Pain in the heel of a child's foot pain and swelling; sierraingersol.wordpress.com,, typically brought on by some form of injury or trauma, is sometimes Sever's Disease. The disease often mimics Achilles tendonitis, an inflammation of the tendon attached to the back of the heel. A tight Achilles tendon may contribute to Sever's Disease by pulling excessively on the growth plate of the heel bone. This condition is most common in younger children and is frequently seen in the active soccer, football or baseball player. Sport shoes with cleats are also known to aggravate the condition. Treatment includes calf muscle stretching exercises, heel cushions in the shoes, and/or anti-inflammatory medications. Consult your physician before taking any medications.
Physically active children run the risk of developing Sever?s disease because they put the most strain on their growing bones. Sever?s usually occurs during the adolescent growth spurt, when young people grow most rapidly. (This growth spurt can begin any time between the ages of 8 and 13 for girls and 10 and 15 for boys.) By age 15 the back of the heel usually finished growing. As teens grow, the growth plates harden and the growing bones fuse together into mature bone. Young people engaged in physical activities and sports that involve jumping and running on hard surfaces-such as track, basketball, soccer, and gymnastics-are ata higher risk for developing Sever?s disease. Poor-fitting shoes can contribute by not providing enough support or padding for the feet or by rubbing against the back of the heel.
As a parent, you may notice your child limping while walking or running awkwardly. If you ask them to rise onto their tip toes, their heel pain usually increases. Heel pain can be felt in one or both heels in Sever's disease.
Your Podiatrist or Physiotherapist will assist in diagnosing the injury and the extent of the damage. From this, they will develop a management plan which may include rest or activity modification, soft tissue treatment such as masغير مجاز مي باشدe and stretching, correction of biomechanics through heel raises or orthoses and the progression through a series of specific strengthening exercises.
Non Surgical Treatment
Your child's healthcare provider will ask about your child's symptoms and examine your child's feet and heels. Any of the following may be done to treat your child's pain. NSAIDs help decrease swelling and pain or fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If your child takes blood thinner medicine, always ask if NSAIDs are safe for him. Always read the medicine label and follow directions. Do not give these medicines to children under 6 months of age without direction from your child's doctor. Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much your child should take and how often to take it. Follow directions. Acetaminophen can cause liver damage if not taken correctly. Rest will decrease swelling, and keep the heel pain from getting worse. Your child may need to decrease his regular training or exercise. He may need to completely stop running and doing other activities that put pressure on his heel until his heel pain is gone. Ask your child's healthcare provider about activities that do not put pressure on the heel. Ice should be applied on your child's heel for 15 to 20 minutes every hour or as directed. Use an ice pack, or put crushed ice in a plastic bag. Cover it with a towel. Ice helps prevent tissue damage and decreases swelling and pain. Stretching and strengthening exercises may be recommended. A healthcare provider may teach your child exercises to stretch the hamstring and calf muscles and the tendons on the back of the leg. Other exercises will help strengthen the muscles on the front of the lower leg. Your child may be told to stop exercising if he feels any pain. Shoe inserts may be needed. Your child's healthcare provider may give you heel pads or cups for your child's shoes to decrease pressure on the heel bone. You may also be given shoe inserts with firm arch support and a heel lift. Make sure your child wears good quality shoes with padded soles. Your child should not walk barefoot. An elastic wrap or compression stocking may be needed. Your child's healthcare provider may want your child to use a wrap or stocking to help decrease swelling and pain. Ask how to apply the wrap or stocking.
Maintain good flexibility through stretching exercises. Avoid excessive running on hard surfaces. Use quality, well-fitting shoes with firm support and a shock-absorbent sole.
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