Sever’s Disease: Episode 54

  • In this episode: Sever’s disease – Is your child experiencing heel pain, especially during sport or after.

  • Chip Review: Lorenz – Crunchips Cheese & Onion – Thank you Steve Kovisto (11:05)

  • Trivia question of the week: Can you name the two state capitals, which contain the entire name of the state in their spelling? (09:25)

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

 

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Brief except from the episode:
Sever’s Disease aka calcaneal apophysitis, juvinille heel pain. It is inflammation of the growth plate of the calcaneus (heel bone).
This is most common in kids going through a growth spurt. Age 12 is the most likely age but it can occur before or after. Boys are more likely then girls to present with this pain.
Almost always pain is produced during physical activity and particularly sports. Pain will linger after and can settle down with a few minutes or hours. Pain always returns with participation in sport again.
Running and jumping sports are the most common. However, it can be seen with any sport depending on activity level.
This issue can be present for several weeks or months and will typical resolve on its own once the bones slow down or stop growing. That is why it is so common during a growth spurt.
Essential what happens is that the pull of the Achilles tendon on the immature skeleton causes the bone to deform. You can sometimes see a more prominent heel bone in adults who as children dealt with Sever’s Disease.
Other episodes you might enjoy:

Achilles Tendonitis: Episode 48

Foot & Ankle Health with Dr. Mohammad Rimawi: Episode 40

Plantar Fasciitis: Episode 11

Achilles Tendonitis: Episode 48

  • In this episode: We discuss Achilles Tendonitis

  • Chip Review: Chio – Sweet Chili & Red Pepper (13:40)

  • Trivia question of the week: Which 2 US states boarder 8 other states? (13:17)

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

Achilles tendonitis is the topic today. Before we get to far into that here is a brief overview of the Achilles.

 

The Achilles is the largest tendon in the body, it is one of the toughest to tear. We did a whole podcast on Achilles Repair. The Achilles is the attachment for the gastrocnemius, a two joint muscle, and the soleus (one joint muscle). These muscles make up the two layers of the calf. The gastrocnemius is the fast twitch muscle and the soleous is the slow twitch. Both muscles are innervated by the tibial nerve.
The group as a whole is responsible for forced plantar flexion, also known as push-off as well as eccentric dorsi-flexion aka landing. You will see Achilles tendonitis fairly often in a few groups of individuals.
Runners are the most commonly affected group. You also see Achilles tendonitis with impact sports such as basketball, tennis, lacrosse, soccer and volleyball. There is a good deal of research that has found that increased BMI also plays a role.
Some differential diagnosis is often appropriate when given a diagnosis of Achilles tendonitis. With younger ages, people who are going through a growth spurt, you will sometimes see Sever’s Disease diagnosed as Achilles tendonitis. Sever’s is similar to Osgood-Schlatter’s disease at the heel instead of the knee. With an older population you can see calcaneal bursitis and rarely a partial Achilles tear or calf strain.
If left untreated a tendonitis can become a tendonosis. A tendonosis is much harder to treat. This is a chronic condition that is no longer in the inflammatory stage. Our recommendation with tendonitis is to treat it early and not to let it get out of hand. Physical therapy is a great tool in managing and treating Achilles tendonitis.

Check out our other podcast with similar topics:

Foot & Ankle Health with Dr. Mohammad Rimawi: Episode 40

Achilles Repair with Peter Jennings: Episode 38

Plantar Fasciitis: Episode 11

Ankle Sprain_Inversion Type: Episode 3

 

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