kids heel pain

Does your Child Have Heel Pain? Lonnie Kaplan DPM

Does your child have pain in the heels after playing sports or after activity? One possible diagnosis is Sever’s Disease. Sever’s Disease is pain and inflammation at the growth center of the heel bone (calcaneus) The area of the growth plate of the heel bone in children is also the attachment of the achilles tendon. Sever’s Disease is a very common condition that tends to be seen in growing children.

Most of the time, your child will complain of heel pain either on the bottom of the heel or in the back of the heel bone especially after activity. It is commonly seen in children who are on sports teams, dance teams or are very active. It is commonly seen in children between 9 and 14 years of age as the growth center of the heel starts to close around 14 years of age.

There are multiple treatment option that your podiatrist can discuss with you for treatment. X-rays may be ordered occasionally to rule out other causes of heel pain (fractures, bone tumors). Treatment options can include icing the affected area, stretching the calf muscles, taking NSAID’s, placing heel lifts in shoes (this can decrease the stress on the growth plate), and decreasing activity level. Sometime in cases that do not appear to be resolving with the above, short term casting can be utilized as well.

Call Quality Foot Care Today at 215-230-9707 to visit with Doylestown’s community podiatrists. We will be happy to discuss the above in detail and help your family stay on their feet!

 

Why is My Child Limping: A Guide To Children’s Heel Pain

Pediatric heel pain is a common occurrence because a child’s feet are constantly growing. The bones in the foot of a child between the ages of 8 and 14 grow faster than the tendons, and the calcaneus, or heel bone, doesn’t fully develop until age 14. Until the calcaneus forms, new bone will grow in the area of the growth plate. There is also uneven development of the heel cord and leg bone, resulting in the heel cord pulling on the growth plate. This is the root of most of the heel pain children will experience, however, there are various other causes, including:

  • Sever’s Disease, an inflammation of the heel’s growth plate which occurs because of muscle strain and repeated stress
  • Tendo-achillies Bursitis, an inflammation of the fluid-filled sac  (bursa) between the Achilles tendon and heel bone, which is caused by injury, juvenile rheumatoid arthritis, or wearing improper footwear
  • Stress fractures, which are hairline breaks resulting from repeated stress on the bone
  • Frequent irritation caused by running on hard surfaces
  • Achillies tendonitis, inflammation of the achillies tendon caused by intensive or repeated exercise which is stressful on the tendon
  • Plantar faciitis, a strain of the plantar fascia ligament that connects the heel bone to the toes, which can be caused by various conditions and occurrences

The following are the symptoms and warning signs of pediatric heel pain:

  • Limping
  • Walking on the toes
  • Pain in the bottom of or back of the heel
  • Difficulty taking part in sports

If you believe your child is experiencing heel pain, it may be time to give Dr. Ken Lefkowitz of Quality Foot Care a call at 215-230-9707. Diagnosing the underlying cause of pediatric heel pain is a challenging task which requires a trained professional, and early intervention is necessary to avoid a lifetime of discomfort. Dr. Lefkowitz and his staff would be happy to schedule an appointment at their Doylestown office.