Medical Issue

Sever’s Disease (Calcaneal Apophysitis)

Sever’s Disease (Calcaneal Apophysitis)

Calcaneal apophysitis, also called Sever’s disease is a painful inflammation of the heel's calcaneal apophysis growth plate. An apophysis is an area of growth cartilage found throughout a child's body which serves as an attachment site for muscles and tendons. Sever's disease affects the area around the heel, and may be caused by repetitive micro trauma from the pull of the Achilles tendon on the apophysis.


The most prominent symptom of Sever's disease is heel pain which is usually aggravated by physical activity such as walking, running or jumping. Sometimes the pain may be so severe that it may cause limping and can interfere with physical performance in sports. In most cases, the heel may appear normal.

Risk Factors

Active adolescents that regularly play sports are more likely to develop the irritation to the growth area that causes calcaneal apophysitis.


Calcaneal apophysitis is caused by a repetitive pulling of the calf muscle tendon complex of the heel bone. This leads to irritation of the growth plate resulting in pain.


For most sufferers, treatment options include orthotics, stretching exercises for the hamstring and calf muscles (2–3 times daily), icing the area, and/or physical therapy. Other treatment options include immobilization, casting, supportive shoes and anti-inflammatory medicines. Because Calcaneal apophysitis affects rapidly growing adolescents, it’s important to begin treatment as soon as possible to prevent recurrence and protect the heel.

The Concierge Podiatry Advantage

At Concierge Podiatry we prescribe orthotics specifically created to treat calcaneal apophysitis. Laser therapy may be a treatment option. LEARN MORE

We take the time needed to diagnose and explain any treatment options before beginning any course of treatment.

  • Contact Concierge Podiatry for an appointment
  • Learn more about treatment options often used to treat this issue