What is the cost of treating Sever's disease?

Severity Levels of Sever Disease

Sever disease, also known as calcaneal apophysitis, can present with varying degrees of severity. Understanding these different levels can help guide appropriate diagnosis and treatment strategies.

Mild Sever Disease

Mild cases of Sever disease are often characterized by:

• Symptoms and risk factors: Slight heel pain during or after physical activity, typically in active children aged 8-14
• Diagnosis: Often can be self-diagnosed or confirmed through a virtual doctor consultation
• Imaging/labs: Usually not required for mild cases
• Treatments: Conservative approaches such as rest, ice application, and gentle stretching exercises

Moderate Sever Disease

Moderate cases typically involve:

• Symptoms and risk factors: Persistent heel pain that may limit physical activity, swelling or redness around the heel
• Diagnosis: Generally requires an in-person doctor visit for proper assessment
• Imaging/labs: X-rays may be recommended to rule out other conditions
• Treatments: Over-the-counter pain relievers, structured physical therapy, and off-the-shelf orthotics

Severe Sever Disease

Severe cases of Sever disease are characterized by:

• Symptoms and risk factors: Intense heel pain that significantly impacts daily activities, difficulty walking or standing for extended periods
• Diagnosis: Requires an in-person doctor visit, or in extreme cases, an emergency room visit
• Imaging/labs: X-rays are typically necessary, and in some cases, an MRI may be ordered
• Treatments: May include prescription pain medications, intensive physical therapy programs, and custom-made orthotics

Summary Table: Severity Levels

Understanding the severity of Sever disease is crucial for determining the most appropriate and cost-effective treatment approach. As we explore the various diagnostic and treatment options in the following sections, keep in mind how they align with these different severity levels.

Getting a Diagnosis

When it comes to diagnosing Sever disease, there are several options available, each with its own cost and time considerations. Let's explore these options in detail:

Self-diagnosis

Self-diagnosis is a cost-free option that can be appropriate for mild cases of Sever disease. While it doesn't involve any monetary expense, it's important to note that self-diagnosis carries the risk of misdiagnosis and should be approached with caution.

• Cost: $0
• Time: Immediate
• Appropriate for: Mild cases only

Virtual doctor consultation

Virtual consultations have become increasingly popular, offering a convenient and often cost-effective way to get a professional opinion. Here are some options:

1. Teladoc:
   • With Insurance:
     • General Medical visits: As low as $0 per visit, depending on benefits plan
     • Therapy sessions: $0 to $119
     • First-time psychiatry visits: $0 to $299, subsequent visits $0 to $129
   • Without Insurance:
     • General Medical visits: $89 per visit
   • Time: Usually same-day or next-day appointment
2. MDLive:
   • Urgent Care: $0 to $82
   • Primary Care: As low as $0 (only through selected health care insurance plans)
   • Dermatology: $0 to $95
   • Mental Health Therapy: $0 to $108 per session
   • Mental Health Psychiatry:
     • Initial Session: $248
     • Follow-Up Sessions: $108 per session
   • Time: Usually same-day or next-day appointment
3. OptimalMD:
   • Cost: Free with OptimalMD membership ($47/month for the entire family)
   • Time: Usually same-day or next-day appointment

Virtual consultations are typically appropriate for mild to moderate cases of Sever disease.

In-person doctor visit

For a more thorough examination, especially in moderate to severe cases, an in-person doctor visit may be necessary. Here are some options:

1. Primary Care Physician (PCP):
   • Without Insurance:
     • Basic Visit: Average cost around $171 (range $70 to $300)
     • Level 1 Health Concern: As low as $68
     • Level 5 Health Concern: Approximately $230
   • With Insurance:
     • Copayments typically range from $15 to $25 (varies by insurance plan)
   • Time: Typically 1-3 days wait for appointment, 30-60 minutes for visit
2. Urgent Care Center:
   • Without Insurance: $100 to $300, depending on services required
   • With Insurance: Costs vary widely depending on the specific plan and network status
   • Time: Same-day service, but may involve wait times
3. OptimalMD:
   • Cost: Free with OptimalMD membership ($47/month for the entire family)
   • Time: Typically 1-3 days wait for appointment, 30-60 minutes for visit

In-person visits are appropriate for all severity levels of Sever disease, but are especially recommended for moderate to severe cases.

