Heel Pain In Children

Heel Pain In Children: Most Common At 8-14 Years Old. This pain is known as calcaneal apophysitis or Sever’s Disease. It is an unattached piece of bone.


Heel Pain In Children
Heel pain in children is due to an incompletely attached part of the heel.

What Is Heel Pain In Children?

This heel pain is known as Sever’s disease.

  • It is because the back part of the heel fuses to the rest of heel at puberty.
  • There is a thin layer of cartilage between the two pieces until puberty.
  • This cartilage can become irritated.
  • This cartilage becomes bone at around age 9-12 for girls.
  • This cartilage becomes bone at around age 11-14 for boys.
  • If you are a year or so late than it is no big deal.
  • But if you are 15-16 years old and still have it, consider other causes.


Heel Pain In Kids
Heel Pain In Kids is due to an unfused piece of the heel. You can see a division of cartilage above. Don’t worry, it won’t break off!


Is Heel Pain In Children Dangerous?

  • There is never any real risk beyond pain.
  • The bone will never break free or anything like that.
  • But your child may be in a large amount of pain.
  • This may limit their athletic activity or playing.


What Causes Heel Pain In Children:

  • This condition is due to the overuse of the heel bone and Achilles tendon.
  • Constant pulling and stretching can cause pain and irritation.
  • Starting a new sport or activity is the most common cause.
  • It frequently occurs at the beginning of a season.
  • Increased weight bearing is possible cause.
  • Fast growth or growth spurt can cause it.
  • More likely in flat feet.
Heel Pain In Children Athletes
Heel Pain In Children Athletes Occurs ages 11-14 years old in boys.

Heel Pain In Children Athletes:

  • Children training in athletics are the most likely to experience this type of pain.
  • Starting a new sport or activity is the most common cause.
  • It frequently occurs at the beginning of a season.


Symptoms Of Heel Pain In Kids:

This is usually felt at the back of the heel where the achilles tendon inserts.

  • Most common around age 9-12 for girls.
  • Most common around around age 11-14 for boys.
  • There is rarely any swelling or redness, it is inside the back of the heel.


  • If the pain is not on the inside of the heel, or your child is not playing sports.
  • There is another possibility.
  • Bone cysts may be possible in the heel.
  • While this is also not a big dangerous, it does require X-rays and treatment.


Treatment Of Heel Pain In Kids:

What Causes Heel Pain In Children
Stretching is important to decrease heel pain in children athletes.
  • Focus on stretching the hamstring, calf and plantar fascia.
  • Good stretching before athletics is essential.
  • RICE: Rest. Ice. Elevation. Compression.
  • See a podiatrist for orthotics.
  • Get an x-ray if you are concerned to confirm.
  • Heating therapy.
  • Icing after activity and in the morning (when pain is worse).
  • Loose heel or open heel shoes.
About the author

The Modern Podiatrist (Foot and Ankle Specialist Doctor):Today's podiatrist is required to undergo rigorous medical training that licenses them as physicians with equivalent legal standing to the MD and DO degree (These are physician recognized licenses most common only in the USA). Although admittedly the training does differ between the three degrees. The differences are listed below.In Michigan Podiatrists are trained and authorized to perform surgery in the foot and ankle up to the tibial tubercle below the knee.All our podiatrists and foot doctors have undergone rigorous training including a 4 undergraduate college degree, writing the medical school entrance exam (MCAT), followed by a 4 year medical school degree (DPM - Doctor of Podiatric Medicine),Once podiatrists in the USA complete the rigorous 4 year medical school courses, they are required to complete a minimum of 3 years of a surgical and non-surgical residency program. Some podiatrists and foot doctors then choose to go on to further fellowship training specializing in various forms of specialty such as diabetic surgery or reconstructive foot and ankle surgery.The training is not over yet! Each podiatrist must be judged by a governing body where they submit their surgical cases and are reviewed regularly to ensure excellent results. This is a career long evaluation with board qualifications and certifications every few years.So have faith that today's podiatrist is your best choice for your foot and ankle problems! We are able to approach you foot and ankle problems from a non-surgery perspective, but that when necessary we can provide you with the treatment that you need!All articles written by this account are considered to be for educational purposes only. It is impossible for us to truly assess your condition and the advice we give here is meant to give you a basis to then follow up with your podiatrist and foot doctor later.If you have any questions at all, or there is anything that we can help you with, please feel free to contact our office or email us. Podiatrists provide medically necessary treatment which should be covered by valid insurance plans, we are not a cosmetic or elective medical specialty.