Sever’s disease, also known as calcaneal apophysitis, is a common condition in growing adolescents, particularly those involved in activities that put stress on the heel bone, such as running and jumping sports like basketball. It is not a disease in the traditional sense but rather a growth plate inflammation at the back of the heel.

Basketball involves a lot of running, jumping, and abrupt stops, which can contribute to the development of Sever’s disease. The repetitive impact on the heel, combined with the stress of rapid growth during adolescence, can cause the growth plate to become irritated and inflamed. The growth plate is an area of developing tissue at the end of a child’s bones, and it’s more susceptible to injury during periods of rapid growth.

Here are some tips for managing Sever’s disease in basketball players:

1. Rest and Reduced Activity: Allow sufficient time for rest to minimise stress on the affected heel. This might involve reducing basketball activities for a period to allow the inflammation to settle.
2. Ice Therapy: Applying ice to the affected heel can help reduce pain and inflammation. Ice can be applied for about 15-20 minutes at a time, several times a day.
3. Proper Footwear: Ensure that basketball players wear supportive and well-cushioned athletic shoes with good arch support. Proper footwear can help reduce the impact on the heel.
4. Stretching and Strengthening Exercises: Gentle stretching exercises for the calf muscles and Achilles tendon, as well as strengthening exercises for the foot and leg muscles, may help alleviate symptoms and prevent recurrence.
5. Orthotic Inserts: In some cases, custom orthotic inserts may be recommended to provide additional support and cushioning.
6. Gradual Return to Activity: Once symptoms have improved, it’s important to gradually reintroduce basketball activities to avoid a sudden increase in stress on the heel.
7. Consult a Podiatrist: If symptoms persist or worsen, it’s essential to consult a healthcare professional. They can provide a proper diagnosis and recommend appropriate treatment.

It’s important to note that Sever’s disease is generally a self-limiting condition, and symptoms often improve with time and appropriate management. However, it’s crucial to address the underlying factors contributing to the condition to prevent recurrence and ensure the long-term well-being of young athletes.

Will flat pitched basketball boots make severs worse?

Flat or improperly supportive basketball shoes can potentially exacerbate the symptoms of Sever’s disease in young athletes. Sever’s disease is often associated with stress on the growth plate at the back of the heel, and the wrong type of footwear can contribute to this stress. Here are some considerations for selecting basketball shoes for individuals with Sever’s disease:

1. Arch Support: Choose basketball shoes with proper arch support. Flat shoes or those with inadequate arch support can contribute to overpronation (rolling inward of the foot) and increase stress on the heel.
2. Cushioning: Look for basketball shoes with good cushioning, especially in the heel area. Proper cushioning can help absorb impact and reduce the pressure on the growth plate.
3. Stability: Opt for shoes that provide stability. This can help control excessive movement of the foot and ankle, reducing the strain on the heel.
4. Proper Fit: Ensure that the basketball shoes fit well. Shoes that are too tight or too loose can contribute to foot discomfort and may exacerbate the symptoms of Sever’s disease.
5. Consultation with a Podiatrist: If a child or adolescent is experiencing Sever’s disease, it may be beneficial to consult with a Podiatrist. They can provide guidance on appropriate footwear based on the individual’s foot structure and condition.

It’s important to note that the right basketball shoe may vary depending on an individual’s specific foot characteristics and the severity of their condition. If Sever’s disease symptoms persist or worsen, seeking professional advice is crucial for an accurate diagnosis and tailored treatment plan. Additionally, addressing any biomechanical issues and incorporating proper stretching and strengthening exercises can complement footwear choices in managing Sever’s disease.