Pulling of the calf muscles results in tension in the achilles and in adolescents repeated running and jumping can result in pain and inflammation at the heel. This is sever’s disease.

Why does it happen?

Sever’s disease is often associated with a growth spurt where the bones grow but muscles do not therefore increasing tension where the achilles attaches to the heel. It is often related to poor foot posture, calf tightness, over-training, muscle weakness or general poor bio-mechanics. Normally it is a combination of these factors.

What will a physiotherapist do?

The physiotherapist will thoroughly assess the affected areas and general bio-mechanics. to determine what factors may be contributing, also to rule out any other injuries or stress fractures etc. treatment focusing on the affected area would include modified rest, stretching and massage and concerning the bigger bio-mechanical area include skill re-training, core stabilisation exercises and strength programs. A referral to a podiatrist may be made