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Sever Condition

Medical Author: William C. Shiel Jr., MD, FACP, FACR

What is Sever condition?

Sever condition is an inflammation of the growth plate of the bone at the back of the heel (apophysitis of the calcaneus). The inflammation of Sever condition is at the point where the Achilles tendon attaches to the back of the heel bone.

Picture of the metatarsal (foot) and calcaneus (heel) bones, the plantar fascia ligament, and the Achilles tendon of the lower leg and foot

Who gets Sever condition?

Sever condition occurs in adolescent or older children, particularly active boys. It can be very painful. It is one of those conditions commonly referred to as "growing pains." Patients are evaluated for signs of conditions that can mimic Sever condition, such as ankylosing spondylitis and other forms of arthritis. Usually Sever condition is self limited; that is, it disappears as the child ages.

How is Sever condition treated?

When the condition flares, it is treated with activity limitation, medication to reduce inflammation (such as ibuprofen or naproxen), shoe inserts, heel lifts, cold packs, and sometimes casting when it becomes especially severe.


Last Editorial Review: 11/2/2007




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Sever Condition

What is a heel spur? What are symptoms of a heel spur?

A heel spur is a pointed bony outgrowth of the bone of the heel (the calcaneus bone). They are attributed to local inflammation at the insertion of soft tissue tendons or fascia in the area. Heel spurs can be located at the back of the heel or under the heel, beneath the sole of the foot. Heel spurs at the back of the heel are frequently associated with inflammation of the Achilles tendon (tendinitis) and cause tenderness and pain at the back of the heel made worse while pushing off the ball of the foot.

How do heel spurs relate to plantar fasciitis? What causes heel spurs and plantar fasciitis?

Heel spurs under the sole of the foot (plantar area) are associated with inflammation of the plantar fascia (fasciitis), the "bowstring-like" tissue stretching underneath the sole that attaches at the heel. Plantar heel spurs cause localized tenderness a...

Read the Heel Spurs article »











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