The best course of action to take sometimes isn’t clear until you’ve listed and considered your alternatives. The following paragraphs should help clue you in to what the experts think is significant.
Since children are less likely today (compared to 20 years ago) to run outside, ride bikes or play sports in the streets, more children are becoming active in sports from soccer and football to gymnastics and dance. This increased activity has improved the health of many children, but sometimes is accompanied by heel or ankle pain.
Every growing bone as a region called the physis that is cartilaginous tissue instead of calcified bone. As the bone grows, this allows expansion and calcification at the edges to help produce this growth. As the bone reaches full growth potential, the physis is calcified and replaced by healthy bone. This physis, however can be affected by pressure or tension and can become painful.
I trust that what you’ve read so far has been informative. The following section should go a long way toward clearing up any uncertainty that may remain.
In calcaneal apophysitis, the growth plate of the heel bone (or calcaneus) receives tension during sports from the Achilles tendon (the strongest tendon in the body). This pressure causes increased stress, swelling and associated pain to the posterior heel area close to where the Achilles tendon attaches. The pain is caused by stretching of the physis or apophysis of the heel from a tight Achilles tendon during running. This pain can be problematic and significantly interfere with activities, and over the years has even stopped many from playing the sports they love. Although the severe pain may limit activities for years, it ultimately resolves when the bone stops growing. This is no longer the case. There are treatment options that can alleviate the pain and maintain the active lifestyle required to help our children remain healthy.
Calcaneal apophysitis or Severs Disease was once a disease of boys playing soccer. With the increased competition levels in all sports including dance and gymnastics, we are encountering this problem in boys and girls when they are active. Get treatment from a foot and ankle specialist and help alleviate the pain associated with the exercise our children enjoy. Don’t make them stop their sport because of foot pain, help them resolve the pain while they await calcification of the growth plate and complete resolution of their symptoms.
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