Quick guide
This page provides general health information and does not diagnose an individual condition. Persistent, worsening or concerning symptoms should be assessed by an appropriately qualified health professional.

Understanding the problem

Sever’s disease, or calcaneal apophysitis, is irritation of the growth area at the back of the heel bone where the Achilles tendon attaches.

Contributing factors

Rapid growth
Running and jumping sports
Repeated traction from the Achilles tendon
High overall activity load
Footwear and lower-limb mechanics in some children

What can you do?

Reduce painful running and jumping rather than necessarily stopping all activity.
Use comfortable supportive sports shoes.
Address calf flexibility and progressive strength as tolerated.
A temporary heel lift or cushioning may help some children.
Increase activity gradually as pain settles.

When not to wait
Seek assessment for severe or constant pain, night pain, major swelling, fever, significant injury, inability to bear weight or symptoms that do not behave like ordinary activity-related heel pain.

The Footpath Health approach

Footpath Health is designed to help you move from a symptom or question toward an appropriate next step without pretending that an online article can make an individual diagnosis. Sometimes that next step is self-management; sometimes it is podiatry, physiotherapy or GP assessment; and sometimes imaging or specialist care is appropriate.

Still not sure what the right next step is?

Tell Footpath Health what is bothering you and we can help guide you towards the most appropriate type of healthcare professional.

Start the Footpath Health assessment →