Invesigators plan to conduct a 12-week longitudinal cohort study of 30 subjects with calcaneal apophysitis. Subjects will be included if they are between 7-17 years-old, have experienced an insidious onset of heel pain with running or jumping activities, and have no underlying diagnosis predisposing heel pain and no other injury that limits their ability to run and jump. Parents of subjects will be invited to participate by completing questionnaires related to their perspective of their child's symptoms, physical activity level, quality of life, and their satisfaction with the treatment protocol. Subjects will be asked to attend 4 monthly sessions consisting of evaluation and treatment.
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Victorian Institute of Sport Assessment - Achilles (VISA-A) questionnaire
Timeframe: Change over time with evaluations at baseline, 2-weeks, 4-weeks, 6-weeks, 8-weeks,10-weeks and 12-weeks
Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric Pain Interference Scale
Timeframe: Change over time with evaluations at baseline, 2-weeks, 4-weeks, 6-weeks, 8-weeks,10-weeks and 12-weeks
Tendon Structure
Timeframe: Change over time with evaluations at baseline, 2-weeks, 4-weeks, 8-weeks, and 12-weeks
Tendon Mechanical Properties
Timeframe: Change over time with evaluations at baseline, 2-weeks, 4-weeks, 8-weeks, and 12-weeks
Muscle-Tendon Function
Timeframe: Change over time with evaluations at baseline, 2-weeks, 4-weeks, 8-weeks, and 12-weeks
Compliance
Timeframe: Average compliance rate for each group over first year of study recruitment