Sever's Disease

Understanding Sever’s Disease in Young Athletes

Reviewed by Jason Blanchard, DPM, Board-Certified Podiatrist in Utah County

At the Roadrunner Junior Club, we are committed to helping young athletes stay healthy, strong, and informed. One common condition that affects growing athletes is Sever’s disease — and despite the name, it’s not a disease in the traditional sense. It’s actually a common and treatable growth-related injury. Here’s what parents and athletes should know.

What is Sever’s Disease?

Sever’s disease, also known as calcaneal apophysitis, is a type of heel pain that occurs in children, especially those who are active in sports like running, soccer, basketball, and gymnastics. It happens when the growth plate in the heel becomes inflamed, typically during a period of rapid growth.

When a child’s bones grow faster than their muscles and tendons, extra stress is placed on the heel. Repetitive running and jumping can pull on the heel’s growth plate, leading to pain and swelling. Sever’s disease usually affects athletes between 8 and 14 years old and is more common during growth spurts.

Common Signs and Symptoms

• Pain or tenderness at the back or bottom of the heel

• Limping or walking on toes to avoid putting pressure on the heel

• Swelling or redness in the heel area

• Pain that worsens with physical activity and improves with rest

• Stiffness in the foot, especially in the morning

If a young athlete is experiencing these symptoms, it’s important to take them seriously and begin treatment early to prevent further irritation.

Recommended Treatment

The good news is that Sever’s disease is very treatable and typically resolves on its own once the growth plate closes after adolescence. However, treatment focuses on relieving symptoms and allowing healing.

Recommended care includes:

• Rest: Limiting activities that cause heel pain, such as running and jumping, for a period of time—Usually at least 2-3 weeks.

• Ice: Applying ice to the heel for 15–20 minutes after activities to reduce inflammation.

• Stretching and Strengthening: Gentle stretching exercises for the calves and hamstrings can help reduce tension on the heel.

• Proper Footwear: Wearing supportive, well-cushioned shoes can reduce stress on the heel. Avoid worn-out shoes or bare feet on hard surfaces. 

• Heel Cups or Orthotics: Over-the-counter or custom heel inserts can cushion the heel and lift it slightly to reduce strain.

In some cases, a short period of immobilization with a walking boot may be recommended if symptoms are severe.

When to See a Podiatrist

While many cases of Sever’s disease can be managed at home, a podiatrist can provide valuable support, especially if:

• Pain is severe or persistent

• There is difficulty walking

• Symptoms do not improve with basic care

A podiatrist can diagnose the condition accurately, recommend individualized treatment, and provide orthotic solutions if needed.

Encouragement for Young Athletes

Dealing with Sever’s disease can be frustrating for motivated young athletes. However, with the right care and a little patience, most kids make a full recovery and return to their sports stronger than ever. Continuing to emphasize proper stretching, strengthening, and footwear choices can also help prevent future issues.

Podiatrist Support 

We highly recommend consulting a specialist like Jason Blanchard, DPM, a board-certified mobile podiatrist with FootCare Anywhere serving Utah county and surrounding counties—who has reviewed this article to ensure it provides reliable and up-to-date information. 

If you have any concerns regarding this or any other foot conditions, reach out to Dr. Blanchard for a free brief over the phone consultation, or to schedule a time to have him come to meet you in your own home to evaluate and treat. 

His goal is to see new patients within 2-3 days, sometimes even same day, and provides expert care and services at affordable cash prices, no insurance. This also allows a very personalized experience, spending typically 45 minutes together to evaluate, treat, and answer any questions. 

Stay healthy and stay active!