Sever's disease can develop in adolescence when your child has a major developmental growth spurt. The growth plate in children's heels is divided into two sections, and there is a piece of cartilage between the sections. Sever's disease occurs when your child injures their heel or their heel is under significant stress and the cartilage becomes inflamed. A growth spurt puts additional stress on the cartilage dividing the heel growth plates, and young people who are physically active are at greater risk of developing this condition.