This is our Sever’s disease FAQ. Here you can find answers to questions about Sever’s disease and our Solemaids Severs insoles. 

There are two valid tests that indicate whether your child has Sever’s disease. Learn how to test your child here. 

No. From years of experience treating children with Sever’s disease, we have not yet heard of or experienced any child with long-term or permanent damage to the feet. When the growth plate closes, and the heel bone is calcified the pain will go away for good.  

Only children and teenagers can have Sever’s disease. It’s most common for children between 8-14 years. Sever’s disease is a condition that your child will outgrow. Normally this happens around the age of 14-15 but rare cases have been seen with teenagers up to 16-17 years old.  

Yes. Your child can participate in sports with heel pain if the pain is temporary and if its only briefly there after a training session.  

Sever’s disease is a diagnose that comes and goes from when kids are 6-15 years old. There’s no need to be worried because its normal that the pain will come and go and that it will vary in degree. The pain often increases with growth spurts. Therefore, it might be necessary for your child to have more pairs of insoles during the years the child is growing.   

No. Radiologic tests are not the first choice if your child is between 6-15 years. Clinical examination is enough to diagnose Sever’s disease. Stretches and exercises are not recommended as our experience is that stretching the Achilles tendon can worsen the pain. When the pain is at its worst, you can help your child to regulate their level of activity for a short period of time. This is only if the child still has difficulty to manage their pain. Ask your Solemaids specialist about whether they think this is a good idea for your child.

No. Adults do not get Sever’s disease as it is caused by inflammation to the growth plate of the heel bone. As the bone calcifies around the age of 14-15, Sever’s disease can no longer be the cause of heel pain. If you are an adult with heel pain, you should look into other causes here.

We recommend that you begin the treatment with Solemaids Severs insoles when the child either cannot run normally or if the pain is affecting the child’s desire to be active. We usually say that if the child has had pain for more than 4 weeks it’s time to see a Solemaids specialist.  

This is our own categorization of different levels of Sever’s disease. If your child is in level 2-4, we recommend that you see a Solemaids specialist.  

Level 1: Experiences heel pain after physical activity 

Level 2: Experiences heel pain during and after physical activity 

Level 3: Takes breaks during physical activity or can only participate with limited movement due to heel pain 

Level 4: No longer participates in physical activities du to heel pain 

If the insoles should not have the desired effect within the first three weeks, we recommend that you contact your Solemaids specialist and book a new consultation where they can advise you on how to use the insoles best and perhaps make a small adjustment to the insoles. This second consultation is free of charge. We offer a full return policy on the insoles within 6 weeks from the initial consultation. 

Our goal is that most children feel immediate relief with Solemaids Severs insoles. From years of experience, we know that most children get used to the insoles and experience relief at least within the first 3 weeks. If the insoles do not help your child after 3 weeks, we recommend that you contact your Solemaids specialist and book a time for a free of charge correction of the insoles. 

We know that 1-10 % of children have limited or no effect from our insoles, and if this is the case for your child you can get a full refund for the price of the insoles within the first 6 weeks. 

No. All Solemaids insoles are produced in pairs and should always be used in both shoes. This is partly to make sure the Sever’s does not begin to develop in the other heel and to maintain stability and symmetry in the child’s body.  

The short answer is that it’s individual. From experience we recommend that most children use the insoles for a minimum of six months. After 6 months, you can test if the child can go without insoles. We recommend letting your child use the insoles to every other training for a while. If the child still has pain, you should continue treatment with Solemaids Severs insoles. And if your child can no longer fit the insoles, we recommend that you contact your Solemaids specialist for a new consultation and a new pair of insoles. 

No. There are no long-term side effects from using Solemaids. During the first 1-3 weeks, most children experience some discomfort at the arch, especially at the place where the wedge is highest. Blisters can also occur in the first couple of weeks, especially if the footwear is not fastened to the child’s foot. Therefore, it’s important that you make sure your child’s shoes are tightly laced to avoid friction between the back part of the heel and the shoes. You can also use thin tape in the first week to prevent blisters. After 3 weeks most children have gotten used to the insoles and no longer have any discomfort.  

No. All flexible footwear can be used with Solemaids Severs insoles. Solemaids Severs replace the original insoles of the footwear and is easy to insert into all footwears. We recommend that you bring Solemaids insoles if you buy new footwear. In this way your child can feel if they fit the new shoes and are comfortable.

No, your child does not need to wear special football cleats. However, we know that there is more comfort if the cleats have a lacing system that can adjust the height at the bridge of the foot. Football cleats with a sock can make the space inside to narrow which can cause blisters at the heel.  

If your child is a gymnast, we know it requires some getting used to when the child begins to wear footwear during training. We have great experience with using light weight combat shoes which are often sold in online shops with martial arts equipment. 

Yes. Solemaids Severs have earned a CE certification as medical device. See all certifications here.