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Published on Mar 25, 2018
Recovering from Sever’s disease requires a balance between decreasing the symptoms and addressing the cause with exercise.
What is often recommended is rest, and only rest, which will decrease the pain and inflammation (symptoms), however it will not address the cause. This approach is especially harmful for athletes who have strength and stability imbalances in the core (lumbopelvic girdle) and leg muscles. As a result the athlete is caught in a vicious circle of pain, rest, return to play, then pain, rest, return to play. The pattern further amplifies the imbalance and often seasons are lost or worse - the young athlete leaves the sport.
By effectively managing the symptoms with rest, and addressing the dysfunctions with movement, strength, and stability with exercise, return to play is safely and effectively accomplished.
Here is a video series of late phase 2 exercise progressions for Sever’s disease, ankle sprains, plantar fasciitis and / or Achilles tendinopathy.
The ability to improve dynamic stability for the lower extremity kinetic chain is essential for successful treatment. This includes standing, as well as jumping and landing.
Non-contact injuries are always a concern with soccer. Prevention, rehab and performance programs need to incorporate teaching for proper technique with jumping, landing, deceleration and change of direction.
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Always consult your physician before beginning any exercise program. STOP exercising if you experience any symptoms of weakness, unsteadiness, light-headedness / dizziness, chest pain or pressure, nausea, or shortness of breath.
Performing these exercises should not cause pain. If you experience pain while exercising, decrease the speed of your movement. If the pain persists - STOP. Mild soreness after exercising may be experienced after beginning a new exercise.