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Calcaneal Apophysitis Discharge Instructions


About this topic


Calcaneal apophysitis is a health problem in the foot. It happens most often in children. This is also known as Severs disease. Children's bones have growth plates in them. Growth plates are made of a soft tissue called cartilage. The cartilage later changes into bone. This makes the bones get bigger. Since growth plates are weaker than regular bone, they are at risk to get injured. Near puberty, the foot grows quickly. The bones grow faster than the muscles and tendons around the foot. This can make the tendons that attach muscle to the heel bone tight. The tight tendons at the back of the heel can bother the growth plate. This can cause pain and swelling. It is not serious and most often only happens for a limited time. This problem most often goes away in 2 weeks to 2 months with treatment. ‚  


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What care is needed at home?


  • Ask your doctor what you need to do when you go home. Make sure you ask questions if you do not understand what the doctor says. This way you will know what you need to do to care for your child.
  • Rest. Allow your injury to heal before you do slow movements.
  • Place an ice pack or a bag of frozen peas wrapped in a towel over the painful part. Never put ice right on the skin. Do not leave the ice on more than 10 to 15 minutes at a time. Ice after activity may help decrease pain and swelling. Never ice before stretching.
  • Prop your leg on pillows to help with swelling.
  • Compression ¢ ˆ ’ Lightly wrap a compression bandage around the ankle and heel or wear a compression stocking to lessen swelling.
  • Inserts for your shoes. These are foot orthotics.
  • Exercises

What follow-up care is needed?


The doctor may ask you to make visits to the office to check on your childs progress. Be sure to keep these visits. The doctor may send your child to physical therapy. ‚  

What drugs may be needed?


The doctor may order drugs to: ‚  
  • Help with pain and swelling

Children younger than 18 should not take aspirin. This can lead to a very bad health problem. ‚  

Will physical activity be limited?


Your child may need to rest for a while. Your child should not do physical activity that makes the health problem worse. Your child may not be able to run, work out, or play sports until the health problem gets better. With treatment, this problem will most often get better in 2 weeks to a few months. ‚  

What can be done to prevent this health problem?


  • Stay active and work out to keep your lower leg muscles strong and flexible.
  • Wear shoes with good support. Do not go barefoot.
  • Avoid running on hard surfaces.
  • Warm up slowly and stretch before you work out.

When do I need to call the doctor?


  • Pain or swelling gets worse
  • Health problem is not better or you are feeling worse

Helpful tips


How to Stretch Your Calf Muscle ‚  
  • Stand about a foot from a wall. Face the wall and put your hands on the wall at shoulder level. Bring one leg back, keep the knee straight and the heel on the floor. Slowly bend your other knee by leaning forward until you feel a stretch in the calf of your back leg. Hold for 20 to 30 seconds and release. Repeat 2 to 3 times on each leg.
  • Stand on a step while holding onto a rail. Stand so the balls of your feet are on the step and the heels are hanging off the edge. Drop one heel down lower until you feel a stretch in your calf muscle. Hold for 20 to 30 seconds and release. Repeat 2 to 3 times on each leg.

Teach Back: Helping You Understand


The Teach Back Method helps you understand the information we are giving you about your child. The idea is simple. After talking with the staff, tell them in your own words what you were just told. This helps to make sure the staff has covered each thing clearly. It also helps to explain things that may have been a bit confusing. Before going home, make sure you are able to do these: ‚  
  • I can tell you about my childs condition.
  • I can tell you what may help ease my child's pain.
  • I can tell you what I will do if my child is not feeling better.

Where can I learn more?


FamilyDoctor.org ‚  
http://familydoctor.org/familydoctor/en/diseases-conditions/severs-disease.printerview.all.html ‚  
KidsHealth.org ‚  
http://kidshealth.org/parent/medical/bones/severs_disease.html ‚  

Consumer Information Use and Disclaimer


This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚  

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