Growing Pains: Understanding Calcaneal Apophysitis in Kids

Is your child complaining about heel pain? They might be experiencing Calcaneal Apophysitis, a common condition that affects growing children. At Bellagio Foot and Ankle, we understand the challenges of this condition and are here to provide you with the knowledge and care you need. Let’s dive into what Calcaneal Apophysitis is, its symptoms, causes, and how it can be treated.

What is Calcaneal Apophysitis?

Calcaneal Apophysitis, also known as Sever’s disease, is an inflammation of the growth plate in the heel of growing children. This condition is most common in children aged 8 to 14, especially those who are highly active in sports and physical activities. The growth plate, or apophysis, is a cartilage layer that has not yet fully ossified into bone, making it susceptible to injury from repetitive stress and overuse.

Recognizing the Symptoms

Understanding the symptoms of Calcaneal Apophysitis can help in early diagnosis and treatment:

• Heel Pain: Pain is typically located at the back or bottom of the heel and worsens with physical activity.
• Swelling: There may be mild swelling and tenderness around the heel area.
• Limping: Children often limp or walk on their toes to avoid putting pressure on the heel.
• Stiffness: The heel may feel stiff, particularly in the morning or after periods of rest.

Common Causes

Calcaneal Apophysitis is primarily caused by repetitive stress on the heel during periods of rapid growth. Several factors can contribute to this condition:

• High Activity Levels: Children who participate in sports like soccer, basketball, or gymnastics are at higher risk due to the repetitive running and jumping.
• Growth Spurts: Rapid growth can cause the muscles and tendons to become tight, putting additional stress on the growth plate.
• Poor Footwear: Wearing shoes that lack proper support and cushioning can exacerbate the problem.

Diagnosis

If your child is experiencing heel pain, it’s important to get a proper diagnosis. At Bellagio Foot and Ankle, we use the following methods to diagnose Calcaneal Apophysitis:

• Medical History and Physical Examination: We’ll discuss your child’s symptoms, activity level, and any recent growth spurts, followed by a thorough examination of the foot and heel.
• Imaging Tests: X-rays may be used to rule out other conditions, such as fractures or bone abnormalities.

Treatment Options

Treatment for Calcaneal Apophysitis focuses on relieving pain and reducing inflammation while allowing the growth plate to heal. Here are some effective options:

• Rest: Reducing or modifying physical activities to minimize stress on the heel.
• Ice: Applying ice packs to the heel for 15-20 minutes several times a day to reduce inflammation.
• Pain Relief: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and swelling.
• Stretching and Strengthening Exercises: Exercises to stretch the calf muscles and strengthen the foot can alleviate tension on the heel.
• Orthotic Devices: Custom orthotic inserts can provide additional support and cushioning for the heel.
• Proper Footwear: Ensuring your child wears supportive shoes with good arch support and cushioning.

Preventing Recurrence

While Calcaneal Apophysitis usually resolves with proper treatment and rest, there are steps you can take to prevent recurrence:

• Gradual Increase in Activity: Encourage your child to gradually increase their activity level to avoid sudden stress on the heel.
• Proper Warm-Up: Ensure they perform proper warm-up and stretching exercises before engaging in sports.
• Supportive Footwear: Invest in high-quality, supportive shoes that provide adequate cushioning and support.

Book Your Appointment Today!

If your child is experiencing heel pain, don’t wait to seek professional help. Contact Bellagio Foot and Ankle at +1 480-717-5011 to schedule an appointment with our experienced podiatrists. We’re here to provide comprehensive care and help your child get back to their active, pain-free lifestyle.