{"id":538,"date":"2026-10-05T11:42:24","date_gmt":"2026-10-05T10:42:24","guid":{"rendered":"https:\/\/services.nhslothian.scot\/podiatrynew\/?page_id=538"},"modified":"2026-10-19T17:15:23","modified_gmt":"2026-10-19T16:15:23","slug":"severs","status":"publish","type":"page","link":"https:\/\/services.nhslothian.scot\/podiatrynew\/msk-conditions\/severs\/","title":{"rendered":"Sever&#8217;s Disease"},"content":{"rendered":"\n<div aria-hidden=\"true\" class=\"wp-block-fsb-flexible-spacer fsb-flexible-spacer\"><div class=\"fsb-flexible-spacer__device fsb-flexible-spacer__device--lg\" style=\"margin-bottom:-25px\"><\/div><div class=\"fsb-flexible-spacer__device fsb-flexible-spacer__device--md\" style=\"height:25px\"><\/div><div class=\"fsb-flexible-spacer__device fsb-flexible-spacer__device--sm\" style=\"height:15px\"><\/div><\/div>\n\n\n<div class=\"gb-container gb-container-fb395cd6\"><div class=\"gb-inside-container\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-edd59d84\">\n<div class=\"gb-grid-column gb-grid-column-6ab22d86\"><div class=\"gb-container gb-container-6ab22d86\"><div class=\"gb-inside-container\">\n\n<p class=\"wp-block-paragraph\"><sub><sup><strong>NHS LOTHIAN | PODIATRY SERVICE<\/strong><\/sup><\/sub><\/p>\n\n\n\n<h1 class=\"gb-headline gb-headline-1d7549ec gb-headline-text\">Sever&#8217;s Disease<\/h1>\n\n\n\n<h2 class=\"gb-headline gb-headline-0844aad5 gb-headline-text\">Sever\u2019s Disease is a condition characterised by pain around the heel bone.<br><br>The condition usually affects girls aged 8\u201310 years and boys aged 10\u201314 years, although this can happen at any stage while growing.<\/h2>\n\n<\/div><\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-85d5cbeb\"><div class=\"gb-container gb-container-85d5cbeb\"><div class=\"gb-inside-container\">\n<style>.wp-block-kadence-image.kb-image538_f9be93-69:not(.kb-specificity-added):not(.kb-extra-specificity-added){margin-top:0px;margin-right:0px;margin-bottom:0px;margin-left:0px;}.kb-image538_f9be93-69:not(.kb-image-is-ratio-size) .kb-img, .kb-image538_f9be93-69.kb-image-is-ratio-size{padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.kb-image538_f9be93-69 .kb-image-has-overlay:after{opacity:0.3;border-top-left-radius:20px;border-top-right-radius:20px;border-bottom-right-radius:20px;border-bottom-left-radius:20px;}.kb-image538_f9be93-69 img.kb-img, .kb-image538_f9be93-69 .kb-img img{border-top-left-radius:20px;border-top-right-radius:20px;border-bottom-right-radius:20px;border-bottom-left-radius:20px;object-position:50% 0%;}<\/style>\n<figure class=\"wp-block-kadence-image kb-image538_f9be93-69 size-full kb-image-is-ratio-size\"><div class=\"kb-is-ratio-image kb-image-ratio-square\"><img loading=\"lazy\" decoding=\"async\" width=\"926\" height=\"926\" src=\"https:\/\/services.nhslothian.scot\/podiatrynew\/wp-content\/uploads\/sites\/165\/2026\/10\/Severs-disease-Square.jpg\" alt=\"Severs disease Square\" class=\"kb-img wp-image-1020\" srcset=\"https:\/\/services.nhslothian.scot\/podiatrynew\/wp-content\/uploads\/sites\/165\/2026\/10\/Severs-disease-Square.jpg 926w, https:\/\/services.nhslothian.scot\/podiatrynew\/wp-content\/uploads\/sites\/165\/2026\/10\/Severs-disease-Square-300x300.jpg 300w, https:\/\/services.nhslothian.scot\/podiatrynew\/wp-content\/uploads\/sites\/165\/2026\/10\/Severs-disease-Square-150x150.jpg 150w, https:\/\/services.nhslothian.scot\/podiatrynew\/wp-content\/uploads\/sites\/165\/2026\/10\/Severs-disease-Square-768x768.jpg 768w\" sizes=\"auto, (max-width: 926px) 100vw, 926px\" \/><\/div><\/figure>\n\n<\/div><\/div><\/div>\n<\/div>\n<\/div><\/div>\n\n\n<h2 id=\"what-causes-achilies-tendon-pain\" class=\"wp-block-heading\">What is Sever&#8217;s Disease?<\/h2>\n\n\n\n<p class=\"has-standard-black-color has-text-color has-link-color has-regular-font-size wp-elements-1 wp-block-paragraph\" style=\"font-style:normal;font-weight:400\">Sever&#8217;s Disease (sometimes known as Calcaneal Apophysitis) is a condition characterised by pain around the heel bone. The condition affects children\/teenagers at growth spurts and\/or who participate in activities such as football, running and jumping. It usually affects girls aged 8 \u2013 10 years and boys aged 10 \u2013 14 years, although this can happen at any stage while growing. This can occur many times while you are growing.