Emergency room visit

For severe cases or when immediate care is needed, an emergency room visit might be necessary:

• Without Insurance: Average cost ranges from $1,220 to $2,600
• With Insurance: Average cost ranges from $1,082 to $2,453
• Time: Immediate access, but potentially long wait times
• Appropriate for: Severe cases requiring immediate medical attention

Summary Table: Assessment Options

This table provides a quick overview of the various diagnostic options for Sever disease, their appropriate use cases, costs, and efficiency. Remember that actual costs may vary based on location, specific services required, and individual insurance plans.

Imaging and Laboratory Tests

When it comes to diagnosing and monitoring Sever disease, imaging and laboratory tests play a crucial role. The type of test required often depends on the severity of the condition and the healthcare provider's assessment. Let's explore the most common imaging tests used for Sever disease, their costs, and efficiency.

X-rays

X-rays are often the first-line imaging test for Sever disease. They can help rule out other conditions and show any abnormalities in the heel bone.

Based on the information provided, here's a breakdown of X-ray costs and options:

• RadiologyClinic:
  • Cash price: $103 - $205
  • With insurance: Varies depending on your plan, typically 10-30% of the cash price after meeting your deductible
  • With discount card: Often 20-40% off the cash price
• MDsave: $55 - $363 (prices vary by location)
• HonorHealth: $103 - $205
• OptimalMD: Heavily discounted with OptimalMD membership

Time: X-ray procedures typically take 15-30 minutes, and results are often available the same day or within 24 hours.

MRI (Magnetic Resonance Imaging)

While less common for Sever disease, MRI scans may be recommended in severe or persistent cases to get a more detailed view of the heel area.

Based on the information provided, here's a breakdown of MRI costs and options:

• MRICenter:
  • Cash price: $525 - $1,350
  • With insurance: Varies depending on your plan, typically 10-30% of the cash price after meeting your deductible
  • With discount card: Often 20-40% off the cash price
• Average cost range across providers: $975 - $6,300
• OptimalMD: Heavily discounted with OptimalMD membership

Time: MRI procedures typically take 30-60 minutes, and results are usually available within 1-3 days.

Ultrasound

While less commonly used for Sever disease, ultrasound can sometimes be helpful in assessing soft tissue inflammation around the heel.

Based on the information provided, here's a breakdown of ultrasound costs and options:

• SonoClinic:
  • Cash price: Approximately $25 (in addition to consultation fee)
  • With insurance: Varies depending on your plan, typically 10-30% of the cash price after meeting your deductible
  • With discount card: Often 20-40% off the cash price
• OptimalMD: Heavily discounted with OptimalMD membership

Time: Ultrasound procedures typically take 15-30 minutes, and results are often available immediately or within 24 hours.

Summary Table: Diagnostics

Note: All tests are heavily discounted or free with OptimalMD membership ($47/month for the entire family).

Prescription Medications

Prescription medications play a crucial role in managing moderate to severe cases of Sever disease. The most commonly prescribed medications are prescription-strength NSAIDs and other pain relievers. Let's explore the options available, along with their costs and efficiency.

Prescription-strength NSAIDs

1. Celecoxib (Celebrex)

Celecoxib, the generic version of Celebrex, is a popular prescription-strength NSAID for managing pain associated with Sever disease. Here's a breakdown of the costs:

• Cash price: Approximately $216 for 30 capsules (200mg)
• With insurance: Copay typically ranges from $10 to $50, depending on your plan
• With discount card: As low as $8.81 for 30 capsules (200mg) using SingleCare
• Free with OptimalMD membership

Efficiency: Relief typically begins within 24-48 hours of starting the medication.

2. Meloxicam (Mobic)

Meloxicam, available as a generic or under the brand name Mobic, is another effective NSAID for managing Sever disease pain. Here's the cost breakdown:

• Cash price: Approximately $133 for 30 tablets (15mg)
• With insurance: Copay typically ranges from $5 to $25, depending on your plan
• With discount card: As low as $11 for 30 tablets (15mg) using various discount programs
• Free with OptimalMD membership

Efficiency: Most patients experience relief within 1-2 weeks of consistent use.

