Severs disease is a problem in the heel that younger runners are prone to. The back part of the heel bone up until about the mid teens is a very active growing area and as this is the part of the heel that hits the ground and also has the Achilles tendon attached to it, it is subject to a lot of load. If activity levels are high, especially on hard surfaces then this is really prone to develop a strain of this growth area. This is what Severs disease or Calcaneal apophysitis is. The most common symptom of Severs disease is pain at the back of the heel on activity and pain on squeezing the heel at the sides. Severs disease treatment usually starts with a reduction in activity levels, the uses of ice and other physical therapies. Severs disease also greatly benefits from cushioned heel raises to reduce the load on the growth area. Sometimes foot orthotics are used. All cases of Severs disease resolve spontaneously and there are no long term consequences. This is because the growth area merges with the surrounding bone.
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