<\/p>\n\n\n\n<h2 id=\"what-causes-achilies-tendon-pain\" class=\"wp-block-heading\">What causes Sever&#8217;s Disease?<\/h2>\n\n\n\n<p class=\"has-standard-black-color has-text-color has-link-color has-regular-font-size wp-elements-2 wp-block-paragraph\" style=\"font-style:normal;font-weight:400\">Some of the most common causes of Sever&#8217;s Disease are as follows:<\/p>\n\n\n<div class=\"gb-grid-wrapper gb-grid-wrapper-f17617c9\">\n<div class=\"gb-grid-column gb-grid-column-0c07b5b6\"><div class=\"gb-container gb-container-0c07b5b6\"><div class=\"gb-inside-container\">\n\n<p class=\"has-standard-black-color has-text-color has-link-color has-regular-font-size wp-elements-3 wp-block-paragraph\" style=\"font-style:normal;font-weight:900\"><strong>Common Causes include:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list has-standard-black-color has-text-color has-link-color has-regular-font-size wp-elements-4\">\n<li>Growth spurts- the long bones of the leg grow at a faster rate than the muscles that are around them. This causes tight calf muscles which pull on the Achilles tendon causing heel pain<\/li>\n\n\n\n<li>Sport and activity involving running and\/or jumping<\/li>\n\n\n\n<li>Low levels of Vitamin D may be a contributing factor<\/li>\n\n\n\n<li>Some underlying medical conditions<\/li>\n<\/ul>\n\n<\/div><\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-e40c2965\"><div class=\"gb-container gb-container-e40c2965\"><div class=\"gb-inside-container\">\n\n<p class=\"has-standard-black-color has-text-color has-link-color has-regular-font-size wp-elements-5 wp-block-paragraph\" style=\"font-style:normal;font-weight:900\"><strong>Signs and Symptoms:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list has-standard-black-color has-text-color has-link-color has-regular-font-size wp-elements-6\">\n<li class=\"has-standard-black-color has-text-color has-link-color has-regular-font-size wp-elements-7\">Pain on the back of the heel sometimes with visible swelling<\/li>\n\n\n\n<li>Can affect both heels or one heel<\/li>\n\n\n\n<li>Pain can be made worse when running or jumping<\/li>\n\n\n\n<li>The pain is often worse in flat shoes<\/li>\n\n\n\n<li>The pain improves with rest<\/li>\n<\/ul>\n\n<\/div><\/div><\/div>\n<\/div>\n\n\n<h2 id=\"what-can-i-do-to-help-myself\" class=\"wp-block-heading\">Who can get Sever&#8217;s?<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Children and adolescents going through a large growth spurt.<\/li>\n\n\n\n<li>Children aged 8-15 with a greater incidence in boys.<\/li>\n\n\n\n<li>Children and adolescents who participate in repeated high intensity activity with higher impact such as hopping, jumping and change of direction.<\/li>\n\n\n\n<li>Higher incidence in those who specialise in only one sport<\/li>\n<\/ul>\n\n\n\n<h2 id=\"what-can-i-do-to-help-myself\" class=\"wp-block-heading\">How is the condition diagnosed?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The podiatrist will diagnose the condition during an assessment and detailed history taking. In most cases x-rays or scans are not needed.<\/p>\n\n\n\n<h2 id=\"what-can-i-do-to-help-myself\" class=\"wp-block-heading\">What can I do to help myself?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">It is important to try to work out what leads to your pain. Avoiding the causes or triggers of painful symptoms is one of the most important parts of helping your recovery.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Consider the following options:<\/strong><\/p>\n\n\n\n<div class=\"wp-block-columns is-not-stacked-on-mobile is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:6%\"><style>.kt-svg-icons538_0c22e9-a2 .kt-svg-item-0 .kb-svg-icon-wrap{color:var(--global-palette4, #2D3748);font-size:50px;}.wp-block-kadence-icon.kt-svg-icons538_0c22e9-a2{justify-content:center;}@media all and (max-width: 767px){.wp-block-kadence-icon.kt-svg-icons538_0c22e9-a2{justify-content:flex-start;}}<\/style>\n<div class=\"wp-block-kadence-icon kt-svg-icons kt-svg-icons538_0c22e9-a2 alignnone\"><style>.kt-svg-item-538_ba9270-a5 .kb-svg-icon-wrap, .kt-svg-style-stacked.kt-svg-item-538_ba9270-a5 .kb-svg-icon-wrap{font-size:45px;background:#dce8f3;border-width:0px;border-radius:20%;padding-top:10px;padding-right:10px;padding-bottom:10px;padding-left:10px;}@media all and (max-width: 767px){.kt-svg-item-538_ba9270-a5 .kb-svg-icon-wrap, .kt-svg-style-stacked.kt-svg-item-538_ba9270-a5 .kb-svg-icon-wrap{font-size:18px;padding-top:8px;padding-right:8px;padding-bottom:8px;padding-left:8px;}}<\/style>\n<div class=\"wp-block-kadence-single-icon kt-svg-style-stacked kt-svg-icon-wrap kt-svg-item-538_ba9270-a5\"><span class=\"kb-svg-icon-wrap kb-svg-icon-fas_arrow-circle-right\"><svg viewBox=\"0 0 512 512\"  fill=\"currentColor\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"  aria-hidden=\"true\"><path d=\"M256 8c137 0 248 111 248 248S393 504 256 504 8 393 8 256 119 8 256 8zm-28.9 143.6l75.5 72.4H120c-13.3 0-24 10.7-24 24v16c0 13.3 10.7 24 24 24h182.6l-75.5 72.4c-9.7 9.3-9.9 24.8-.4 34.3l11 10.9c9.4 9.4 24.6 9.4 33.9 0L404.3 273c9.4-9.4 9.4-24.6 0-33.9L271.6 106.3c-9.4-9.4-24.6-9.4-33.9 0l-11 10.9c-9.5 9.6-9.3 25.1.4 34.4z\"\/><\/svg><\/span><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:94%\">\n<h3 class=\"gb-headline gb-headline-fbb06a6f gb-headline-text\">Footwear<\/h3>\n\n\n\n<div class=\"gb-headline gb-headline-4e0c3d37 gb-headline-text\">The shoe style you wear should accommodate the width and shape of your foot and have semi rigid soles- avoid narrow, pointed shoes. The heel height should be between 1cm and 4 cm and preferably have a firm fastening such as lacing.<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-not-stacked-on-mobile is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:6%\"><style>.kt-svg-icons538_ff9c6e-b4 .kt-svg-item-0 .kb-svg-icon-wrap{color:var(--global-palette4, #2D3748);font-size:50px;}.wp-block-kadence-icon.kt-svg-icons538_ff9c6e-b4{justify-content:center;}@media all and (max-width: 767px){.wp-block-kadence-icon.kt-svg-icons538_ff9c6e-b4{justify-content:flex-start;}}<\/style>\n<div class=\"wp-block-kadence-icon kt-svg-icons kt-svg-icons538_ff9c6e-b4 alignnone\"><style>.kt-svg-item-538_7b0a7c-e5 .kb-svg-icon-wrap, .kt-svg-style-stacked.kt-svg-item-538_7b0a7c-e5 .kb-svg-icon-wrap{font-size:45px;background:#dadbe8;border-width:0px;border-radius:20%;padding-top:10px;padding-right:10px;padding-bottom:10px;padding-left:10px;}@media all and (max-width: 767px){.kt-svg-item-538_7b0a7c-e5 .kb-svg-icon-wrap, .kt-svg-style-stacked.kt-svg-item-538_7b0a7c-e5 .kb-svg-icon-wrap{font-size:18px;padding-top:8px;padding-right:8px;padding-bottom:8px;padding-left:8px;}}<\/style>\n<div class=\"wp-block-kadence-single-icon kt-svg-style-stacked kt-svg-icon-wrap kt-svg-item-538_7b0a7c-e5\"><span class=\"kb-svg-icon-wrap kb-svg-icon-fas_arrow-circle-right\"><svg viewBox=\"0 0 512 512\"  fill=\"currentColor\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"  aria-hidden=\"true\"><path d=\"M256 8c137 0 248 111 248 248S393 504 256 504 8 393 8 256 119 8 256 8zm-28.9 143.6l75.5 72.4H120c-13.3 0-24 10.7-24 24v16c0 13.3 10.7 24 24 24h182.6l-75.5 72.4c-9.7 9.3-9.9 24.8-.4 34.3l11 10.9c9.4 9.4 24.6 9.4 33.9 0L404.3 273c9.4-9.4 9.4-24.6 0-33.9L271.6 106.3c-9.4-9.4-24.6-9.4-33.9 0l-11 10.9c-9.5 9.6-9.3 25.1.4 34.4z\"\/><\/svg><\/span><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:94%\">\n<h3 class=\"gb-headline gb-headline-2c8d3d78 gb-headline-text\">Modify activity levels<\/h3>\n\n\n\n<div class=\"gb-headline gb-headline-edb15c1d gb-headline-text\">It is good to keep moving and exercising but you may benefit from considering alternative ways of keeping active temporarily. Lower impact activities such as cycling or swimming may be a good option for you. If this does not help, a period of rest may be suitable.<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-not-stacked-on-mobile is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:6%\"><style>.kt-svg-icons538_93ca69-42 .kt-svg-item-0 .kb-svg-icon-wrap{color:var(--global-palette4, #2D3748);font-size:50px;}.wp-block-kadence-icon.kt-svg-icons538_93ca69-42{justify-content:center;}@media all and (max-width: 767px){.wp-block-kadence-icon.kt-svg-icons538_93ca69-42{justify-content:flex-start;}}<\/style>\n<div class=\"wp-block-kadence-icon kt-svg-icons kt-svg-icons538_93ca69-42 alignnone\"><style>.kt-svg-item-538_caf1c9-91 .kb-svg-icon-wrap, .kt-svg-style-stacked.kt-svg-item-538_caf1c9-91 .kb-svg-icon-wrap{font-size:45px;background:#dce8f3;border-width:0px;border-radius:20%;padding-top:10px;padding-right:10px;padding-bottom:10px;padding-left:10px;}@media all and (max-width: 767px){.kt-svg-item-538_caf1c9-91 .kb-svg-icon-wrap, .kt-svg-style-stacked.kt-svg-item-538_caf1c9-91 .kb-svg-icon-wrap{font-size:18px;padding-top:8px;padding-right:8px;padding-bottom:8px;padding-left:8px;}}<\/style>\n<div class=\"wp-block-kadence-single-icon kt-svg-style-stacked kt-svg-icon-wrap kt-svg-item-538_caf1c9-91\"><span class=\"kb-svg-icon-wrap kb-svg-icon-fas_arrow-circle-right\"><svg viewBox=\"0 0 512 512\"  fill=\"currentColor\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"  aria-hidden=\"true\"><path d=\"M256 8c137 0 248 111 248 248S393 504 256 504 8 393 8 256 119 8 256 8zm-28.9 143.6l75.5 72.4H120c-13.3 0-24 10.7-24 24v16c0 13.3 10.7 24 24 24h182.6l-75.5 72.4c-9.7 9.3-9.9 24.8-.4 34.3l11 10.9c9.4 9.4 24.6 9.4 33.9 0L404.3 273c9.4-9.4 9.4-24.6 0-33.9L271.6 106.3c-9.4-9.4-24.6-9.4-33.9 0l-11 10.9c-9.5 9.6-9.3 25.1.4 34.4z\"\/><\/svg><\/span><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:94%\">\n<h3 class=\"gb-headline gb-headline-bb239c7b gb-headline-text\">Ice packs<\/h3>\n\n\n\n<div class=\"gb-headline gb-headline-16164d59 gb-headline-text\">Apply an ice pack to the painful site for 20 minutes, 2-3 times daily (ensure ice is not applied directly to the skin &#8211; a cloth may be a useful barrier).<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-not-stacked-on-mobile is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:6%\"><style>.kt-svg-icons538_52d6e5-a4 .kt-svg-item-0 .kb-svg-icon-wrap{color:var(--global-palette4, #2D3748);font-size:50px;}.wp-block-kadence-icon.kt-svg-icons538_52d6e5-a4{justify-content:center;}@media all and (max-width: 767px){.wp-block-kadence-icon.kt-svg-icons538_52d6e5-a4{justify-content:flex-start;}}<\/style>\n<div class=\"wp-block-kadence-icon kt-svg-icons kt-svg-icons538_52d6e5-a4 alignnone\"><style>.kt-svg-item-538_a136e9-12 .kb-svg-icon-wrap, .kt-svg-style-stacked.kt-svg-item-538_a136e9-12 .kb-svg-icon-wrap{font-size:45px;background:#dadbe8;border-width:0px;border-radius:20%;padding-top:10px;padding-right:10px;padding-bottom:10px;padding-left:10px;}@media all and (max-width: 767px){.kt-svg-item-538_a136e9-12 .kb-svg-icon-wrap, .kt-svg-style-stacked.kt-svg-item-538_a136e9-12 .kb-svg-icon-wrap{font-size:18px;padding-top:8px;padding-right:8px;padding-bottom:8px;padding-left:8px;}}<\/style>\n<div class=\"wp-block-kadence-single-icon kt-svg-style-stacked kt-svg-icon-wrap kt-svg-item-538_a136e9-12\"><span class=\"kb-svg-icon-wrap kb-svg-icon-fas_arrow-circle-right\"><svg viewBox=\"0 0 512 512\"  fill=\"currentColor\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"  aria-hidden=\"true\"><path d=\"M256 8c137 0 248 111 248 248S393 504 256 504 8 393 8 256 119 8 256 8zm-28.9 143.6l75.5 72.4H120c-13.3 0-24 10.7-24 24v16c0 13.3 10.7 24 24 24h182.6l-75.5 72.4c-9.7 9.3-9.9 24.8-.4 34.3l11 10.9c9.4 9.4 24.6 9.4 33.9 0L404.3 273c9.4-9.4 9.4-24.6 0-33.9L271.6 106.3c-9.4-9.4-24.6-9.4-33.9 0l-11 10.9c-9.5 9.6-9.3 25.1.4 34.4z\"\/><\/svg><\/span><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:94%\">\n<h3 class=\"gb-headline gb-headline-d912d09f gb-headline-text\">Aim for a healthy body weight<\/h3>\n\n\n\n<div class=\"gb-headline gb-headline-d7864aee gb-headline-text\">Being overweight increases pressure and strain to the affected area and could reduce your chances of successful resolution. If you need support with this please speak with your GP or the Get Moving service.<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-not-stacked-on-mobile is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:6%\"><style>.kt-svg-icons538_c48445-ca .kt-svg-item-0 .kb-svg-icon-wrap{color:var(--global-palette4, #2D3748);font-size:50px;}.wp-block-kadence-icon.kt-svg-icons538_c48445-ca{justify-content:center;}@media all and (max-width: 767px){.wp-block-kadence-icon.kt-svg-icons538_c48445-ca{justify-content:flex-start;}}<\/style>\n<div class=\"wp-block-kadence-icon kt-svg-icons kt-svg-icons538_c48445-ca alignnone\"><style>.kt-svg-item-538_bf3c9b-33 .kb-svg-icon-wrap, .kt-svg-style-stacked.kt-svg-item-538_bf3c9b-33 .kb-svg-icon-wrap{font-size:45px;background:#dce8f3;border-width:0px;border-radius:20%;padding-top:10px;padding-right:10px;padding-bottom:10px;padding-left:10px;}@media