Which statement describes the use of ultrasound in Sever's disease?

Which statement describes the use of ultrasound in Sever's disease?

• A. Therapeutic ultrasound on active growth plates is contraindicated.
• B. Stretching exercises are contraindicated.
• C. Ice packs should be avoided.
• D. Analgesics should be avoided.

Answer: (A)

In Sever’s disease, the heel growth plate (calcaneal apophysis) is still developing, so any heating therapy over that area can disrupt the growth plate. Therapeutic ultrasound, which delivers deep heat and mechanical effects, is contraindicated over active growth plates. That’s why this is the best choice. Management typically focuses on symptom relief and addressing traction: rest from flare-ups, ice after activity, stretching of the calves to reduce Achilles tendon tension, and supportive measures like heel cups or inserts. Analgesics can be used for pain as needed. The idea that stretching, ice, or analgesics should be avoided does not fit with standard care for this condition.

In Sever’s disease, the heel growth plate (calcaneal apophysis) is still developing, so any heating therapy over that area can disrupt the growth plate. Therapeutic ultrasound, which delivers deep heat and mechanical effects, is contraindicated over active growth plates. That’s why this is the best choice.

Management typically focuses on symptom relief and addressing traction: rest from flare-ups, ice after activity, stretching of the calves to reduce Achilles tendon tension, and supportive measures like heel cups or inserts. Analgesics can be used for pain as needed. The idea that stretching, ice, or analgesics should be avoided does not fit with standard care for this condition.