Prescription pain relievers

1. Tramadol (Ultram)

Tramadol, available as a generic or under the brand name Ultram, is a prescription pain reliever sometimes used for more severe cases of Sever disease. Here's the cost information:

• Cash price: Approximately $31 for 30 tablets (50mg)
• With insurance: Copay typically ranges from $5 to $20, depending on your plan
• With discount card: As low as $5 for 30 tablets (50mg) using SingleCare
• Free with OptimalMD membership

Efficiency: Pain relief usually begins within an hour of taking the medication and lasts for about 4-6 hours.

2. Naproxen (Naprosyn)

Naproxen, available as a generic or under the brand name Naprosyn, is a prescription-strength NSAID that can be effective for Sever disease pain management. Here's the cost breakdown:

• Cash price: Approximately $69 for 60 tablets (500mg)
• With insurance: Copay typically ranges from $5 to $15, depending on your plan
• With discount card: As low as $4 for 60 tablets (500mg) using SingleCare
• Free with OptimalMD membership

Efficiency: Most patients experience relief within 1-2 hours of taking the medication, with effects lasting up to 12 hours.

It's important to note that while these medications can be effective in managing pain associated with Sever disease, they should always be taken under the guidance of a healthcare professional. The choice of medication will depend on the severity of the condition, the patient's medical history, and potential side effects.

Summary Table: Prescription Medications

Note: All medications listed are free with OptimalMD membership ($47/month for the entire family).

Over-the-Counter Treatments

Over-the-counter (OTC) treatments are often the first line of defense in managing mild to moderate Sever disease symptoms. These treatments are readily available without a prescription and can provide significant relief when used appropriately. Let's explore the two main categories of OTC treatments for Sever disease: pain relievers and heel cups or inserts.

OTC pain relievers (e.g., ibuprofen, naproxen)

OTC pain relievers, particularly nonsteroidal anti-inflammatory drugs (NSAIDs), are commonly used to manage pain and inflammation associated with Sever disease. The two most frequently recommended options are ibuprofen and naproxen.

1. Ibuprofen

Ibuprofen is widely available under various brand names such as Advil, Motrin, and generic versions.

• Brand name options and costs:
  • Advil: $11.99 for 100 tablets (200mg) at major pharmacies
  • Motrin: $9.99 for 100 tablets (200mg) at major pharmacies
• Generic options and costs:
  • Without insurance: The average retail price for a 30-day supply of 800mg tablets is around $33.32.
  • With discount cards: Prices can be as low as $2.37 for 30 tablets (800mg) using a SingleCare discount card.
  • Per tablet cost: For 800mg tablets, the cost ranges from $1.79 to $2 per tablet without discounts.
• Time: Immediate relief, taken as needed. Effects typically last 4-6 hours.

1. Naproxen

Naproxen is available under the brand name Aleve and in generic forms.

• Brand name options and costs:
  • Aleve: $11.99 for 100 tablets (220mg) at major pharmacies
• Generic options and costs:
  • Without insurance: Prices range from about $11 for 4 tablets to $69.21 for 60 tablets (500mg), averaging around $1 per tablet.
  • With discount cards: Prices can be as low as $4.52 for 60 tablets (500mg) using a SingleCare prescription drug discount card.
• Time: Immediate relief, taken as needed. Effects typically last 8-12 hours.

It's important to note that prices can vary significantly between pharmacies and locations. Always compare prices and consider using discount cards or coupons to get the best deal.

Heel cups or inserts

Heel cups and inserts are orthotic devices designed to provide support and cushioning to the heel, which can help alleviate pain associated with Sever disease.

• Brand name options and costs:
  • Dr. Scholl's Heel Cushions with Massaging Gel: $9.49 for one pair at Walgreens
  • Dr. Scholl's Massaging Gel Heel Cushions: $6.68 for a pair on Amazon
  • Dr. Scholl's Heel & Arch All Day Pain Relief Orthotics: $21.99 for a pair at Walgreens
• Generic options and costs:
  • CVS Health Men's or Women's Gel Heel Cushion: $9.79 regular price, $7.83 with ExtraCare Plus
• Time: Immediate use upon purchase. Relief may take several days to weeks as the foot adjusts to the added support.

When choosing heel cups or inserts, consider the following factors:

• The severity of your Sever disease symptoms
• The type of shoes you typically wear
• Your budget and whether your insurance covers orthotic devices

It's worth noting that while OTC options are readily available, custom orthotics prescribed by a podiatrist may provide better results for severe cases, albeit at a higher cost.

