Sever's Disease Treatment Process

TREATMENT PROCESS

This is my current treatment process for patients with Sever's disease, please watch the video for full details. 

• 1st Visit - Evaluate your condition, review x-rays, and perform a walking evaluation to determine the cause of your condition. Start working to reduce inflammation, reduce tightness, and reduce stress through your heel region. 
• Orthotics - Orthotics are useful to stabilize the heel position, help with posture, and reduce excess movement of the foot which can increase stress on the heel region. 
• Night Splint - Due to the tightness many patients do well with a night splint to reduce tightness to the calf region. 

• Daily Rituals - These are the daily rituals that can be used with other office-based treatments. Towel stretch before getting out of bed (30-second stretch 3 times), foam rolling (10 minutes 2x a day), icing or contrast baths (10 minutes 2x a day), anti-inflammatory for 2 weeks at a therapeutic dose, stable shoes and orthotics, Oofos sandals in the house, and avoid going barefoot. 

• Physical Therapy - Due to tightness 6 weeks of physical therapy twice a week can be very helpful.

• Heel Cushion - These can be used in shoes and cleats when an orthotics is not being used. 

RESOURCES 

• Orthotics -  Explanation of how and why orthotics help foot pain.

• Icing and Contrast Bath Instructions - Here is information on how to ice your foot. 

• Foam Rolling Exercises - Instructional video for foam rolling. 

• Oofos - Recovery sandals to wear at home for more support.

• Shoe Recommendations - Here are my shoe recommendations and shoe-related resources.

• Tuli's Heel Cushion - These can be used in shoes and cleats when an orthotics is not being used. 

PRODUCTS 

Here are some of the best recommendations I have found on Amazon to start treatment before you come in to the office.