Heel pain is a common problem in adults and children, but it is usually caused by two completely different unrelated entities. The most common cause of heel pain in adults is plantar fasciitis, and the most common cause in children is calcaneal protuberance inflammation or Sever’s disease. One is the overuse of plantar fascia, the other is the inflammation of the growth plate behind the calcaneus.

The plantar fascia is a strong ligament that supports the arch of the foot. Therefore, when the level of activity is high, the calf muscles are tight or the weight is too heavy, which brings more pressure to the arch of the foot, the risk of adults suffering from plantar fasciitis will increase. The typical symptom of this situation is heel pain. The first few steps after rest, especially when getting up in the morning, the heel pain is significantly increased. After the first few steps, the pain does improve, but it does get worse. The best way to deal with plantar fasciitis is to lose weight. In order to stretch the calf muscles more and reduce the force exerted on the plantar fascia, foot orthosis is used. If daily activities are limited due to pain, ice pack or anti-inflammatory drugs can be used. Other methods such as injection therapy and shock wave therapy can also be used to help cure. In rare cases, surgery may be required.

The back of the child’s calcaneus is a growth plate, where bones grow. If the child is overweight or very active, the growth area of this bone can be easily damaged. The serious disease behind heel bone is common in late adolescence and children. Around the middle of adolescence, the growth plate will fuse with the rest of the calcaneus, so the network disease is always self limiting, and this situation will disappear automatically. It just doesn’t mean that it can’t be treated, because it is self limiting. Because it will make children suffering from this disease very painful and painful. The pain usually occurs at the back of the calcaneus, especially when pressing the calcaneus laterally. With the increase of activity level, the pain becomes worse. Sometimes pain can make a child limp. The first method of treatment is to educate children to understand the exact nature of the problem and manage the activity. Although it is hoped to be active in sports and schools, activities should be limited to a tolerable range, so management is very challenging. The activity level can be improved with the improvement. If the ice is painful, it can be used after exercise. Cushioning heel pads are also particularly helpful in reducing the strength of the feet and bones. In many cases, the machine can also help.