Heel pain is a prevalent issue among active children and adolescents, particularly those aged 8-14, who frequently engage in sports and physical activities. This condition often arises from overstraining in the heel area, which can be attributed to various factors, including improper footwear, excessive physical activity or growth-related changes in the body. The heel is a critical component of the foot, absorbing shock and providing stability during movement, so injuries here can significantly impact a child's mobility and performance.
Common causes of heel pain include conditions like plantar fasciitis, where inflammation occurs in the tissue connecting the heel bone to the toes. Another common issue is Sever’s disease, which is characterized by irritation of the growth plate in the heel, often seen in growing children involved in running and jumping sports. These injuries often manifest as sharp pain in the heel, especially after periods of activity or after resting.

The symptoms of heel pain can vary, but they typically include a dull ache or sharp pain in the heel area, stiffness in the morning and increased discomfort during physical activities. Children might also show signs of limping or have difficulty running, jumping or participating in their favorite sports. Parents may notice their child avoiding activities they once enjoyed, which can be distressing.
Fortunately, the prognosis for heel pain in young athletes is generally positive. Most cases heal on their own, although the duration of recovery can span from several weeks to a few years, depending on the severity of the injury and adherence to recommended treatments.
Treatment options often focus on reducing pain and inflammation. Rest and ice application are crucial first steps, alongside modifications in activity levels. Stretching exercises targeting the Achilles tendon and plantar fascia can help alleviate symptoms. Additionally, using supportive footwear or orthotic inserts may provide the necessary support to prevent further strain on the heel.