Posts

Heel Pain Among Kids?

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.



Plantar Fasciitis : Most common cause of heel pain

Plantar Fasciitis

Plantar fasciitis is one of the most common conditions leading to heel pain. It is commonly seen in people who spend long hours standing. Plantar fascia is a thick fibrous tissue which runs from heel to toes and is responsible in maintaining the arch and overall shape of the foot. Excessive forces on plantar fascia causes micro tears and degeneration which leads to inflammation and pain. Pain is worse early in the morning and after prolonged hours of sitting or standing. Location of pain is usually at the heel but in some cases it can be present at the arch of the foot.

Causes:

  • Jobs involving prolonged standing
  • Weak and tight foot and ankle musculature
  • Stiff ankle joint
  • History of ankle sprain
  • Overweight
  • High arch or flat foot type
  • Improper footwear with reduced support

Treatment options:

Get a proper diagnosis done by a physiotherapist or an orthopedic

  • Conservative treatment
  • Injection treatment (cortisone shot)
  • Shock-wave therapy

Conservative treatment:

  • Stretching exercises for plantar fascia and calf muscles (see pics 1,2,3 below)
  • Ball roll on plantar fascia (see pic 4)
  • Foam rolling on calf and hamstrings to improve flexibility
  • Strengthening exercises of foot and leg to improve shock absorption
  • Icing over the inflamed area
  • Ankle joint mobilization
  • Soft tissue mobilization
  • Wearing proper footwear with good arch support
  • Avoid walking barefoot
  • Use of night splints to keep muscles and fascia in stretched position
  • Tapping helps supporting the foot and reduce strain on Fascia
  • Custom Insoles or orthotic devices to correct foot biomechanics if required

Plantar Fascia stretch

_20151122_131956

Pic 1

Calf Stretch

calf-1

Pic 2 – Bend Knee calf (Soleus) stretch

calf-2

Pic 3 -Straight Knee (Gastrocnemius) Stretch

plantar fasciitis

Pic 4 – Ball roll on plantar fascia

 

Rehab Mantra
Stay Fit. Love Life

READ OTHER ARTICLES

Heel Pain Among Kids?

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.



Plantar Fasciitis : Most common cause of heel pain

Plantar Fasciitis

Plantar fasciitis is one of the most common conditions leading to heel pain. It is commonly seen in people who spend long hours standing. Plantar fascia is a thick fibrous tissue which runs from heel to toes and is responsible in maintaining the arch and overall shape of the foot. Excessive forces on plantar fascia causes micro tears and degeneration which leads to inflammation and pain. Pain is worse early in the morning and after prolonged hours of sitting or standing. Location of pain is usually at the heel but in some cases it can be present at the arch of the foot.

Causes:

  • Jobs involving prolonged standing
  • Weak and tight foot and ankle musculature
  • Stiff ankle joint
  • History of ankle sprain
  • Overweight
  • High arch or flat foot type
  • Improper footwear with reduced support

Treatment options:

Get a proper diagnosis done by a physiotherapist or an orthopedic

  • Conservative treatment
  • Injection treatment (cortisone shot)
  • Shock-wave therapy

Conservative treatment:

  • Stretching exercises for plantar fascia and calf muscles (see pics 1,2,3 below)
  • Ball roll on plantar fascia (see pic 4)
  • Foam rolling on calf and hamstrings to improve flexibility
  • Strengthening exercises of foot and leg to improve shock absorption
  • Icing over the inflamed area
  • Ankle joint mobilization
  • Soft tissue mobilization
  • Wearing proper footwear with good arch support
  • Avoid walking barefoot
  • Use of night splints to keep muscles and fascia in stretched position
  • Tapping helps supporting the foot and reduce strain on Fascia
  • Custom Insoles or orthotic devices to correct foot biomechanics if required

Plantar Fascia stretch

_20151122_131956

Pic 1

Calf Stretch

calf-1

Pic 2 – Bend Knee calf (Soleus) stretch

calf-2

Pic 3 -Straight Knee (Gastrocnemius) Stretch

plantar fasciitis

Pic 4 – Ball roll on plantar fascia

 

Rehab Mantra
Stay Fit. Love Life

READ OTHER ARTICLES