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I felt like the world’s worst mom. My sixth-grade son had been complaining about pain in his heel since starting soccer a month earlier. We were new to the area. He was shy and not overly interested in athletics. I thought he was just trying to get out of it, so I pushed him on.


It took his tears and a coach’s concern to wake me up.

That was the beginning of his battle with Sever’s disease, a condition that took him out of sports and out of gym classes for more than three years. His case was acute, far worse than most. Many kids can continue with athletics after therapy and treatment, but not him. He had to wait for the disease to run its course.

Along with the physical pain, he fought ignorance and the social repercussions of invisible illness. A substitute gym teacher accused him of faking it. His peers were too young to understand what they could not see. He needlessly suffered through medical boots, casts, and expensive orthotics ordered by a doctor who went by the book instead of treating our son as an individual.

It didn’t have to be so hard. Like many parents, we’d never heard of Sever’s disease. If we had been more educated, his experience might’ve been less painful, physically and socially. The more we learned, the more surprised we were at how common Sever’s disease is and how little most parents and coaches know about treating it.

Sever’s disease, also known as Calcaneal apophysitis, is the most common cause of heel pain in children. It’s not really a disease. It is an overuse condition that usually occurs during the growth spurt of adolescence, about two years before the onset of puberty. For most kids, that’s between the ages of eight and 13 for girls and 10 and 15 for boys.

This is how it happens: Children who are still developing physically have plates made of bone surrounded by cartilage on their heels where their Achilles tendons attach. Picture that piece of bone as an island in a sea of cartilage. The pain occurs when the tendon repeatedly yanks on that growth plate, causing inflammation in the cartilage. The only permanent cure is time.

Eventually, the cartilage turns to bone and the pain is gone for good. The worst pain usually lasts only a few weeks or a few months, but flare-ups can happen any time during the 18 months to three years it takes the cartilage to solidify. Knowing the root cause is essential in deciding how to treat it for the long-term. We didn’t know that.

The most popular articles that popped up in my internet searches addressed only the acute stage, as did our doctor, a sports podiatrist who came highly recommended by friends. We had no reason to doubt the doctor or question his approach to treatment. So when he recommended casting, we did it. When he recommended a boot, we did it. When he encouraged our son to return to sports with a duller version of the pain, we agreed.

Each time it flared up, this doctor prescribed the boot, again and again and again. Nothing seemed to keep the flare-ups at bay. The doctor’s final solution was an expensive pair of orthotics that did nothing.

It was an exercise in frustration and it led to confusion for us, the school, our son’s coaches, and his peers. Our son was becoming depressed, especially after we hit the two-year mark and the pain with activity was no less intense. We found no real relief until we ditched our doctor and found an orthopedic surgeon at the University of Rochester, who was known for thinking out-of-the-box.

What we learned is that not all cases of Sever’s disease respond to the same approach. There are several potential causes of the condition. Overuse in sports, a tight Achilles tendon, and bio-mechanical problems such as flat feet and high arches are common culprits, according to The American College of Foot and Ankle Surgeons. Most often, the condition will improve with medication, physical therapy, ice, and a reduction in exercise.

Many kids can continue in sports if they pamper their heels and tendons a bit with stretching, shoe inserts, ice massage, and a reduction in the intensity of their training when the pain returns or becomes more intense. Some never experience that pain again.

Our son was not a typical case. He is tall and his bones grew faster than his muscles, tendons, and ligaments, the doctor said. With such a short Achilles tendon, there wasn’t much he could do to prevent that constant yanking. No amount of casting, booting, medication, or icing was going to make the pain go away. He needed to accept that activities involving repetitive walking or running would be off the table or a while.

His new doctor tossed the orthotics and prescribed simple, comfortable heel lifts to shorten the tendon while he walked, relieving the stress on his growth plates. He recommended physical therapy and daily exercises to stretch the Achilles tendon. Even the slightest gain in length would relieve his pain during daily activities such as walking to classes, he assured our son. He had to keep them up at home long after therapy ended, stretching the tendon three to six times a day.

It was that simple.

The lifts, therapy, and stretches created a new bounce in our son’s step. He knew what to expect and he finally understood that he was playing a waiting game. He knew that a full recovery was around the corner and that he just needed to bide his time until then. So he began lifting weights and working on his abdominal muscles, preparing for the day he could return to gym and sports.

In tenth grade, he joined the cross-country team again. This time, he finished the season pain-free.

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The temperatures are dropping and that can only mean one thing. Whether we like it or not, winter's cold chilly months are upon us. As a born-and-raised Alaskan, and mama of three, I've got a lot of cold weather experience under my belt, and staying inside half the year just isn't an option for us. As my husband likes to say, "There's no bad weather, just bad gear."

Here are some of my favorite picks to keep your family toasty warm this winter.


1. Bear bunting

This sherpa bear bunting wins winter wear MVP for being a comfy snowsuit for your littlest babe, or base-layer under another snowsuit for the chilliest of winter outings. Bonus: your baby bear will never look cuter!

Sherpa Hooded Bunting, Carter's, $15.20

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2. Patagonia Capilene base-layers

Speaking of base-layers, for any prolonged winter activity outside in the cold, it's best to layer up to create air pockets of warmth. These moisture wicking base-layers are a family favorite.

Baby Capilene Bottoms, Back Country, $29.00

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3. Arctix Kids limitless overall bib

These adjustable snow pants keep kids warm and the bib style keeps snow from going down the back of their pants. Bonus: the price is excellent for the quality and they can grow with your child. The Velcro strap also makes bathroom breaks for kids so much easier.

