Sever's Disease Severity
Calcaneal Apophysitis
Early
Tenderness at the posterior calcaphysis without swelling or activity loss.
Active
Pain during activity (running/jumping); possible mild limp; athletic performance affected.
Severe
Pain at rest and with walking; inability to participate in sports; noticeable limp.
Management Protocol
Heel cups/inserts, Achilles stretching, and load modification. Corticosteroids are contraindicated in paediatric apophysitis.
Your Quiet Helper at the Bedside