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Introduction

It is quite common for heel pain to occur in children. Theprimary cause in most cases is the Sever’s disease, but it can also betriggered by numerous other conditions. The condition usually affects thechildren of 10 to 14 years of age and it affects boys more than it does affectthe girls. The pain can sometimes also occur at the bottom of the heel. It doesnot necessarily have to be constant as it may come and go on its own. It mayaffect just one or both legs at the same time and the process of healing cantake up to two weeks.

Causes and Symptoms

Heel pain is usually triggered by excessive physicalactivities such as jumping and running. The aforementioned Sever’s disease iscommonly triggered by temporary distortions of the Achilles tendon which islocated at the back of the heel. The condition is the direct outcome ofimproper matching of the calf muscles, Achilles tendon, and the calf bonesduring the growing process.

Most commonly the bones grow much faster than thetendon and the muscles as they get taut and start to hurt. Heel pain can alsobe triggered by excessive running or jumping session which took place on hardsurfaces. The intensity of the pain can be increases by bone injuries, ankleinjuries, muscle injuries, excessive physical activity and ill fitting shoes.

Othercauses may be inflammation of the ligament that is located between the sole andthe heel bone or Achilles tendon swelling caused by stressed fracture, hardimpact, bursitis or sometimes overweight. The pain occurs in the area thatsurrounds the Achilles tendon and it usually gets better after resting a while.Later on the area may become swollen and sensitive up to the point where itcannot be touched at all. Sometimes the condition may lead to limping ortiptoeing.

Treatment

If a child experiences heel pain on a regular basis it needsto be checked by a physiotherapist in order to determine a proper diagnosis.Physical examination accompanied by an x-ray are usually enough to determinethe nature of the problem. A physiotherapist determines the amount and the typeof movements that are allowed during the treatment. Sometimes a child needs totake painkillers. Ice packs can also be of great help in relieving the pain.Shoe inserts are also very efficient in soothing the pain. Stretching exercisesand physical therapy can also be very beneficial in managing the pain properly.

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