Sever Condition: Symptoms & Signs

Medically Reviewed on 11/13/2020

Sever condition is a condition characterized by inflammation of the growth plate of the bone at the back of the heel (known as the apophysitis of the calcaneus). The inflammation occurs at the point where the Achilles tendon attaches to the back of the heel bone. Sever condition occurs in teens or older children, particularly active boys. Sever condition is one of the conditions referred to as "growing pains."

Signs and symptoms of Sever condition include pain in the back of the heel that can be severe. Other associated symptoms and signs include

  • swelling and redness in the heel,
  • stiffness in the feet when first waking up,
  • limping,
  • walking on tiptoes, and
  • worsening pain when the ankle is plantar flexed (as if the foot is pushing down).

Cause of Sever condition

A sprain injury causes Sever condition.

Other sever condition symptoms and signs

  • Heel Pain
  • Limping
  • Stiffness in the Feet When First Waking Up
  • Swelling and Redness in the Heel
  • Walking on Tiptoes
  • Worsening Pain When the Ankle Is Plantar Flexed (as if the Foot Is Pushing Down)


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Jameson, J. Larry, et al. Harrison's Principles of Internal Medicine, 20th Ed. New York: McGraw-Hill Education, 2018.