Summary Table: OTCs

This table provides a quick overview of the OTC treatment options for Sever disease, including their appropriate severity levels, pricing with and without insurance or discounts, and efficiency in terms of onset and duration of relief. Remember that prices may vary based on location and current promotions, and it's always advisable to consult with a healthcare professional for personalized treatment recommendations.

Procedures

Procedures for treating Sever disease typically involve physical therapy and custom orthotics fitting. These interventions are crucial for managing symptoms and promoting healing, especially in moderate to severe cases. Let's explore the costs and time commitments associated with these procedures.

Physical Therapy

Physical therapy is a cornerstone of Sever disease treatment, particularly for moderate to severe cases. It helps improve flexibility, strength, and proper biomechanics.

• Cost per session:
  • With insurance: Typically $20 to $60 co-payment per session (after meeting the deductible)
  • Without insurance: $50 to $150 per session
  • Initial evaluation: $50 to $400
• Time: Multiple sessions over several weeks or months. Each session usually lasts 30-60 minutes.

Examples of providers and their costs:

1. ATI Physical Therapy (National chain)
   • With insurance: $30-50 co-pay per session
   • Without insurance: $75-100 per session
   • Locations: Multiple locations across the U.S.
2. FYZICAL Therapy & Balance Centers (National franchise)
   • With insurance: $25-45 co-pay per session
   • Without insurance: $80-120 per session
   • Locations: Over 400 locations in 45 states
3. Local independent physical therapy clinics:
   • Prices can vary widely, often ranging from $70-$150 per session without insurance
   • Many offer package deals or sliding scale fees for cash payments

It's important to note that the total cost of physical therapy will depend on the number of sessions required, which can vary based on the severity of the condition and the individual's response to treatment.

Custom Orthotics Fitting

Custom orthotics can provide significant relief for Sever disease by properly supporting the foot and reducing stress on the heel.

• Cost:
  • National average: $400 to $800 (including fitting and follow-up appointments)
  • Non-casted orthotics: $200 to $500
  • Casted orthotics: $400 to $800
  • Prescription custom foot orthotics: $400 to $600
• Time: 30-60 minutes for fitting, 1-2 weeks for manufacturing

Examples of providers and their costs:

1. The Good Feet Store (National chain)
   • Cost: $500-$1,500 for a pair of custom orthotics
   • Locations: Over 180 stores across the U.S.
2. Foot Levelers (Online provider)
   • Cost: $300-$600 for custom orthotics
   • Available nationwide through their website or partnered healthcare providers
3. Local podiatry clinics:
   • Prices typically range from $400-$800 for custom orthotics
   • Many offer free initial consultations

It's worth noting that while insurance may cover part of the cost for custom orthotics, coverage can vary significantly between plans. Some insurers may require a prescription or prior authorization.

When considering these procedures, it's important to balance the upfront costs with the potential long-term benefits. Both physical therapy and custom orthotics can significantly improve symptoms and potentially prevent future complications, which could lead to cost savings over time.

Summary Table: Procedures

This table provides a quick overview of the main procedures used in treating Sever disease, their appropriate severity levels, cost considerations, and efficiency. The efficiency is based on the time required for the procedure and the expected timeline for symptom improvement.

Optimizing for Cost

When seeking cost-effective treatment for Sever disease, consider the following strategies for each severity level:

Mild Sever Disease

• Self-diagnosis using reputable online resources
• OTC pain relievers (generic brands)
• Home remedies such as rest, ice, and stretching exercises
• Free online resources for proper stretching techniques

Moderate Sever Disease

• Virtual doctor consultation instead of in-person visit
• Generic OTC pain relievers
• Low-cost, over-the-counter heel cups or inserts
• Physical therapy exercises learned from online resources or limited in-person sessions

Severe Sever Disease

• In-person doctor visit at a general practitioner rather than a specialist
• X-rays only if deemed absolutely necessary
• Generic prescription medications when available
• Group physical therapy sessions or telemedicine physical therapy consultations
• Pre-fabricated orthotics instead of custom-made options

By focusing on these cost-saving measures, patients can effectively manage their Sever disease symptoms while minimizing expenses. It's important to note that while these strategies aim to reduce costs, they should not compromise the quality of care. Always consult with a healthcare professional before making decisions about your treatment plan.

