Severs disease is the most common cause of pain in the heel of children, especially those that are active and play a lot of sport, especially on hard grounds. The Severs disease is probably most commonly considers as a ‘strain’ of the growth plate at the back of the calcaneus. This growth plate has the Achilles tendon pulling on it and the ground reaction forces pushing on it, so it is obvious why a lot of sports activity can increase the risk for Severs disease. The most common symptom of severs disease is pain on lateral squeezing of the back of the heel bone. The main approach to Severs disease is activity modification to reduce activity levels to that which is tolerable. A cushioned heel raise often helps with the symptoms. ICE and other therapies will help with the symptoms. If the symptoms of Severs disease still persist, then a further reduction in sports activity levels is needed. If that does not help, the next step is to use a plaster cast or walking brace.