Best Doctor List Near You for Calcaneal Apophysitis (sever Disease) in Sultan hassanal bolkiah stadium

Calcaneal apophysitis, commonly known as Sever Disease, is a prevalent condition affecting the heel in growing children, particularly those aged between 8 and 14 years. This disorder primarily involves inflammation of the calcaneal apophysis, which is the growth plate located at the back of the heel bone. During periods of rapid growth, the bones in a child's foot grow faster than the surrounding muscles and tendons, leading to increased tension, particularly from the Achilles tendon. This disparity can result in micro-trauma and irritation at the heel's growth plate, leading to pain and discomfort that often exacerbate during physical activities, such as running or jumping. Children with Sever Disease typically report localized heel pain, which may be aggravated by walking or physical exertion. The pain can be sharp and is often described as a dull ache, with discomfort being more pronounced after activity rather than during it. This condition is often bilateral, affecting both heels, but it can also present unilaterally. Sever Disease is often associated with other risk factors, such as participation in sports that involve repetitive impact and high levels of physical activity. The heel pain may be accompanied by signs of inflammation, such as swelling or tenderness around the heel. Diagnosis usually involves a thorough medical history and physical examination, where tenderness directly over the calcaneal apophysis is a key indicator. X-rays may be used to rule out other conditions or confirm apophyseal involvement, although imaging is not always required. The main cause of Sever Disease is repetitive mechanical stress on the heel, particularly in active, athletic children who engage in sports that involve running, jumping, or rapid changes in direction. These activities can put excessive pressure on the Achilles tendon, which pulls on the growth plate. In addition, tight calf muscles or a limited range of motion in the ankle joint can increase the strain on the Achilles tendon, further predisposing the child to develop calcaneal apophysitis. Other contributing factors may include inadequate footwear that does not provide proper support, flat feet or high arches, and engaging in sudden increases in athletic intensity or duration without adequate conditioning.Sever Disease is a self-limiting condition, with symptoms typically resolving as the child reaches skeletal maturity and the growth plate fuses. Management primarily focuses on symptomatic relief, including rest, ice application, nonsteroidal anti-inflammatory medications, and modifications in activity levels. Physical therapy may also play a role in addressing muscle flexibility and strength to alleviate strain on the heel. In most cases, with appropriate care and intervention, children can return to their normal activities without long-term complications.