There are many different causes of heel pain in adults, but in children the most common by far is a problem called Severs Disease . Since this is damage to the growing area in the back of the heel bone, it cannot happen in adults. The most frequent age of developing is about the early teenage years or possibly a bit before. When we are born the heel bone expands from two regions, one being the major body of the heel bone and another being the growth zone at the back of the heel bone. These two areas of bone are separated by a zone of cartilage material. Severs disease happens when there is excessive strain on that area of cartilage.
The primary causes are simply just excessive physical activity done to increasing rates so that the bone does not get enough time to get accustomed to the pressures which can be put on it. Most typically the child is involved with a lot of sporting activity, frequently on hard surfaces. Limited calf muscles can also be commonly present. The primary sign is soreness around the edges of the heel bone at the back of the heel as well as soreness on weightbearing. Increasing the level of sporting activity also should make it worse.
The important approach to its treatment is a lowering of physical activity to ensure that stress on the growing region of bone is reduced. Normally a soft heel raise is required to safeguard the zone and lower the pull from the Achilles tendon. Ice after activity to help with pain can be useful. If this is not helping, a further lowering of the amount of sports activity is required and in the most difficult ones, a walking splint or cast is utilized to significantly decrease physical activity levels. If all this does not help, which it occasionally does, then it is just a matter of controlling it until the two zones of growing bone merge to form one and this will not be a problem.