all and (max-width: 767px){.kt-svg-item-538_bf3c9b-33 .kb-svg-icon-wrap, .kt-svg-style-stacked.kt-svg-item-538_bf3c9b-33 .kb-svg-icon-wrap{font-size:18px;padding-top:8px;padding-right:8px;padding-bottom:8px;padding-left:8px;}}<\/style>\n<div class=\"wp-block-kadence-single-icon kt-svg-style-stacked kt-svg-icon-wrap kt-svg-item-538_bf3c9b-33\"><span class=\"kb-svg-icon-wrap kb-svg-icon-fas_arrow-circle-right\"><svg viewBox=\"0 0 512 512\"  fill=\"currentColor\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"  aria-hidden=\"true\"><path d=\"M256 8c137 0 248 111 248 248S393 504 256 504 8 393 8 256 119 8 256 8zm-28.9 143.6l75.5 72.4H120c-13.3 0-24 10.7-24 24v16c0 13.3 10.7 24 24 24h182.6l-75.5 72.4c-9.7 9.3-9.9 24.8-.4 34.3l11 10.9c9.4 9.4 24.6 9.4 33.9 0L404.3 273c9.4-9.4 9.4-24.6 0-33.9L271.6 106.3c-9.4-9.4-24.6-9.4-33.9 0l-11 10.9c-9.5 9.6-9.3 25.1.4 34.4z\"\/><\/svg><\/span><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:94%\">\n<h3 class=\"gb-headline gb-headline-ed3201c4 gb-headline-text\">Pain medication<\/h3>\n\n\n\n<div class=\"gb-headline gb-headline-de12efbc gb-headline-text\">Some pain medication may help to reduce your symptoms and help you to move more comfortably. Discuss this with your Pharmacist or GP.<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-not-stacked-on-mobile is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:6%\"><style>.kt-svg-icons538_2cb188-f3 .kt-svg-item-0 .kb-svg-icon-wrap{color:var(--global-palette4, #2D3748);font-size:50px;}.wp-block-kadence-icon.kt-svg-icons538_2cb188-f3{justify-content:center;}@media all and (max-width: 767px){.wp-block-kadence-icon.kt-svg-icons538_2cb188-f3{justify-content:flex-start;}}<\/style>\n<div class=\"wp-block-kadence-icon kt-svg-icons kt-svg-icons538_2cb188-f3 alignnone\"><style>.kt-svg-item-538_690067-f6 .kb-svg-icon-wrap, .kt-svg-style-stacked.kt-svg-item-538_690067-f6 .kb-svg-icon-wrap{font-size:45px;background:#dadbe8;border-width:0px;border-radius:20%;padding-top:10px;padding-right:10px;padding-bottom:10px;padding-left:10px;}@media all and (max-width: 767px){.kt-svg-item-538_690067-f6 .kb-svg-icon-wrap, .kt-svg-style-stacked.kt-svg-item-538_690067-f6 .kb-svg-icon-wrap{font-size:18px;padding-top:8px;padding-right:8px;padding-bottom:8px;padding-left:8px;}}<\/style>\n<div class=\"wp-block-kadence-single-icon kt-svg-style-stacked kt-svg-icon-wrap kt-svg-item-538_690067-f6\"><span class=\"kb-svg-icon-wrap kb-svg-icon-fas_arrow-circle-right\"><svg viewBox=\"0 0 512 512\"  fill=\"currentColor\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"  aria-hidden=\"true\"><path d=\"M256 8c137 0 248 111 248 248S393 504 256 504 8 393 8 256 119 8 256 8zm-28.9 143.6l75.5 72.4H120c-13.3 0-24 10.7-24 24v16c0 13.3 10.7 24 24 24h182.6l-75.5 72.4c-9.7 9.3-9.9 24.8-.4 34.3l11 10.9c9.4 9.4 24.6 9.4 33.9 0L404.3 273c9.4-9.4 9.4-24.6 0-33.9L271.6 106.3c-9.4-9.4-24.6-9.4-33.9 0l-11 10.9c-9.5 9.6-9.3 25.1.4 34.4z\"\/><\/svg><\/span><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:94%\">\n<h3 class=\"gb-headline gb-headline-a089775c gb-headline-text\">Being patient<\/h3>\n\n\n\n<div class=\"gb-headline gb-headline-63268ce2 gb-headline-text\">This is not always easy but we know it may take time for symptoms to settle.<\/div>\n<\/div>\n<\/div>\n\n\n<style>.wp-block-kadence-spacer.kt-block-spacer-538_5f74d4-68 .kt-block-spacer{height:60px;}.wp-block-kadence-spacer.kt-block-spacer-538_5f74d4-68 .kt-divider{border-top-width:1px;height:1px;border-top-color:#eee;width:80%;border-top-style:solid;}<\/style>\n<div class=\"wp-block-kadence-spacer aligncenter kt-block-spacer-538_5f74d4-68\"><div class=\"kt-block-spacer kt-block-spacer-halign-center\"><\/div><\/div>\n\n\n<div class=\"gb-container gb-container-76403128 alignfull\">\n\n<h2 class=\"gb-headline gb-headline-e96f198e gb-headline-text\">Excercises<\/h2>\n\n\n\n<div class=\"gb-headline gb-headline-a2999119 gb-headline-text\">Watch the videos below and follow the exercises as advised.