Tuesday, 10 May 2022 00:00

Sever's Disease

Sever's disease, also known as calcaneal apophysitis, is a medical condition that causes heel pain in children’s feet while they’re growing. Sever's disease occurs most commonly in boys and girls between the ages of 8 and 14.

Sever's disease occurs when the child’s growth plate, or the calcaneal epiphysis, an area attached to the Achilles tendon, is injured or when the muscles and tendons of the growing foot do not keep pace with bone growth. The result is constant pain experienced at the back of the heel and the inability to put any weight on the heel. This forces the child to bear weight on their toes while walking. When a toe gait develops, the child must change the way they walk to avoid placing weight on the painful heel. If this is not properly addressed, this can lead to further developmental problems.

The most common symptom of Sever's disease is acute pain felt in the heel when a child engages in physical activity such as walking, jumping or running. Children who are active athletes are among the group most susceptible to experiencing Sever's disease. This is due to the extreme stress and tension placed on their growing feet. The rolling movement of the foot during walking or running and obesity are both additional conditions linked to causing Sever's disease.

The first step in treating Sever's disease is to rest the foot and leg and avoid physical activity. Over the counter pain-relieving and anti-inflammatory medications can be helpful for reducing the amount of heel pain. A child with Sever's disease should also wear shoes that properly support the heel and the arch of the foot. Consider purchasing orthotic shoe inserts which can help support the heel and foot while it is healing. Most patients with Sever's disease symptoms report an eventual elimination of heel pain after wearing orthotic insoles that support the affected heel.

Sever's disease may affect either one heel or both. It is important for a child experiencing heel pain to be examined by a foot doctor who can apply the squeeze test. The squeeze test compresses both sides of the heel in order to determine if there is intense pain. Discourage any child diagnosed with Sever's disease from going barefoot as this can intensify the problem. Apply ice packs to the affected painful heel two or three times a day for pain relief.

Exercises that help stretch the calf muscles and hamstrings are effective at treating Sever's disease. An exercise known as foot curling has also proven to be very effective at treating Sever's disease. When foot curling, the foot is pointed away from the body, then curled toward the body to help stretch the muscles. The curling exercise should be done in sets of 10 or 20 repetitions and repeated several times throughout the day.

Treatment methods can continue for at least 2 weeks and as long as 2 months before the heel pain completely disappears. A child can continue doing daily stretching exercises for the legs and feet to prevent Sever’s disease from returning.

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John Addeo

One of a very few of Medical Offices I go to where my Appointment time is when the Doctor SEES me. The Very efficient and professional staff is kind, welcoming and very helpful. Dr. Dupont treats you as a valued customer, as he is extremely though, asking all the right questions, with easy to understand answers. He is committed to explaining what, why, and how long each step of his treatment will take and its part in the total treatment.

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Wendy Grahman

My husband Richard and I have been seeing Dr. DuPont for the past several years. We see him for periodic nail care and he attends to any other foot problems we have.

He is professional, efficient and personable. His office is always very clean and the staff is helpful and friendly. I heartily recommend Dr. DuPont to anyone seeking podiatric care.

Ann Shrum

I've been a patient of Dr. Dupont's since he began his practice here in Sonoma at Golden Gate Foot & Ankle on 1st St W. I had bunion surgery on my left foot and it went beautifully. He is professional, pleasant, and very responsive to discuss any concerns with my feet and ankles. His office personnel are so good at working with you on your appointments (which I've needed to get in sooner a couple of times), and treat their patients with great respect. They are always pleasant, and the office is open and welcoming. I highly recommend his practice and have to several friends that are now his patients.

Lynnette Bourne

Dr. Dupont was very helpful with my recent foot pain due to a probable neuroma. I went in to the office having a lot of difficulty walking because of the foot pain and left pain free after treatment. He was good at explaining why I had the condition, options and treatment. He is professional and friendly.

Tanya Marsh

I walked into his office fighting back tears because my feet were hurting me so terribly, every step had become an effort. By the time I left his office 30 minutes later, the pain that had bothered me for years had been resolved and has not returned. Within minutes of looking at the issues with my feet, Dr. Dupont accurately diagnosed, treated and bandaged the painful spots that I had been dealing with. My primary care Dr had treated me, but without any success and my dermatologist completely misdiagnosed, offering no support. This left me extremely discouraged and I struggled for many months before discovering Dr. Dupont.

Sandy Pollack

Choosing Dr. Dupont for your footcare is a step in the right direction. He is very knowledgeable, on time with appointments, has a very courteous staff, and has a terrific, easy-going, friendly manner. Thank you Dr. D for your expert care!

Randy Cook

I trust Dr. Dupont. He listens well, asks good questions, helps me understand my condition and my options. Just what I want in a podiatrist! (And my feet think so too!)

Stephanie Hamilton

I recently had hammertoe surgery performed by Dr. DuPont. I am sorry I waited so long. I had excellent care from Dr. DuPont and I am so happy with the results,.

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Dun W

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Tobin Hansen

Brett is very professionally qualified and shows a caring manner to his patients

Amelia Morgan

Dr. Dupont to care of my dad. He had bunion surgery with excellent results.

Skip Wangbickler

A most pleasant experience.

Skip Wangbickler

A most pleasant experience.

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