Pediatric Treatments in Seaford & Millsboro

Calcaneal Apophysitis

Sever’s Disease (or Calcaneal apophysitis) is a painful inflammation of the heel’s growth plate. This typically affects children between the ages of 8 to 14 years old. The growth plate is located at the back of the heel. Repetitive stress on the growth plate can lead to inflammation and pain. Children and teens that are involved in certain sports may be at a higher risk of developing this condition. Sever’s may occur in one or both feet. Symptoms include: pain in the back of the heel, limping, difficulty with running/jumping, or walking on toes. Our doctors will take a thorough history and ask about recent activities. Xrays are often important to evaluate the condition. Treatment options can include: Immobilization (cast or walking boot), reduced activity, medications, foot orthotics, physical therapy.

Flatfoot or Fallen Arches

Flatfoot is common in both children and adults. When this deformity occurs in children it is referred to as pediatric flatfoot. Most children with flatfeet have no symptoms but some may exhibit: pain, tenderness or cramping in the foot/leg/knee, outward tilting of the heel, awkwardness or changes in walking, difficulty with shoes, reduced energy when participating in physical activities, voluntary withdrawal from physical activities.

After assessment by your foot and ankle specialist, treatment is often guided by symptoms. Treatments can include: activity modification, orthotics, physical therapy, medications, and shoe modifications.

To learn more about foot and ankle conditions, visit the American College of Foot and Ankle Surgeons’ patient education website,

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