<\/div>\n\n\n\n<div class=\"wp-block-columns alignfull zoomer is-layout-flex wp-container-core-columns-is-layout-63326995 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-embed is-type-video is-provider-vimeo wp-block-embed-vimeo wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"sever&amp;apos;s_disease_-_ankle_band_exercises (1080p)\" src=\"https:\/\/player.vimeo.com\/video\/1236477258?dnt=1&amp;app_id=122963\" width=\"1520\" height=\"855\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture; clipboard-write; encrypted-media; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<h3 class=\"gb-headline gb-headline-9dcc4a36 gb-headline-text\"><strong>Ankle Mobility<\/strong><\/h3>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-embed is-type-video is-provider-vimeo wp-block-embed-vimeo wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"sever&amp;apos;s_disease_-_gastrocnemius_stretch (1080p)\" src=\"https:\/\/player.vimeo.com\/video\/1236477263?dnt=1&amp;app_id=122963\" width=\"1520\" height=\"855\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture; clipboard-write; encrypted-media; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<h3 class=\"gb-headline gb-headline-cafc7c1a gb-headline-text\"><strong>Gastrocnemius Stretch<\/strong><\/h3>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-embed is-type-video is-provider-vimeo wp-block-embed-vimeo wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"sever&amp;apos;s_disease_-_soleus_stretch (1080p)\" src=\"https:\/\/player.vimeo.com\/video\/1236477261?dnt=1&amp;app_id=122963\" width=\"1520\" height=\"855\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture; clipboard-write; encrypted-media; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<h3 class=\"gb-headline gb-headline-26c05793 gb-headline-text\"><strong>Soleus Stretch<\/strong><\/h3>\n<\/div>\n<\/div>\n\n<\/div>\n\n<div class=\"gb-grid-wrapper gb-grid-wrapper-705cef44\">\n<div class=\"gb-grid-column gb-grid-column-6f26059f\"><div class=\"gb-container gb-container-6f26059f\"><div class=\"gb-inside-container\">\n\n<h2 class=\"gb-headline gb-headline-50356cec gb-headline-text\">What if my symptoms fail to resolve?<\/h2>\n\n\n\n<p class=\"has-standard-black-color has-text-color has-link-color has-regular-font-size wp-elements-8 wp-block-paragraph\" style=\"font-style:normal;font-weight:500;letter-spacing:0px\">If after 6 weeks following the above advice, your problem has not improved seek advice from a Podiatrist.<\/p>\n\n<\/div><\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-81225620\"><div class=\"gb-container gb-container-81225620\"><div class=\"gb-inside-container\">\n\n<h2 class=\"gb-headline gb-headline-eaf5f5f1 gb-headline-text\">NHS 24 MSK Help app<\/h2>\n\n\n\n<p class=\"has-standard-black-color has-text-color has-link-color has-regular-font-size wp-elements-9 wp-block-paragraph\" style=\"font-style:normal;font-weight:500;letter-spacing:0px\">Free app with further exercise guidance and self-management support for MSK conditions. Available on the App Store and Google Play.<br><br><a href=\"https:\/\/apps.apple.com\/gb\/iphone\/search\" rel=\"nofollow\"><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"50\" class=\"wp-image-1028\" style=\"width: 150px;\" src=\"https:\/\/services.nhslothian.scot\/podiatrynew\/wp-content\/uploads\/sites\/165\/2026\/10\/appstore.png\" alt=\"Download on the App Store\" srcset=\"https:\/\/services.nhslothian.scot\/podiatrynew\/wp-content\/uploads\/sites\/165\/2026\/10\/appstore.png 525w, https:\/\/services.nhslothian.scot\/podiatrynew\/wp-content\/uploads\/sites\/165\/2026\/10\/appstore-300x101.png 300w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>  <a href=\"https:\/\/play.google.com\/\" rel=\"nofollow\"><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"50\" class=\"wp-image-1027\" style=\"width: 150px;\" src=\"https:\/\/services.nhslothian.scot\/podiatrynew\/wp-content\/uploads\/sites\/165\/2026\/10\/googleplay.png\" alt=\"Get it on Google Play\" srcset=\"https:\/\/services.nhslothian.scot\/podiatrynew\/wp-content\/uploads\/sites\/165\/2026\/10\/googleplay.png 525w, https:\/\/services.nhslothian.scot\/podiatrynew\/wp-content\/uploads\/sites\/165\/2026\/10\/googleplay-300x101.png 300w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a><\/p>\n\n<\/div><\/div><\/div>\n<\/div>\n\n<style>.wp-block-kadence-spacer.kt-block-spacer-538_b0d017-85 .kt-block-spacer{height:30px;}.wp-block-kadence-spacer.kt-block-spacer-538_b0d017-85 .kt-divider{border-top-width:1px;height:1px;border-top-color:#eee;width:80%;border-top-style:solid;}<\/style>\n<div