ACL Graft Choice Risk Factors ACL-RSI Calculator (Return to Sport Readiness)AHA Pre-Participation Screening AOFAS Ankle-Hindfoot Scale ASES Elbow Score ASES Shoulder Score Acute:Chronic Workload Ratio (ACWR)Altitude Gain Guidelines Ankle Syndesmosis (High Ankle Sprain)Athlete's Heart vs HCM Beighton Score (Joint Hypermobility)Borg CR-10 Scale Borg RPE Scale (6–20)Brighton Criteria (BJHS)Buffalo Concussion Treadmill Test (BCTT)Child SCAT6 (Age 8–12)Commotio Cordis Protocol Cumberland Ankle Instability Tool (CAIT)DASH (UE Disability Index)Doha Groin Agreement ESC HCM SCD Risk Score ESC Pre-Participation Screening Energy Availability Calculator FAI Syndrome (Warwick)FAOS (Foot and Ankle Outcome Score)Fear-Avoidance Beliefs Questionnaire (FABQ)Female Athlete Triad Risk Foot Posture Index (FPI-6)Foot and Ankle Ability Measure (FAAM)Functional Movement Screen (FMS)Graduated Return-to-Play (GRTP) Protocol HAGOS (Hip and Groin Outcome Score)Hamstring Asymmetry Index Heat Index (Apparent Temp)Hip Outcome Score (HOS)Hooper Index (Athlete Wellness)I-PRRS (Psychological Readiness)IKDC (Objective Examination)IKDC (Subjective Knee Evaluation)Injury Severity KJOC Shoulder & Elbow Score KOOS (Knee Outcome Score)KOOS-PS (Physical Function Short Form)Kujala (Anterior Knee Pain Scale)LEAF-Q (LEA Screening)Lake Louise AMS Score Limb Symmetry Index (LSI)Little League Elbow Grading Lysholm Knee Score Marx Activity Rating Scale (MARS)Mayo Elbow Performance Score (MEPS)Modified Schober Test NEXUS C-Spine Criteria Neck Disability Index (NDI)One-Rep Max Estimator Osgood-Schlatter Severity Oswestry Disability Index (ODI)Ottawa Knee Rules Oxford Elbow Score Oxford Shoulder Score PAR-Q+ Readiness Questionnaire PARS-3 Youth Readiness Patellar Instability Severity Score Pitch Smart Guidelines (USA Baseball)Pittsburgh Knee Rules Post-Concussion Symptom Scale (PCSS)QuickDASH (Shoulder & UE)RED-S CAT (Clinical Assessment)Re-injury Anxiety Inventory (RIAI)Relative Age Effect (RAE)Return-to-Play Battery SANE Score (Single Assessment)SCAT6 (Sport Concussion Assessment Tool 6)SCOAT6 (Sub-acute and Office Follow-up)SEAQ-I Appetite Questionnaire STarT Back Screening Tool Session RPE (Internal Load)Sever's Disease Activity Single-Leg Hop Test Battery Standardized Assessment of Concussion (SAC)Steroid Equivalence Calculator Stinger / Burner Grading Sweat Rate and Rehydration TSK-11 (Tampa Scale for Kinesiophobia)TUE Criteria Checklist Tanner Stage Assessment Tegner Activity Scale (TAS)Training Monotony and Strain UCL Injury Risk (Medial Elbow)VISA-A (Achilles Tendinopathy)VISA-P Scale (Patellar Tendinopathy)VO2 Max VOMS (Vestibular/Ocular-Motor Screening)WADA Prohibited List Checker WBGT (Wet Bulb Globe Temp)WORC (Rotator Cuff Index)WOSI (Shoulder Instability Index)Wilks Score (Relative Strength)Wind Chill Index hEDS Diagnostic Criteria (2017)iHOT-33 (International Hip Outcome Tool)

Recent Journal Updates

JAMAJun 23, 2026

Muscle Loss, Grip Strength, and Walking Pace May Be Linked to Stroke Risk

Clinical Context

We think this has broad domain relevance to Sever’s Disease Activity.

WHO NewsJun 23, 2026

WHO urges scale up of newborn screening to improve early detection and care of birth defects

Clinical Context

We think this has broad domain relevance to Sever’s Disease Activity.

Clinical Pharmacology TherapeuticsMay 29, 2026

Hepatic CYP1A2 Activity in Adolescents with and without Obesity Assessed by the Urinary Paraxanthine‐to‐Caffeine Metabolic Ratio: A Pharmacokinetic Study

Clinical Context

We think this might be relevant to the clinical guidance for Sever’s Disease Activity.

