Current Pedorthics | July-August 2016 | Vol.48, Issue 4 | Page 42

Heel Pain in Children shoes. Children who spend a lot • Tenderness when the back of of time in Uggs or flip-flops will the heel is squeezed. A feeling of continue to have problems with tightness may also be there their heel pain. • Limping • Athletic shoes with cleats can be • Inability to walk unless on tip toe a problem, depending on the cleat Sever's disease can be found at different ages by gender because of the different ages of girls' and boys' growth spurts. For example, boys usually experience growth spurts at ages 10 to 14, so that's when the risk of Sever's disease is greatest. Girls, whose growth spurts are earlier between ages 9 and 13, may have Sever's disease at those earlier ages. PREVENTING SEVER'S DISEASE It is possible to prevent this painful condition with some common sense steps that are good tips for children of any age: • Provide them with supportive, well-fitting and well-cushioned 40 Pedorthic Footcare Association www.pedorthics.org pattern and how hard the cleats are. Running for condittioning purposes should be done while wearing running shoes, not cleats. • Stretching exercises of the hamstrings, heel and calf. • Maintaining a healthy weight to minimize stress on the heel. • Limit running and jumping on surfaces that are inflexible and hard. • Prevent over-training, especially if the heels are painful. The good news? The risk of Sever's Photo: @iStock.com/Wavebreakmedia "Sever's disease can be found at different ages by gender because of the different ages of girls' and boys' growth spurts." • Redness or swelling in the heel