Painful Achilles tendon in adolescents

Sever’s disease or calcaneal apophysitis is most prevalent in active adolescents boys between the ages of 8 and 13 years. It is the result of an acute or chronic strain of the Achilles tendon at the back of the heel.

A diagnosis is suggested when a teenager complains of pain and sensitivity at the back of the heel below the attachment of the Achilles tendon. The condition is often bilateral. There may be some swelling in the area and wearing shoes may cause pain. The pain is aggravated by playing sport or running.

Treatment involves appropriate footwear, padding, heel lifts or biomechanical control in the form of custom made orthosis.