Sever's Disease Activity

Sever's Disease Severity

Grade 1

Calcaneal Apophysitis

Management Protocol

Heel cups/inserts, Achilles stretching, and load modification. Corticosteroids are contraindicated in paediatric apophysitis.

Guidelines & Evidence

Verified

Last Review: 2026

When to Use

Active children aged 8–15 years presenting with unilateral or bilateral heel pain, especially during or after weight-bearing activities such as running, jumping, or soccer.

Pre-participation screening in youth sports to identify at-risk athletes with tight Achilles tendons, limited ankle dorsiflexion, or high-arched feet.

Monitoring symptom progression and response to treatment in children diagnosed with calcaneal apophysitis (Sever’s disease).

Differential diagnosis of heel pain in pediatric athletes to distinguish from plantar fasciitis, Achilles tendinopathy, stress fracture, or retrocalcaneal bursitis.

Return-to-play decision-making after conservative management, using pain levels during activity as a guide.

Key Indication - Sever’s Disease Activity Assessment

The Sever’s Disease Activity tool is primarily used to quantify the functional impact of calcaneal apophysitis on a child's daily and sports activities. It helps clinicians grade severity based on pain during specific activities (e.g., walking, running, jumping) and guides treatment intensity. According to the International Olympic Committee (IOC) consensus on pediatric overuse injuries, activity modification based on symptom severity is the cornerstone of management. A score indicating pain during low-impact activities (e.g., walking) suggests a need for complete rest, while pain only during high-impact sports may allow modified training.

When Not to Use / Contraindications

Acute trauma or fracture of the calcaneus (e.g., avulsion fracture) – requires imaging and orthopedic referral.

Signs of infection: erythema, warmth, fever, or systemic illness – indicates possible septic arthritis or osteomyelitis.

Neurological symptoms: numbness, tingling, or weakness in the foot – may suggest tarsal tunnel syndrome or other nerve entrapment.

Age < 5 years or > 15 years – atypical for Sever’s disease; consider alternative diagnoses.

Inability to cooperate with activity recall (e.g., cognitive impairment) – self-report may be unreliable.

Last Comprehensive Review: 2026

Recent Journal Updates

JAMAJun 23, 2026

Muscle Loss, Grip Strength, and Walking Pace May Be Linked to Stroke Risk

Clinical Context

We think this has broad domain relevance to Sever’s Disease Activity.

WHO NewsJun 23, 2026

WHO urges scale up of newborn screening to improve early detection and care of birth defects

Clinical Context

We think this has broad domain relevance to Sever’s Disease Activity.

Clinical Pharmacology TherapeuticsMay 29, 2026

Hepatic CYP1A2 Activity in Adolescents with and without Obesity Assessed by the Urinary Paraxanthine‐to‐Caffeine Metabolic Ratio: A Pharmacokinetic Study

Clinical Context

We think this might be relevant to the clinical guidance for Sever’s Disease Activity.

Sever's Disease Activity

Sever's Disease Severity

Grade 1

Calcaneal Apophysitis

Management Protocol

Heel cups/inserts, Achilles stretching, and load modification. Corticosteroids are contraindicated in paediatric apophysitis.

Guidelines & Evidence

Verified

Last Review: 2026

When to Use

Active children aged 8–15 years presenting with unilateral or bilateral heel pain, especially during or after weight-bearing activities such as running, jumping, or soccer.

Pre-participation screening in youth sports to identify at-risk athletes with tight Achilles tendons, limited ankle dorsiflexion, or high-arched feet.

Monitoring symptom progression and response to treatment in children diagnosed with calcaneal apophysitis (Sever’s disease).

Differential diagnosis of heel pain in pediatric athletes to distinguish from plantar fasciitis, Achilles tendinopathy, stress fracture, or retrocalcaneal bursitis.

Return-to-play decision-making after conservative management, using pain levels during activity as a guide.

Key Indication - Sever’s Disease Activity Assessment

When Not to Use / Contraindications

Acute trauma or fracture of the calcaneus (e.g., avulsion fracture) – requires imaging and orthopedic referral.

Signs of infection: erythema, warmth, fever, or systemic illness – indicates possible septic arthritis or osteomyelitis.

Neurological symptoms: numbness, tingling, or weakness in the foot – may suggest tarsal tunnel syndrome or other nerve entrapment.

Age < 5 years or > 15 years – atypical for Sever’s disease; consider alternative diagnoses.

Inability to cooperate with activity recall (e.g., cognitive impairment) – self-report may be unreliable.

Last Comprehensive Review: 2026