30 Jun What is “football heel?”
What is “football heel?”
With a new school year comes football season, a happy time for many of us. Last year I noticed many Missoula Youth Football players with heel pain: I treated several of them in the clinic, but also was asked on the field by several parents about painful heels related to football. While last year I called this “football heel” because of the numerous young players who developed symptoms while playing football, the truth is this condition can be seen with other sports such as soccer, basketball, or lacrosse.
Sever’s Disease, also known as calcaneal apophysitis, is seen in kids ranging from 8 to 14 years old. It occurs in the heel bone of active kids due to disruptions in the blood supply to the epiphysis, or growth plate in the heel bone. The cause of the growth plate disruption is due to a pulling force on the heel bone from the Achilles tendon, a force quite often found while participating in sports. Sever’s disease is more commonly found in boys compared to girls and may involve both heels.
Signs and Symptoms commonly found in Sever’s Disease:
• Heel pain
• Limping
• Swelling and redness of the heel
• Tight calf muscles
Treatment for Sever’s Disease depends on the severity and progression of the injury. It is important to note that continuation without proper treatment and healing may lead to a more serious injury. An X-ray may be needed to rule out any broken bones or other problems. Additionally, an X-ray can be used to aid in diagnosis. Treatment recommendations may include cessation of sporting activities, heel lifts, or heel cups, with the goal to reduce the amount of force on the heel. Anti-inflammatory medications may be needed to reduce swelling and recommendations for orthotics and stretching exercises can also be implemented. Treatment is indicated until symptoms resolve, usually upon fusion of the growth plate.
If you have a young athlete with heel pain slowing them down, please
Contact Alpine Foot & Ankle Clinic in Missoula to see how we can help you!