Soreness in the heel of children isn't common, however when it does occur, the most common reason is a problem called Severs disease. It is not really a “disease”, however it is the term that has regrettably widely used. It is correctly known as calcaneal apophysitis. It is a problem in the growing region at the back of the heel bone. Since it is a problem of the growing bone, the disorder is self-limiting and will no longer be a problem once the growth of that bone has completed. It is more prevalent around the ages of 10-12 years.
The typical symptoms of Severs disease are discomfort on exercise and soreness on squeezing the sides of the rear area of the heel bone. To begin with the pain is not that bad and will not affect action very much, but later it will become more painful and affects activities levels and may also cause limping. The precise reason for it is not known, but it is clearly an excessive use type problem since it is more prevalent in those who play more sport and more common in kids who have got a higher bodyweight. Children with tight calf muscles may also be at a increased possibility for the chances of this disorder.
Typically, the treatment of Severs disease is load management. The child is urged to keep active, but simply decrease activity levels to a level that can be tolerated and not too uncomfortable. A cushioning heel pad in the shoe might be useful to protect it. Ice after activity can also be helpful to help the symptoms. If the calf muscles are tight, then a stretches ought to be used. Sometimes foot orthotics can help if the arch of the foot is overpronated. On rare occasions a brace can be utilized, and all exercises ceased until it gets better. By the mid-teens the growth area that this takes place at combines with the rest of the heel bone, which means this stops being a problem at those ages.