musculoskeletal and connective tissue disorders
Apophysitis of the Calcaneus
Treatment of Apophysitis of the Calcaneus
Passive and active stretching of the Achilles tendon Heel cups/pads and splinting or casting Stretching the Achilles tendon both actively and passively provides the best symptomatic improvement. While seated with an elastic band placed at the ball of the foot, the initial treatment is passive stretching of the foot in dorsiflexion with both the knee flexed and extended. Active stretching of the Achilles tendon using thecan decrease the tension on the calcaneal apophysis. Heel cups may be used to provide cushion to the calcaneus (eg, in athletic cleats). Pads that elevate the heel relieve symptoms by reducing the pull of the Achilles tendon on the heel. Night splints may be used to passively stretch the calf muscles, helping maintain flexibility. Rest, ice, activity modifications, and the use of heel pads usually relieve pain. In more severe or recalcitrant cases, cast immobilization may be used to relieve pain and stretch the calf muscles. Reassurance is important because symptoms may last several months but are self-limiting. 