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Question
Posted by: ANON | 2012-08-20

PAINING HEELS

My son has been complaining about his heels for the past 2 months or so, I took him to a GP who gave him medication and told me to change his school shoes for more comfortable ones. I did that but the heels are still paining. Please give advice on how to handle the situation.

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Our expert says:
Expert ImagePodiatrist

An accurate diagnosis of your son's condition would only be made once a physical examination has been done with a thorough history. But there is a condition that is known as Sever's disease.
This is a very common painful condition that usually affects boys between the age of 8 and 13 years. The pain is usually experienced at the back of the heel or below the attachment of the Achilles tendon. It usually occurs when there is a change in activity, such as from swimming to rugby, or an increase in activity.

The heel may feel tender on touch and pressure, swelling and redness can be present. The child may also be more comfortable walking on his toes especially when getting out of bed or sitting for an extended period.

The condition is caused by excessive stress at the insertion of the Achilles tendon on the heel bone. This is due to increased activity or excessive pronation i.e. the feet rolling inwards causing the arch to drop.

The short term treatment of the condition is symptomatic, the use of ice on the area, topical anti-inflammatory creams or gels and physiotherapy, stretching exercises are also advised.

Long term treatment involves the identification of the cause of the problem. This is done by a podiatrist. It can either be treated by using heel cushioning or custom made arch supports. This depends on the diagnosis by the podiatrist and the severity of the condition.

It is also advisable that shoes be worn at all times to provide extra cushioning and absorb shock. The appropriate sport and running shoes are advised.
I would suggest that you consult with a podiatrist for the correct diagnosis and treatment. For your nearest podiatrist contact 0861 100 249 or www.podiatrist.co.za

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

1
Our users say:
Posted by: podiatrist | 2012-08-22

An accurate diagnosis of your son's condition would only be made once a physical examination has been done with a thorough history. But there is a condition that is known as Sever's disease.
This is a very common painful condition that usually affects boys between the age of 8 and 13 years. The pain is usually experienced at the back of the heel or below the attachment of the Achilles tendon. It usually occurs when there is a change in activity, such as from swimming to rugby, or an increase in activity.

The heel may feel tender on touch and pressure, swelling and redness can be present. The child may also be more comfortable walking on his toes especially when getting out of bed or sitting for an extended period.

The condition is caused by excessive stress at the insertion of the Achilles tendon on the heel bone. This is due to increased activity or excessive pronation i.e. the feet rolling inwards causing the arch to drop.

The short term treatment of the condition is symptomatic, the use of ice on the area, topical anti-inflammatory creams or gels and physiotherapy, stretching exercises are also advised.

Long term treatment involves the identification of the cause of the problem. This is done by a podiatrist. It can either be treated by using heel cushioning or custom made arch supports. This depends on the diagnosis by the podiatrist and the severity of the condition.

It is also advisable that shoes be worn at all times to provide extra cushioning and absorb shock. The appropriate sport and running shoes are advised.
I would suggest that you consult with a podiatrist for the correct diagnosis and treatment. For your nearest podiatrist contact 0861 100 249 or www.podiatrist.co.za

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