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Causes of Heel Pain in Growing Children

Heel pain in children often occurs during periods of rapid growth. Sever’s disease is frequently linked to overuse and strain on the developing structures of the foot. Children between the ages of eight and 14 are especially at risk because their bones may grow faster than the surrounding muscles and tendons. This imbalance can place added tension on the heel, leading to irritation and pain. Active children who participate in sports that involve running and jumping may experience this condition more often.

Symptoms of heel pain in children include tenderness at the back or bottom of the heel, discomfort during physical activity, and stiffness after rest. Some children may limp or avoid placing full weight on the affected foot. Pain may increase during sports and improve with rest, but it can return when activity resumes. In some cases, swelling or tightness in the calf muscles may also be present. Early recognition of these symptoms can help prevent worsening discomfort and support proper healing.

 

The main cause of heel pain in children, often called Sever’s disease, can be related to growth spurts. During their adolescent years, the heel bone grows rapidly, while the surrounding muscles and tendons may not keep pace. This can lead to increased tension on the heel. Repetitive impact from sports and physical activities can further strain the area. Relief often includes stretching exercises to improve flexibility and reduce stress on the heel. Parents should never push children through heel pain, as this can lead to more serious issues.

 

Risk factors for heel pain in children include high levels of physical activity, tight calf muscles, and participation in sports played on hard surfaces. Early attention is important for maintaining comfort and mobility. If your active child has heel pain, it is suggested that you consult a podiatrist for effective relief and management solutions.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of the podiatrists from JE Foot & Ankle Associates. Our doctors can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact our office located in Fleming Island, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Sever's Disease

Early Care for Children With Congenital Foot Conditions

Congenital foot problems are conditions that are present at birth. Some are easy to notice right away, while others become more obvious as a child begins standing and walking. These conditions can affect the shape, position, or movement of the feet. Some are mild and improve as a child grows. Others require prompt care to help the feet develop correctly. Examples include clubfoot, flat feet, and high-arched feet. Clubfoot causes the foot to turn inward and downward. Another condition, called metatarsus adductus, causes the front of the foot to curve inward. A podiatrist examines the feet, checks how they move, and looks for signs that the condition could affect healthy growth or normal movement. 

Some congenital foot problems become more noticeable when a child starts walking. Parents might see uneven shoe wear, frequent tripping, or a foot that points in an unusual direction. Certain conditions also affect balance and standing. A podiatrist performs a detailed examination and determines whether the problem is flexible or more rigid. Imaging tests are sometimes used to better understand the bones and joints. Care depends on the child's age, the type of condition, and how much it affects daily activities. Treatment includes custom orthotics, special casts, or braces designed to improve foot position. Some children benefit from surgery when the deformity is severe or limits normal foot function.

Regular follow-up visits allow a podiatrist to monitor foot growth and make changes to treatment as a child develops. Early care can improve walking, reduce discomfort, and support healthy foot function for many years. Parents should not ignore changes in foot shape, balance, or the way a child walks. Prompt evaluation provides valuable information and helps guide the best treatment plan. If your child is born with a foot disorder, it is suggested that you schedule an appointment with a podiatrist for effective treatment and management solutions.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact one of the podiatrists of JE Foot & Ankle Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

  • Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
  • Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
  • Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
  • Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
  • Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
  • Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

If you have any questions, please feel free to contact our office located in Fleming Island, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Congenital Foot Problems

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