Sprained ankles often result from a fall, a sudden twist, or a blow that forces the ankle joint out of its normal position. Ankle sprains commonly occur while participating in sports, wearing inappropriate shoes, or walking or running on an uneven surface.
Sometimes ankle sprains occur because of a person is born with weak ankles. Previous ankle or foot injuries can also weaken the ankle and lead to sprains.
The following options to treat calcaneal apophysitis will be selected:
Reduce activity.The child needs to reduce or stop any activity that causes pain.
Support the heel. Temporary shoe inserts or custom orthotic devices may provide support for the heel.
Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, help reduce the pain and inflammation.
Stretching or physical therapy modalities are sometimes used to promote healing of the inflamed issue.
In some severe cases of pediatric heel pain, a cast may be used to promote healing while keeping the foot and ankle totally immobile.
Often heel pain in children returns after it has been treated because the heel bone is still growing. Recurrence of heel pain may be a sign of calcaneal apophysitis, or it may indicate a different problem.
If your child has a repeat bout of heel pain, be sure to make an appointment with your Podiatrist
A repeated turning of the ankle, especially on uneven surfaces or when participating in sports
Persistent (chronic) discomfort and swelling
Pain or tenderness
The ankle feeling wobbly or unstable
There are two different categories of heel pain.
The First Is caused by over-use repetitive stress which refers to a soreness resulting from too much impact on a specific area of the foot. This condition, often referred to as "heel pain syndrome," can be caused by shoes with heels that are too low, a thinned out fat pad in the heel area, or from a sudden increase in activity.
The second is Plantar fasciitis, a very common diagnosis of heel pain, is usually caused from a biomechancial problem, such as over-pronation (flat feet).
The plantar fascia is a broad band of fibrous tissue that runs along the bottom surface of the foot, from the heel through the midfoot and into the forefoot.
Over-pronation can cause the plantar fascia to be excessively stretched and inflamed, resulting in pain in the heel and arch areas of the foot. Often the pain will be most intense first thing in the morning or after a prolonged period of rest.
The pain will gradually subside as the day progresses.