Title: Sever's disease<br/>Author: Brian Corwell<br/><a href='http://umem.org/profiles/faculty/294/'>[Click to email author]</a><hr/><p>
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Sever's disease also known as calcaneal apophysitis, is the most common cause of heel pain in the young adolescent (ages 8 to 12).</p>
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It can be thought of as the Achilles tendon equivalent of Osgood-Schlatter's disease (patellar tendon insertion pain).</p>
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It is a non inflammatory chronic repetitive injury.</p>
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Commonly seen bilaterally in up to two -thirds of cases.</p>
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Patients will complain of activity related pain to the heel.</p>
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There may be tenderness and local swelling at the Achilles tendon insertion.</p>
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Radiographs are not necessary for acute cases.</p>
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Treat with activity modification, heel raise, physical therapy.</p>