Wednesday, August 24, 2011

Heel Pain in Youth Athletes: A Warning Sign

Indoors and outdoors, youth athletes stay active year-round in competitive sports, and for many of them heel pain has become “just another part of the game,” however heel pain, should be diagnosed promptly because it may be a warning sign of a serious foot problem.

Heel pain occurs frequently in children ages 6 to 14 as their feet grow and the heel bone develops. As children become more active in sports they increase their risk for growth-plate injuries and subsequent heel pain. This is especially true at back-to-school time when surgeons see an increase in middle and high school athletes experiencing heel pain with football and soccer seasons simultaneously underway.

New bone forms in an area behind the heel, known as the growth plate, and cartilage is vulnerable to severe inflammation from strain or stress. With repeated stresses and strains from overactivity, the heel becomes very painful.

Even though growth-plate trauma is the leading cause of heel pain in young people, this condition can be difficult to diagnose. Parents should be concerned if a child has pain in the back or bottom of the heel, limps, walks on the toes, or seems to have difficulty participating in normal recreational activities. This condition is diagnosed via a thorough examination of the child’s feet and legs and possibly medical imaging tests to rule out other serious causes of heel pain, such as bursitis, tendonitis and/or fractures.

In most cases, mild or moderate heel pain can be treated successfully with shoe inserts to soften the impact on the heel, anti-inflammatory medications, stretching and physical therapy. In severe cases, the foot and ankle will be immobilized in a cast and, in some instances, surgery may be necessary.

If your child is experiencing heel or foot pain, please call our office to set-up a consultation, 440-946-5858, to allow your child to play with no pain.

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