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seversSevers occurs at the rear of the heel. The heel becomes temporarily softened, and while in this state, is liable to deformation, due to repetitive stress from the Achilles tendon. The Achilles tendon connects the calf muscle to the heel.

It commonly occurs in children between the ages of 8-13 years. Pain generally worsens on activity, and may be evident behind the heel or radiating up both sides.

The condition runs a course of approximately 1-2 years, then the bone spontaneously re-hardens. Treatment involves minimising deformity during this period.

Treatment options:

Modified activity (rest)


Heel lift or wedge


Footwear advice