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Heel Pain in Children and Adolescents
Verywell Health's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
Ⓒ 2021 About, Inc. (Dotdash) — All rights reserved
Catherine Moyer, DPM, is a podiatrist experienced in the diagnosis, treatment, and prevention of disorders of the foot and ankle.
Medically reviewed by Jason DelCollo, DO on September 12, 2020
Jason DelCollo, DO, is board-certified in family medicine and on the faculty of Philadelphia College of Osteopathic Medicine.
Heel pain is a very common symptom in adults, but children and adolescents may also complain of it. There are several conditions that can cause heel pain in young people. Explore when it may be normal growing pains and when heel pain may indicate a more serious condition.
When a child complains of heel pain, it is often thought to be growing pains, a normal phenomenon during childhood and adolescent growth spurts. Growing pains are a simple way of describing mild and short-lived pain, usually in the legs where a muscle attaches to a bone. During growth spurts, a bone may grow faster than muscle, resulting in muscle or tendon strain that causes mild pain or discomfort. It tends to occur late in the day or at night, after a busy day of activity.
The calcaneus, also known as the heel bone, has an area where bone growth occurs (known as an apophysis). It is located at the back of the heel bone, near where the Achilles tendon attaches. This growth plate is subject to pulling and tension from the tendon, which can lead to a painful heel.
Calcaneal apophysitis, which is also called Sever's disease, usually occurs between the ages of 7 and 14. The condition can be aggravated by increased activity, especially if there has been strain placed on the Achilles tendon from such activities as jumping or sprinting. Examples include heel pain from soccer and basketball.1
Like calcaneal apophysitis, Achilles tendonitis is brought on by strain on the Achilles tendon, either by increased activity or tightness of the calf muscles, which kids commonly experience during growth spurts. The tendon is painful with activity (especially running and jumping) and in the morning there is often pain and stiffness.2
Bursitis can also cause pain and swelling near where the Achilles tendon attaches to the heel bone. Bursitis is inflammation of a bursa, which is a pocket of fluid adjacent to the tendon. Bursitis is caused by tendon strain or irritation of the tendon from rubbing against a tight shoe.
Pain on the bottom of the heel may be caused by plantar fasciitis. The condition is caused by inflammation on the underside of the heel bone, where a band of connective tissue called the plantar fascia attaches. Plantar fasciitis is often caused or aggravated by problems with foot function, such as flat feet or high-arched feet. Children will usually say that their heel pain is worse in the morning and with activity.3
Seek a medical evaluation if treatment for the common causes of heel pain does not result in improvement. Here are less common, but more serious conditions that can cause heel pain. 
What all of these conditions have in common is that they are caused by physical stress on the feet. Once a diagnosis has been made, the treatment plan will likely involve rest and daily stretching of the ankle and foot. Sometimes physical therapy is recommended to improve flexibility and strength.
If structural or functional problems with a child's feet are contributing to the heel pain, a podiatrist may prescribe or recommend shoe orthotics or some other change in footwear. An ankle brace or support may also be prescribed.
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Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
American Academy of Orthopedic Surgeons. Sever's Disease.
American Academy of Orthopedic Surgeons. Achilles Tendinitis.
American Academy of Orthopedic Surgeons. Plantar Fasciitis and Bone Spurs.
How to Treat That Painful Bump on the Back of Your Heel
Everything to Know About How Psoriatic Arthritis Affects the Feet
What Your Heel Pain May Mean—and What You Can Do About It
The Most Common Injuries in Runners and How to Treat Them
Posterior Heel Pain Is Result of Tendonitis, Bursitis, or Bone Spurs
Pain on the Bottom of Your Feet: Causes and Treatments
How to Treat Heel Pain in Children With Severe's Disease
Common Conditions That Affect Children's Feet
What Could Be Causing Your Calf Pain
Verywell Health's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
Ⓒ 2021 About, Inc. (Dotdash) — All rights reserved
Verywell Health is part of the Dotdash publishing family.

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