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OCTOBER E-NEWSLETTER 2015

Performance Podiatry

Monthly News October 2015


Practice News
 

Our Podiatrists have been very busy this month. Kent travelled to Auckland NZ this month to present at AUT University. Both Kent and Ben are both currently attending the Sports Medicine Australia conference at Sanctuary Cove, where they will be attending lectures and having meetings as part of their roles with the Australasian Academy of Podiatric Sports Medicine.

Our Physiotherapist Chari was recently at the Noosa International 7's Tournament with the Queensland Rugby Union Women's Development Team. The girls lost in the Cup Semi-final against the team that went on to win the tournament. Congratulations to all involved.

This month feature is on Sever's Disease.

 

Sever's Disease - Heel pain in children


 What is it?

Sever’s disease or Sever’s lesion refers to an injury to the bone growth plate at the back of the heel bone (calcaneous) in young people, particularly those who are physically active. It usually develops in puberty and is slightly more common in boys than girls.

 


How does it happen?


The large calf muscles attach to the heel via a large tendon called the Achilles tendon (See image below). The function of this tendon is to transmit forces produced by the calf muscles to the heel bone.
In children, the portion of the heel bone into which the Achilles tendon inserts is separated from the bulk of the heel bone by a growth plate. This growth plate enables bone growth to occur. However, it also represents a site of weakness in the bone. Forcible and repeated contraction of the calf muscles can injure the growth plate
This commonly occurs during a period of rapid growth where the muscles and tendons become tighter as the bones grow. This leads to increased pulling of the calf muscles and Achilles tendon on the heel bone and growth plate.

 
 How does it feel?

The pain is at the heel or around the Achilles tendon.
This is felt commonly during exercise, particularly activities involving running or jumping.
The back of the heel may also be tender to touch and there may be localized swelling.
There may be stiffness in the calf muscles first thing in the morning and you may notice limping or a tendency to tiptoe.

Contributing Factors to Sever’s Disease

Apart from the age of the young person, other factors that may contribute to developing the disease may include; overuse or too much physical activity. Your child’s heel pain may be caused by repeated stress on the heels (running and jumping activities), pressure on the back of the heel from too much standing or wearing poor-fitting shoes. This includes shoes that do not support or provide enough padding for your child’s feet.
 
 What should you do?

If you suspect your child has Sever’s disease you should seek assistance from your Podiatrist.
In the meantime you should limit their participation in sporting activities to restrict the amount of damage to the growth plate.
 
What shouldn’t you do?

You should not encourage them to exercise or exercise through pain as this could cause further damage.
 
Management

Your Podiatrist will assist in diagnosing the injury and the extent of the damage.
From this, they will develop a management plan which may include:
- rest or activity modification
- soft tissue treatment such as massage and stretching
- correction of biomechanics through heel raises or orthoses
- the progression through a series of specific strengthening exercises. 
 


 
If you think your child might have Sever's - book in with one of our practitioners today for a consultation.
 

 

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