Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content +++ Key Features ++ Also called calcaneal apophysitis Occurs in athletes aged 8–12 years who are typically involved in high-impact activities, such as gymnastics and soccer Causes Overuse Improper footwear Tightness in the calf musculature and Achilles tendon +++ Clinical Findings ++ Pain occurs about the heel and at the point of muscle tendon insertion onto the growth center of the calcaneus Athlete complains of activity-related heel pain Examination reveals focal tenderness over the calcaneal apophysis Tenderness created by pressing forcefully on the lateral and medial heel constitutes a positive "calcaneal squeeze test" +++ Diagnosis ++ Clinical +++ Treatment ++ Symptomatic Reassurance and education Relative rest Heel cord stretching Eccentric calf strengthening Ice massage Heel cups Nonsteroidal anti-inflammatory drugs for pain control Progression to activity as tolerated based on pain level Activity restriction is not required Refractory cases may benefit from brief immobilization and partial or non–weight bearing in a walking boot or cast followed by supervised physical therapy Your MyAccess profile is currently affiliated with '[InstitutionA]' and is in the process of switching affiliations to '[InstitutionB]'. Please click ‘Continue’ to continue the affiliation switch, otherwise click ‘Cancel’ to cancel signing in. Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Username Error: Please enter User Name Password Error: Please enter Password Forgot Username? Forgot Password? Sign in via OpenAthens Sign in via Shibboleth