Childhood Diseases

Posted by: BMJ | 2011/09/08


Heel spur

Dear Doc

For about a year now, my 10y old son has complained of pain in his heel. It does not seem to be the achilles tendon but the actual back of the heel. When I looked at images of heel spurs it seems exactly where the pain is. He now walks with a limp. He is very athletic and this is affecting his ability to do sport which he loves. In primary school they are not allowed to wear shoes for rugby or athletics. I am not sure if being barefoot makes it worse.

How is this treated in children? Could you also please keep in mind that my son is the little boy who recently had the anaphylactic reaction to buscopan (I know this is only used for tummy aches) as well as penicillen., so I am feeling a bit nervous as to how to treat this

Expert's Reply



At your sons age it is more likely that he has a condition called 'Sever's disease'. This is an inflammation of the back of the heel bone where the achilles tendon is attached. Rest is the most important way to treat this condition and it is essential not to allow him to go bare foot or play sport bare foot. He could see either an orthopaedic specialist or a sports medicine expert.

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