Siver's disease is a common complication in growing children and occurs with heel pain, this complication can be reduced by stretching the Achilles tendon. Children experience pain during their growth, including the growth of tendons, cartilage and bones....Siver's disease in children is also known as apophysitis. Learn more about Sever's disease As we said, this disease is very common in children and leads to heel pain... This disease mostly affects children between 8 and 14 years old. It gets worse during sports and activities that put pressure on the growth plate of the heel....Growth plates are pieces of cartilage between bones in children and teenagers....Growth plates harden with age. Sever is more known as an injury than a disease.. because children notice that it improves over time.... This condition usually improves with rest, taking painkillers and wearing proper shoes. To relieve pain, the doctor recommends exercises to stretch the Achilles tendon that connects to the heel. What is the difference between acute tendinitis and Achilles tendonitis? Sever's disease refers to the irritation of the heel bone... but Achilles tendonitis is the irritation of the tendon that attaches to the heel bone... Unlike Achilles tendonitis, Sever's syndrome only occurs in children and teenagers. Which people are most affected by Sever's disease? Children and teenagers aged 8 to 14 experience it more.... According to the available evidence in this field, boys get this disease a little more than girls. This group of children and teenagers experience several times: - People who run or jump frequently, especially on a hard surface. - do intense sports such as gymnastics, volleyball or basketball. - are obese or overweight. - They wear shoes that are not suitable for their activities. How do people get Sever's disease? Children develop Sever's disease during a growth spurt, when bones, muscles, tendons, and cartilage grow rapidly. Actually, as the bones and soft tissues grow and move, they become more vulnerable. Activities such as running and jumping put pressure on the Achilles tendon. The Achilles tendon is a tough band of tissue that connects the calf muscle to the heel bone. This repeated pressure leads to swelling and pain in the growth plate.. As children grow older and the growth plate turns into a strong bone, the tendon and heel bear more force and do not experience pain. What are the symptoms of Sever's disease? In children with chest pain, the most common symptom is pain at the back of the heel.. Sometimes the pain makes children walk on their toes.. The symptoms caused by this disease are very similar to the symptoms of shin splint disease.. but they are different from each other. Among the symptoms of Sever's disease, the following can be mentioned: - Feeling pain in one or both heels (often children report pain in both heels) - The feeling of pain worsens with activities such as jumping and running on hard surfaces and improves with rest. - There is redness, swelling and burning in the heel. How long will this disease last? This condition may persist until your baby is fully grown....when the growth plate closes, the condition will improve on its own and is nothing to worry about. To solve your concern about this, you can consult and talk with your doctor.. For more information, read the article Controlling Growing Pains in Children. How is Sever's disease diagnosed? A doctor can easily diagnose this condition by performing a physical examination. During the examination, he applies gentle pressure to the heel to determine which specific area is causing the pain. X-ray or MRI imaging helps the doctor confirm the diagnosis and rule out other conditions such as broken bones. What is the treatment of Sever's disease? In most cases, this condition improves with home remedies such as rest and over-the-counter pain relievers. It may take several months for the symptoms to disappear completely.... The treatment solutions that are considered for this disease are as follows: ### Rest Children should avoid vigorous activities for a few days or weeks... Teach your child to start activities slowly to avoid pain. ### use of ice and pain reliever Place an ice pack on the heel for four or five days. Over-the-counter non-steroidal anti-inflammatory drugs relieve pain and swelling. ### Using suitable shoes Your child should wear shoes that keep the arch in a natural position and protect the foot... Wearing standard shoes absorbs shock and reduces pressure on the heel. ### Do stretching exercises Physiotherapist gives the child exercises to stretch the Achilles tendon and reduce pressure on the growth plate. Doing stretching exercises and strengthening the heel makes the calf and hamstring muscles stronger and also provides more support to the feet and heels. ### leg immobility If the child still has pain in the heel area after a few weeks of rest, the doctor may recommend a cast or splint to protect the growth plate and more time is needed to heal. Physiotherapy can also be very effective in treating Sever's disease. The therapist will consider specific exercises such as stretching to help improve symptoms. What are the symptoms of Sever's disease? Some patients may experience side effects from taking NASID.... This side effect is rare and only affects people who have been taking it for a long time.... NASID side effects include: - Heartache and stomach ulcer - headache and dizziness - High blood pressure How to prevent Sever's disease? It may not be possible to prevent this disease, especially in very active children.... To reduce the risk of a child contracting this disease, you should pay attention to the following: ### The right weight Overweight and obese children are more at risk of contracting this disease. You should encourage your child to eat healthy foods and stay active to keep his weight within a normal and healthy range. ### Rest You should tell your child to rest if he feels pain or swelling... A child who gives his body time and rest between activities is less likely to develop this condition. ### Using suitable and standard shoes Children should wear appropriate shoes when exercising....sometimes the structure of some shoes, such as studded shoes, puts more pressure on the heel during activity. Finally, you should choose one that does not put any pressure on the baby. ### Change some activities If your child does a lot of stimulating sports activities such as running and jumping, you should warn him to reduce the intensity of his activities. For example, sports such as cycling and swimming can keep your child active and also reduce pressure on the bones of the feet.