Sever disease, also known as calcaneal apophysitis, is an overuse syndrome and one of the most common causes of late childhood and adolescent heel pain.
This traction apophysitis is t...
An 8- to 13-yr-old child presents with heel pain worsened with increased activity 1[C].
Recent growth spurt coincides with vigorous sport or play activities 1[C].
Sports requiring a lot...
Rest or reduce activity to a pain tolerance level 2,5[C].
Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain control 2[C]
Heel lifts 2,5[C]
Shock-absorbing heel inserts 2,5[C]
Conservative therapy remains the mainstay of treatment.
Diagnosis should be made clinically without radiography unless signs and symptoms are atypical.
Total rest may hasten the recovery...
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