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Osteochondrosis of the calcaneus
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- Degenerative changes in a growth center of the heel bone
- A painful heel, during the childhood years
- The particular region that degenerates and causes the pain is a small, unusual, extra growth center in the back end of the heel bone. Not everyone has this extra growth center, known as an apophysis.
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- Tenderness of the heel
- Painful heel after exercise
- Toe-walking, to minimize pressure on the heel
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- Physical stress leads to microscopic Fractures in the cartilage of this growth center.
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- A history of athletics that could repeatedly traumatize the heel, coupled with the above symptoms, suggest the diagnosis.
- A dense, chalky X-ray appearance of the extra growth center in the back of the heel bone might suggest Sever's disease, but this may also be a normal X-ray finding. The chalky appearance on the X-ray is not sufficient to make the diagnosis.
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- Athletic activities in children, especially ones that traumatize the heels (e.g., contact sports such as football, hockey, basketball).
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- Rest the affected heel by decreasing those physical activities that produce pounding of the heel.
- A special boot or cast is sometimes used to reduce the physical forces that stress the growth centers of the heel.
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- Any other cause of a painful foot or heel (for example, trauma)
- Similarly, Osgood-Schlatter Disease involves pain below the knee due to degenerative change in the growth center in this region. (Sever's disease involves pain in the back end of the heel bone.)
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