improve flexibility and reduce stress on the growth plate.
4. Orthotics: Custom-made orthotic devices can provide additional support and cushioning to the heel.
5. Physical therapy: A physical therapist can guide the patient through exercises to strengthen the muscles around the heel and improve foot function.
Surgical Treatment
In rare cases, when non-surgical treatments fail to alleviate symptoms, surgical intervention may be considered. Surgery involves removing part of the growth plate to reduce stress on the area. However, this is a last resort and should only be considered after exhausting all other treatment options.
Prevention and Long-Term Management
To prevent Severs heel from recurring, it is essential to focus on long-term management strategies:
1. Proper footwear: Wearing well-fitted, supportive shoes can help reduce stress on the growth plate.
2. Activity modification: Adjusting the intensity and frequency of sports activities can help prevent recurrence.
3. Warm-up and cool-down exercises: Incorporating warm-up and cool-down exercises into sports routines can prepare the muscles and tendons for activity and reduce the risk of injury.
4. Regular foot care: Maintaining good foot hygiene and addressing any issues, such as flat feet or high arches, can help prevent future injuries.
In conclusion, treating Severs heel involves a combination of rest, ice, stretching, and other non-surgical methods. Understanding the condition, adhering to the recommended treatment plan, and focusing on long-term management strategies can help children and adolescents overcome this common foot condition and return to their normal activities.
