This material must not be used for commercial purposes, or in any hospital or medical facility. Failure to comply may result in legal action.
WHAT YOU NEED TO KNOW:
Sever disease is heel pain in children. This pain is caused by inflammation of the heel growth plate. The growth plate is the area where the bone grows. It is located on the lower back part of the heel.
Contact your child's healthcare provider if:
- Your child's pain or swelling increase.
- Your child has new symptoms, such as changes in skin color.
- Your child has a fever.
- Your child continues to have pain after treatment.
- You have questions or concerns about your child's condition or care.
- NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If your child takes blood thinner medicine, always ask if NSAIDs are safe for him. Always read the medicine label and follow directions. Do not give these medicines to children under 6 months of age without direction from your child's healthcare provider.
- Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much your child should take and how often to take it. Follow directions. Acetaminophen can cause liver damage if not taken correctly.
- Do not give aspirin to children under 18 years of age. Your child could develop Reye syndrome if he takes aspirin. Reye syndrome can cause life-threatening brain and liver damage. Check your child's medicine labels for aspirin, salicylates, or oil of wintergreen.
- Give your child's medicine as directed. Contact your child's healthcare provider if you think the medicine is not working as expected. Tell him or her if your child is allergic to any medicine. Keep a current list of the medicines, vitamins, and herbs your child takes. Include the amounts, and when, how, and why they are taken. Bring the list or the medicines in their containers to follow-up visits. Carry your child's medicine list with you in case of an emergency.
Follow up with your child's healthcare provider as directed:
Write down your questions so you remember to ask them during your visits.
Manage your child's symptoms:
- Rest will decrease swelling, and keep the heel pain from getting worse. Your child may need to decrease his or her regular training or exercise. He or she may need to completely stop running and doing other activities that put pressure on his or her heel until the heel pain is gone. Ask your child's healthcare provider about activities that do not put pressure on the heel.
- Ice should be applied on your child's heel for 15 to 20 minutes every hour or as directed. Use an ice pack, or put crushed ice in a plastic bag. Cover it with a towel. Ice helps prevent tissue damage and decreases swelling and pain.
- Stretching and strengthening exercises may be recommended. A healthcare provider may teach your child exercises to stretch the hamstring and calf muscles and the tendons on the back of the leg. Other exercises will help strengthen the muscles on the front of the lower leg. Your child may be told to stop exercising if he or she feels any pain.
- Shoe inserts may be needed. Your child's healthcare provider may give you heel pads or cups for your child's shoes to decrease pressure on the heel bone. You may also be given shoe inserts with firm arch support and a heel lift. Make sure your child wears good quality shoes with padded soles. Your child should not walk barefoot.
- An elastic wrap or compression stocking may be needed. Your child's healthcare provider may want your child to use a wrap or stocking to help decrease swelling and pain. Ask how to apply the wrap or stocking.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.