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- > Heel Pain
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- > Platelet Rich Plasma, PRP
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- > Puncuture Wounds
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Calcaneal Apophysitis or Sever's Disease
Help from your Podiatrist in Irvine California
The typical presentation is an active child (aged 9-13 y) who complains of pain
at the posterior heel made worse by physical activities, especially those involving
running or jumping.
The pain is related to a growth center in the calcaneus. The growth center has the
consistency of butter taken out of the freezer.
Pain and inflammation occur after injuring the growth center.
An xray will usually be obtained to rule out any underlying fractures
Treatment
Initially rest, ice, compression, and elevation to decrease the edema.
It is vital to stretch properly prior to performing any physical activities.
Orthotics or heel lifts should be used to prevent recurrence.
Sometimes physical therapy will be required in order to speed up the recovery.
Very rarely is surgery performed. If symptoms are not resolving, a minimally
invasive lengthening of the achilles tendon can be done.
