Sever's Disease (Calcaneal Apophysitis) - A Misnamed Disorder

Sever disease is a disorder that occurs commonly in Active children aged nine to thirteen years. Even if it is wrong as a disease, it is really a self-limited disorder that occurs around the plate of growth on the back of the heel.The Achilles tendon attaches to the upper part of the growth of the heel plate. On the merits of the growth plate is an attachment of a ligament known as Plantar fascia. With the increase in activity, there is a drawing or pulling that occurs on this plate of growth, and a part of the growth plate is drawn from its attachment to the heel. Rays x is often taken to check the position and the location of the growth plate.In mild cases, elevating the heel heel lifts in shoes and reduce the level of activity may be sufficient to control pain. In more severe cases, orthotic therapy to help control the movement of the heel and icing, the altitude and the treatment of aspirin may be necessary to alleviate the symptoms. These children do not meet the other above-mentioned therapy or not, it is sometimes necessary to place the child in a below knee cast for a period of four to six weeks. It is important for the child and the parents understand that once the growth plate has merged to the primary os in the heel, the pain and swelling associated with this disorder should resolve.Please realize that the disease can last for a few weeks to as long as one to two years. Such treatment as prescribed by your doctor plan must be followed closely. The level of activity of the child must be controlled during the early stages of treatment. All running and jumping sports such as basketball, trampoline, volleyball, tennis, soccer, etc. must be eliminated in the initial treatment. Once the child is improved and the pain has decreased, a rigid stretch program must be implemented.The stretch program aims to reduce the attraction of the Achilles tendon on the growth plate. Where stretching and heel lift provide relief of symptoms, the next course of treatment is to limit the amount of movement of the heel through an insert in the skin, called braces. Orthotics performs two basic functions: (1) to raise the heel and the decrease in the attraction of the Achilles tendon. (2) To prevent the movement of oscillation of the heel, while the child is active. In General, I found that the majority of children will respond favourably to this type of care conservative and able to return to their respective sport with very little compromise. In the case that respond well to conservative therapy above, it is sometimes necessary to take the child out of the sport which is aggravating the condition, until the growth plate merged to the main the heel bone.Typical case of the TreatmentsMild1. Stop all run them, jump, activities etc.2. The application of ice at the affected heel, 10 min. 20 min for 2 to 3 heures.3. Aspirin in the directives.4. Lift heel.Case modérés1. Stop any activity intense.2. The ice and rise to the heel touched. 3. Anti-inflammatory. 4 temporary braces with the lifting of heel to be worn in all footwear.Case graves1. No bearing weight on the affected foot, crutch walking only, 2. Under casting of the knee for a period of 4 to 6 weeks.3. Anti-inflammatory. 4 treatment to follow based on symptoms after the removal of casting, i.e., mild to moderate.Presentation timely for a review after the first symptoms of pain in children, talon allows usually quick resolution to this condition. Treatments are also adapted to help prevent the recurrence of the condition and to allow the child to maintain an active life.