"Hello, again. Dr. Danciger from Palm Desert, CA. Today, I want to talk about heel pain, which we see in children usually between the ages of 7-13 years of age. This is heel pain not caused from trauma or an injury, so we’re not concerned about a fracture in this area. This is heel pain that is located typically on the bottom of the heel in a specific area, that is a result of the growth center.
The part of the heel has not fused to the main body of the heel at this point, and that allows for growth. This is called Calcaneal Apophysitis. Most often it’s caused by a tight Achilles tendon and abnormal motion of the foot while the child is running and playing, causing the growth center, or the back of the heel, to be moving slightly, causing pain, swelling, and inflammation.
This can be evaluated and diagnosed in the office of a podiatrist, through x-rays and examination. Treatment can range from stretching exercises, immobilization, insoles or shoe therapy, and/or orthotic devices.
Other issues can be related to the shoes. Especially soccer cleats and football cleats where there’s usually four or so large cleats in the heel area, putting pressure right up to the heel bone in this area.
There’s no reason that your child has to suffer with this problem. Give us a call at (760) 568-0108. We proudly serve the Palm Desert, CA area."