class=\"wp-block-kadence-spacer aligncenter kt-block-spacer-538_b0d017-85\"><div class=\"kt-block-spacer kt-block-spacer-halign-center\"><\/div><\/div>\n\n\n<div class=\"gb-container gb-container-28d34470 fsb-style-show-front alignfull\"><div class=\"gb-inside-container\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-1c1ce466\">\n<div class=\"gb-grid-column gb-grid-column-ac9614f0\"><div class=\"gb-container gb-container-ac9614f0\"><div class=\"gb-inside-container\">\n\n<h2 class=\"gb-headline gb-headline-ed740c28 gb-headline-text\">Self-Referral Form<\/h2>\n\n\n\n<div class=\"gb-headline gb-headline-8e320c9e gb-headline-text\">Please complete a&nbsp;self referral form&nbsp;to apply to the podiatry service for treatment.<\/div>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-3e41869c wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-icon__download\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/services.nhslothian.scot\/podiatrynew\/wp-content\/uploads\/sites\/165\/2026\/10\/Podiatry-Community-Service-Self-Referral-Form.pdf\"><span class=\"wp-block-button__link-icon\" aria-hidden=\"true\"><svg viewBox='0 0 16 17' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M14,8.3 L13,7.2 L9,11.2 L9,0 L7.5,0 L7.5,11.3 L3,7.2 L2,8.3 L8.2,14.1 L14,8.3 L14,8.3 Z M14.5,12 L14.5,15.5 L1.5,15.5 L1.5,12 L0,12 L0,17 L16,17 L16,12 L14.5,12 Z'><\/path><\/svg><\/span>Self-Referral Form<\/a><\/div>\n<\/div>\n\n\n\n<div class=\"gb-headline gb-headline-ee75a50e gb-headline-text\">If you are using a smartphone please download the free Adobe Acrobat Reader app to complete the form electronically \u2013&nbsp;<strong><a href=\"http:\/\/get.adobe.com\/reader\" target=\"_blank\" rel=\"noopener nofollow\">get.adobe.com\/reader<\/a><\/strong><\/div>\n\n\n\n<div class=\"gb-headline gb-headline-d69ec538 gb-headline-text\">GPs and other healthcare professionals can access referral guidance on our&nbsp;<a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/podiatry\/\" target=\"_blank\" rel=\"noopener\">Ref Help pages<\/a><\/div>\n\n<\/div><\/div><\/div>\n<\/div>\n\n\n<style data-wp-block-html=\"css\">\n.tablecontentsnopadding .kb-table-of-content-wrap {\npadding: 0px !important;\n}\n#content2 .tablecontentsnopadding ul.kb-table-of-content-list {\nmargin: 10px 0px 10px 0px !important;\n}\n#content2 .tablecontentsnopadding ul.kb-table-of-content-list li {\nline-height: 23px !important;\n}\n<\/style>\n\n\n\n<div class=\"wp-block-getwid-section alignfull fullstretch has-custom-css wp-custom-css-55509eaa\" style=\"margin-bottom:\"><div class=\"wp-block-getwid-section__wrapper getwid-padding-left-large getwid-padding-right-large getwid-padding-tablet-top-medium getwid-padding-tablet-bottom-large getwid-padding-tablet-left-medium getwid-padding-tablet-right-medium getwid-padding-mobile-top-medium getwid-padding-mobile-bottom-normal getwid-padding-mobile-left-medium getwid-padding-mobile-right-medium getwid-margin-left-none getwid-margin-right-none\" style=\"min-height:400px;padding-top:10px;padding-bottom:50px\"><div class=\"wp-block-getwid-section__inner-wrapper\"><div class=\"wp-block-getwid-section__background-holder\"><div class=\"wp-block-getwid-section__background\"><\/div><div class=\"wp-block-getwid-section__foreground\" style=\"opacity:1;background-color:#3e454c\"><\/div><\/div><div class=\"wp-block-getwid-section__content\"><div class=\"wp-block-getwid-section__inner-content\">\n<div class=\"wp-block-group\" style=\"padding-bottom:0px\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"footytext has-standard-white-color has-text-color wp-block-paragraph\" style=\"font-style:normal;font-weight:900\"><strong>CONTACT INFORMATION<\/strong><\/p>\n\n\n\n<p class=\"has-standard-white-color has-text-color has-link-color wp-elements-10 wp-block-paragraph\">NHS Lothian Podiatry<br>Mon-Thu: 8:30am-4pm<br>Fri: 8am-3:30pm<\/p>\n\n\n\n<p class=\"has-standard-white-color has-text-color has-link-color wp-elements-11 wp-block-paragraph\">Telephone: (0131) 536 1627<\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-left is-layout-flex wp-container-core-buttons-is-layout-a882c58c wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-icon__download\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/services.nhslothian.scot\/podiatrynew\/wp-content\/uploads\/sites\/165\/2026\/10\/Podiatry-Community-Service-Self-Referral-Form.pdf\"><span class=\"wp-block-button__link-icon\" aria-hidden=\"true\"><svg viewBox='0 0 16 17' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M14,8.3 L13,7.2 L9,11.2 L9,0 L7.5,0 L7.5,11.3 L3,7.2 L2,8.3 L8.2,14.1 L14,8.3 L14,8.3 Z M14.5,12 L14.5,15.5 L1.5,15.5 L1.5,12 L0,12 L0,17 L16,17 L16,12 L14.5,12 Z'><\/path><\/svg><\/span>Self-Referral Form<\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\">\n<p 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data-ssb-network=\"pinterest\"  data-ssb-post-id=\"538\"  aria-label=\"Pinterest Share\" data-href=\"https:\/\/www.pinterest.com\/pin\/create\/button\/?url=https%3A%2F%2Fservices.nhslothian.scot%2Fpodiatrynew%2Fmsk-conditions%2Fsevers%2F&#038;description=Sever%E2%80%99s%20Disease\" data-ssb-share-action=\"pinterest-pin\"><span class=\"simplesocialtxt\">Pinterest<\/span><\/button>\n<button class=\"simplesocial-email-share\" aria-label=\"Share through Email\"  rel=\"nofollow\"  target=\"_blank\"  data-ssb-network=\"email\"  data-ssb-post-id=\"538\"  data-href=\"mailto:?subject=Sever%E2%80%99s%20Disease&body=https:\/\/services.nhslothian.scot\/podiatrynew\/msk-conditions\/severs\/\" data-ssb-share-action=\"mailto\"><span class=\"simplesocialtxt\">Email<\/span><\/button>\n<\/div>\n\n\n\n\n<p class=\"footytext has-standard-white-color has-text-color has-link-color wp-elements-14 wp-block-paragraph\"><sub><strong>\u00a9 NHS LOTHIAN | PODIATRY SERVICE.<\/strong><\/sub><\/p>\n<\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\" style=\"padding-top:0px;padding-bottom:0px\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\"><\/div><\/div>\n<\/div><\/div><\/div><\/div><\/div>\n\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>What is Sever&rsquo;s Disease? Sever&rsquo;s Disease (sometimes known as Calcaneal Apophysitis) is a condition characterised by pain around the heel bone. The condition affects children\/teenagers at growth spurts and\/or who participate in activities such as football, running and jumping. It usually affects girls aged 8 &ndash; 10 years and boys aged 10 &ndash; 14 years,<\/p>\n","protected":false},"author":9,"featured_media":0,"parent":533,"menu_order":5,"comment_status":"closed","ping_status":"closed","template":"page-templates\/nogreenfullwidth.php","meta":{"_gspb_post_css":"","footnotes":""},"categories":[],"class_list":["post-538","page","type-page","status-publish","hentry"],"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"st3vi3b0y","author_link":"https:\/\/services.nhslothian.scot\/podiatrynew\/author\/st3vi3b0y\/"},"rttpg_comment":0,"rttpg_category":false,"rttpg_excerpt":"What is Sever&rsquo;s Disease? Sever&rsquo;s Disease (sometimes known as Calcaneal Apophysitis) is a condition characterised by pain around the heel bone. The condition affects children\/teenagers at growth spurts and\/or who participate in activities such as football, running and jumping. It usually affects girls aged 8 &ndash; 10 years and boys aged 10 &ndash; 14 years,","_links":{"self":[{"href":"https:\/\/services.nhslothian.scot\/podiatrynew\/wp-json\/wp\/v2\/pages\/538","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/services.nhslothian.scot\/podiatrynew\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/services.nhslothian.scot\/podiatrynew\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/services.nhslothian.scot\/podiatrynew\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/services.nhslothian.scot\/podiatrynew\/wp-json\/wp\/v2\/comments?post=538"}],"version-history":[{"count":4,"href":"https:\/\/services.nhslothian.scot\/podiatrynew\/wp-json\/wp\/v2\/pages\/538\/revisions"}],"predecessor-version":[{"id":1333,"href":"https:\/\/services.nhslothian.scot\/podiatrynew\/wp-json\/wp\/v2\/pages\/538\/revisions\/1333"}],"up":[{"embeddable":true,"href":"https:\/\/services.nhslothian.scot\/podiatrynew\/wp-json\/wp\/v2\/pages\/533"}],"wp:attachment":[{"href":"https:\/\/services.nhslothian.scot\/podiatrynew\/wp-json\/wp\/v2\/media?parent=538"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/services.nhslothian.scot\/podiatrynew\/wp-json\/wp\/v2\/categories?post=538"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}