“Severs Disease” – Manifestations and Management

Journal of Clinical Orthopaedics | Vol 7 | Issue 2 |  Jul-Dec 2022 | page: 18-21 | Khyati Gupta [1], Avi Shah [2]

DOI: 10.13107/jcorth.2022.v07i02.517

Author: Khyati Gupta [1], Avi Shah [2]

[1] Fellow in Paediatric Orthopaedics, NH SRCC Children’s Hospital, Mumbai, Maharashtra, India.
[2] Consultant Paediatric Orthopaedics, NH SRCC Children’s Hospital, Mumbai, Maharashtra, India..

Address of Correspondence
Dr. Avi Shah,
Consultant Paediatric Orthopaedics, NH SRCC Children’s Hospital, Mumbai, Maharashtra, India.
E-mail: dravi.paedortho@gmail


Calcaneal apophysitis (Sever’s Disease) is a common cause of heel pain in growing children. It’s true incidence and etiology in unknown but, recent evidence supports overuse injury as an underlying etiology. It can present as either unilateral or bilateral heel pain in active growing children or adolescents who had a history of new-onset sports activity. Diagnosis mainly relies on a thorough clinical examination with a positive squeeze test being confirmatory. Radiologic imaging may be unnecessary but can help rule out or avoid missing other problematic conditions. Treatment options are mainly conservative and include rest, medications, therapy, or orthosis. Educating parents and coaches is pivotal for the prevention of these self-limiting conditions in young athletes. Evidence suggests a return to sports in most in a few weeks to months after appropriate care.

Keywords: Sever disease, heel pain, calcaneal apophysitis, overuse injury


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How to Cite this article: Gupta K, Shah A. “Severs Disease” – Manifestations and Management. Journal of Clinical Orthopaedics Jul-Dec 2022;7(2):18-21.

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