At Sydney CBD, we have a special interest in the diagnosis and treatment of foot and lower leg problems.

Calcaneal Apophysitis

Severs Disease – Calcaneal Apophysitis

Calcaneal Apophysitis is a common cause of heel pain in children and adolescents. The condition usually occurs in children and adolescents, between the age of 8 – 14 years, who are active, often playing sports with high volumes of running and jumping.

Calcaneal Apophysitis is caused from repeated stress of the calf muscles pulling on the growth plate of the heel bone, which causes painful inflammation. Foot posture and poor biomechanics are often a contributing factor; children with flat feet over hyper-pronation are more likely to have calcaneal apophysitis.

Symptoms include:
  • Pain in the back or bottom of the heel
  • Limping
  • Toe walking to relieve pain
  • Pain during activity, which usually gets worse
  • Mild heat and swelling of the heel bone
  • Tight calf muscles
  • Pain when squeezing the heel bone
Treatment – what you can do
  • Rest
  • Ice
  • Activity reduction or modification
What our Podiatrists at Sydney Sports Podiatry will do:
  • Determine the cause of shin splints through a detailed biomechanical assessment
  • Stretching and strengthening muscles
  • Taping to offload
  • Heel lifts
  • Custom orthotics
  • Appropriate footwear modifications and recommendations, including sports specific footwear
  • Dry needling and massage
  • Activity modification recommendations & return to activity plan