Heel pain among kids
There are many conditions which are seen in growing kids and often left aside as growing pains. One of these conditions is called Severs disease or Calcaneal Apophysitis, which results in heel pain. The name might sound frightening but it is an injury to the growth plate of the heel and not a disease. This is commonly seen in active kids involved in exercises or sports on regular basis. The average age when kids hit growth spurt is anytime between the age of 10 and 15 for boys and 8 and 13 for girls.
Growth plate is found at the end of growing bones which later turns into bone cells. During growth spurt, the bone grows faster than the muscle and tendons, which makes the muscles relatively tight and overstretched. At heel, the Achilles tendon is attached to the growth plate of the heel bone. As the growth spurt hits, it increases traction forces on the growth plate. These increased traction forces in addition to the impact from physical activity, cause inflammation of the heel (calcaneal) growth plate. Similar growth plate injury occurring at the patella (kneecap) is known as Sinding Larsen Johansson Syndrome.
Pain is the most prominent symptom in severs disease. Swelling and redness might be seen in some cases. Other symptoms could be difficulty in walking and increase in pain from impact activities like running and jumping. Kids suffering from severs disease are often seen walking tip toe or limping.