Optimizing for Efficiency

When time is of the essence in treating Sever disease, efficiency becomes a top priority. Here are the most time-efficient strategies for each severity level:

Mild Sever Disease

For mild cases, the fastest approach is often:

1. Self-diagnosis or virtual doctor consultation (same day)
2. Immediate implementation of RICE (Rest, Ice, Compression, Elevation) method
3. Over-the-counter pain relievers for quick symptom relief
4. Begin stretching exercises as soon as pain allows

This approach can provide relief within hours to days without the need for time-consuming medical visits or tests.

Moderate Sever Disease

For moderate cases, prioritize:

1. In-person doctor visit (1-3 days wait)
2. X-rays during the same visit if possible (results often available same day)
3. Immediate prescription for pain relief if necessary
4. Same-day fitting for over-the-counter heel cups or inserts
5. Referral to physical therapy with the first appointment scheduled within a week

This strategy aims to diagnose and begin treatment within a week of symptom onset.

Severe Sever Disease

For severe cases, the most efficient path is:

1. Emergency room visit for immediate assessment and pain management
2. X-rays and possible MRI during the ER visit or scheduled for the next day
3. Immediate prescription for pain relief
4. Urgent referral to an orthopedic specialist (aim for appointment within 1-3 days)
5. Expedited custom orthotics fitting (some facilities offer same-day or next-day service)
6. Intensive physical therapy beginning within a week of diagnosis

This approach ensures the fastest possible intervention for severe cases, potentially reducing recovery time and preventing further complications.

By focusing on efficiency, patients can minimize the duration of symptoms and speed up their return to normal activities. However, it's important to note that the most efficient approach may not always be the most cost-effective, and individual circumstances should be considered when deciding on a treatment plan.

Balancing Cost and Efficiency

When treating Sever disease, finding the right balance between cost-effectiveness and efficient care is crucial. Here's a breakdown of balanced approaches for each severity level:

Mild Sever Disease

• Start with self-diagnosis and home remedies
• If symptoms persist, opt for a virtual doctor consultation
• Use generic OTC pain relievers as needed
• Implement low-cost stretching exercises and rest

Moderate Sever Disease

• Begin with an in-person doctor visit for accurate diagnosis
• Obtain X-rays only if deemed necessary by the physician
• Use a combination of generic OTC pain relievers and physical therapy
• Invest in over-the-counter heel cups or inserts

Severe Sever Disease

• Prioritize an in-person doctor visit for comprehensive evaluation
• Undergo necessary imaging (X-rays, possibly MRI) to guide treatment
• Consider a mix of generic prescription medications and intensive physical therapy
• Invest in custom orthotics if recommended by the doctor

For all severity levels, consider these cost-efficient and time-saving strategies:

1. Always ask about generic medication options
2. Inquire about telehealth follow-up appointments when possible
3. Learn and perform recommended exercises at home to reduce physical therapy visits
4. Compare prices for imaging services if not covered by insurance
5. Explore whether your insurance offers any cost-sharing programs for ongoing treatments

By combining these approaches, patients can achieve a balance between minimizing out-of-pocket expenses and receiving timely, effective care for Sever disease. Remember that early intervention and adherence to treatment plans can help prevent the condition from worsening, potentially saving both time and money in the long run.

Conclusion

Treating Sever disease can vary greatly in cost and time commitment, depending on the severity of the condition and the chosen treatment approach. This article has outlined various options for diagnosis, imaging, medications, and procedures, along with their associated costs and time estimates.

Key takeaways:

1. Severity levels of Sever disease significantly impact treatment costs and approaches.
2. Diagnosis options range from free self-diagnosis to more expensive emergency room visits.
3. Imaging tests like X-rays and MRIs can add substantial costs but may be necessary for accurate diagnosis.
4. Both prescription and over-the-counter medications are available, with generic options often providing cost savings.
5. Physical therapy and custom orthotics can be effective but may represent significant investments of time and money.

When considering treatment for Sever disease, it's crucial to balance cost, efficiency, and effectiveness. While lower-cost options may be suitable for mild cases, more severe instances may require a greater investment in comprehensive care. Always consult with a healthcare professional to determine the best treatment plan for your individual needs and circumstances.

By understanding the various costs associated with Sever disease treatment, patients and their families can make informed decisions about their care, potentially saving both time and money while achieving optimal health outcomes.