Sever's disease is the most common cause of heel pain in which population?

Sever's disease is the most common cause of heel pain in which population?

• A. Adults 40-60 years
• B. Children 8-12 years
• C. Elderly
• D. Infants

Answer: (B)

Sever's disease is calcaneal apophysitis, an overuse injury at the growth plate where the Achilles tendon inserts on the heel bone. This affects children whose growth plates are still open, typically around ages 8 to 12 during periods of rapid growth. Repetitive pulling forces from running or jumping cause pain and tenderness at the posterior edge of the heel. Because the growth plate is still open in this age group, Sever's disease is the most common cause of heel pain in children. In adults, heel pain is more often due to other problems such as plantar fasciitis or tendinopathies, since the growth plate has closed. Management focuses on relative rest, activity modification, ice, NSAIDs, heel padding or a heel lift, and stretching of the calf muscles and Achilles tendon; symptoms usually resolve as the growth plate closes.

Sever's disease is calcaneal apophysitis, an overuse injury at the growth plate where the Achilles tendon inserts on the heel bone. This affects children whose growth plates are still open, typically around ages 8 to 12 during periods of rapid growth. Repetitive pulling forces from running or jumping cause pain and tenderness at the posterior edge of the heel.

Because the growth plate is still open in this age group, Sever's disease is the most common cause of heel pain in children. In adults, heel pain is more often due to other problems such as plantar fasciitis or tendinopathies, since the growth plate has closed. Management focuses on relative rest, activity modification, ice, NSAIDs, heel padding or a heel lift, and stretching of the calf muscles and Achilles tendon; symptoms usually resolve as the growth plate closes.