The doctor pointed out that when the tendon continues to exert force to pull the growth plate for a long time, it may cause the accumulation of micro-trauma at the position where the tendon is attached to the growth plate, and gradually form epiphysitis; situation photo.

(The picture is taken from photoAC)

[Health Channel/Comprehensive Report] 11-year-old children like to be active and active, but they often suffer from heel pain, which makes sports painful.

The doctor pointed out that such a symptom is calcaneal epiphysitis. When the tendon continues to pull the growth plate for a long time, it may cause the accumulation of micro-trauma at the position where the tendon is attached to the growth plate, and gradually form epiphysitis.

Rehabilitation specialist Chen Yuren of Yansheng Rehabilitation Clinic shared on the Facebook page "Renren Good Physician-Rehabilitation Specialist Chen Yuren" and his personal website that 11-year-old Xiaozhi is alive and kicking, but he already suffers from heel pain It has been troubled for more than a month, and I can't run on the basketball court or football field. From the beginning, I will feel a dull pain after exercising, and now I feel pain when I run.

Xiaozhi's parents originally thought he had plantar fasciitis, but after seeing a doctor in the rehabilitation department.

Only then did it confirm that Xiaozhi was replaced with "calcaneal epiphysitis".

Please read on...

Chen Yuren pointed out that heel pain is the most common musculoskeletal problem in children and adolescents.

Plantar fasciitis is the most notorious killer of heel pain in adults. However, plantar fasciitis is uncommon in children. The most common cause of heel pain in children and adolescents is Calcaneal apophysitis (Sever's disease).

Calcaneal epiphysitis occurs in children aged 8-15, and according to statistics, 2 to 16 children suffer from the disease for every 100 children.

He explained that the epiphysis of the calcaneus is located at the end of the Achilles tendon connected to the calcaneus, where the growth plate of the calcaneus is also located.

A child's growth plate closes at about 14 years old. The growth plate is composed of unossified cartilage. Although the extension of the growth plate can make the child grow taller, the growth plate is also in a fragile state when growing taller.

Because the elongation speed of bones is faster than the growth speed of muscles, the muscles become tight and unbalanced, and the ossification speed of bone density increase cannot keep up with the differentiation of growth plates, so the bone strength is not enough.

When the tendon continues to exert force to pull the growth plate for a long time, it may cause the accumulation of micro-trauma at the position where the tendon is attached to the growth plate, and gradually form epiphysitis.

Taking calcaneal epiphysitis as an example, the Achilles tendon continues to exert pressure on the growth plate of the calcaneus during activities such as running and jumping, thus causing calcaneal epiphysitis. The common features are as follows:

●No trauma.

●Pain is located where the distal Achilles tendon attaches to the calcaneus and does not shift elsewhere.

●Limited ankle movement, pain when doing dorsiflexion (back of foot upward).

●Children will walk on tiptoes to avoid heel pain.

Chen Yuren reminded that in addition to frequent running and jumping, children are prone to calcaneal epiphysitis, and children who are overweight or wear ill-fitting shoes are also at high risk of calcaneal epiphysitis.

If parents suspect that the child has calcaneal epiphysitis, they can squeeze the child's heel from both sides. If there is pain, it may be calcaneal epiphysitis.

As for how to treat calcaneal epiphysitis, Chen Yuren said that the first step in dealing with pain is to eliminate the cause of the disease, so reduce the child's physical activity, and add oral medicine or ointment of non-steroidal anti-inflammatory painkillers, but avoid using it under the age of 12 following children.

Rehabilitation treatment can use heat therapy and electrotherapy to help tissue repair, and ice compresses can be considered for acute swelling and pain, 10-15 minutes at a time, with an interval of 1-2 hours between sessions.

Exercise training should be done after the symptoms are relieved, including stretching and strength training of lower limb muscles, which can prevent recurrence of calcaneal epiphysitis.

In addition, some studies have pointed out that using props to raise the heel can also help relieve the pain of calcaneal epiphysitis.

Chen Yuren reminded that after the treatment is cured, the child's exercise status must be adjusted, including avoiding excessive activities, giving enough rest time, cross-training, strengthening muscle strength and coordination and balance, so as to prevent calcaneal epiphysitis from coming back.

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keywords

• sports injury

• children

• Rehabilitation

• heel pain

• Calcaneal epiphysitis

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