Arctix Kids Limitless Overall Bib, Amazon, $14.99-$49.99

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4. Hooded frost-free long jacket

Keep your little one warm and stylish in this long puffer jacket. Great for everyday outings.

Hooded Frost-Free Long Jacket, Old Navy, $35.00

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5. Patagonia reversible jacket

This jacket is windproof, waterproof and the built-in hood means one less piece of gear to worry about (or one more layer for your little one's head). It's a best buy if you live with cold winter temperatures for many months of the year and still love to get outside to play. It also stays in great condition for hand-me-downs to your next kid.

Reversible Down Sweater Hoodie, Nordstrom, $119.00

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6. Under Armour Decatur water repellent jacket

Made of waterproof fabric and lined with great insulation, kids will no doubt stay warm—and dry—in this. It features plenty of pockets, too, so mama doesn't always have to hold onto their items. We love that the UGrow system allows sleeves to grow a couple inches.

UA Decatur Water Repellent Jacket, Nordstrom, $155.00

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7. Stonz mittens

Ever tried to keep gloves on a 1-year-old? It's a tough task, but these gloves make it a breeze with a wide opening and two adjustable toggles for a snug fit they can't pull off! Warm and waterproof, and come in sizes from infant to big kids.

Stonz Mittz, Amazon, $39.99

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8. Sorel toot pack boot

Keep their little toes warm with these cozy boots from Sorel. With insulated uppers and waterproof bottoms their feet are sure to stay warm. They're well constructed and hold up over time, making them a great hand-me-down option for your family.

Sorel Kids' Yoot Boot, Amazon, $48.73-$175.63

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9. Stonz baby boots

These Stonz stay-on-baby booties do just as their name says and stay on their feet. No more searching for one boot in the grocery store parking lot!

Stonz Three Season Stay-On Baby Booties, Amazon, $29.99-$50.29

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Motherly is your daily #momlife manual; we are here to help you easily find the best, most beautiful products for your life that actually work. We share what we love—and we may receive a commission if you choose to buy. You've got this.

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We make a lot of things this time of year. Gingerbread houses. Christmas cards. New traditions. Babies.

Yes, December is peak baby making season. It's a month filled with togetherness and all the love felt in December is what makes September the most statistically popular month for American birthdays.

According to data journalist Matt Stiles, mid-September is the most popular time to give birth in America. He did a deep dive into the birth stats from the U.S. National Center for Health Statistics and the U.S. Social Security Administration collected between 1994 and 2014 and found that the most common American birthdays fall on September 9, 19 and 12. In fact, 9 of the 10 most popular days to give birth fall in September.

If we turn the calendar back, we're looking at Christmas time conceptions. Stiles illustrated his findings via a heat map, which presents the data in a visual form. The darker the square, the more common the birthday.

The square for August 30 is pretty dark as it is the 34th most common birthday in America. It's also 40 weeks after November 23, and the unofficial beginning of the United States' seasonal baby boom.


And while the Christmas holidays are common times to conceive, they're not common days to give birth, for obvious reasons. Christmas Eve, Christmas Day, New Year's Day and the fourth of July are all represented by light squares on Stiles's data map, meaning they're among the least popular days to welcome a little one into the world (Boxing Day is just a smidge darker, still a pretty rare birthday).

OB-GYNs are not likely to schedule C-sections on major holidays, so that might point to the low birth rates on these special days.

As for the September baby boom, it probably has less to do with the magic of the holiday season and more to do with the fact that many Americans take time off work during the holiday season. It's not that mistletoe is some magic aphrodisiac, but just that making babies takes time, and at this time of year we have some to spare.

This Christmas be thankful for the time you have with your loved ones and your partner. That time could give you a gift come September.

[A version of this article was originally posted November 21, 2018]

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When I gave birth the first time, I had two doulas—one for me, and one for my husband. (I wasn't messing around!) They worked hard to support me in what ended up being a long labor. About 20 hours in, I remember hearing my doulas whisper to my exhausted, hard-working husband, “Go lie down. We can take care of her."

This was absolutely true. They were more than capable of helping me through contractions, which up to this point I'd been handling really well. So upon their urging, my husband walked about three feet away and lay down on the daybed in the labor and delivery room. And then the strangest thing happened—

I completely lost my rhythm and my ability to breathe through contractions. It was as though I'd lost my way. The next handful of contractions were unbearable and caused me to cry out in anguish. My husband hurried to my side and held my hand once more.

And then, just as quickly, I found my rhythm, my breathing returned, and I was able to to handle my contractions until I gave birth several hours later.

In a recent study published in Nature, it was discovered that when a partner held the hand of a woman during labor, the couple would begin to synchronize their breathing and heart rate patterns, otherwise known as physiological coupling.

In addition, the women reported that their pain lessened while holding hands with their partners. If they were just sitting next to one another, but not holding hands, their pain levels weren't affected.

This study has obvious implications for the families I teach in my Childbirth Preparation classes, and it's important to share this news far and wide:

Everything you do for your partner while she's in labor makes a difference. Even if all you do is hold her hand.

Labor is not just something that a birthing woman experiences. Her partner experiences labor too, just in a very different way. For far too long, we've either diminished or ignored the partner's experience of labor—to everyone's detriment.

I realize that it makes sense to pay close attention to how a woman moves through her pregnancy, labor and birth. But if we're not paying equal attention to her partner's experience, we're not setting this new family up for success. In fact, we might be doing the exact opposite.

If partners don't realize the importance their words, actions and touch can have on the laboring woman's experience, many may freeze up and feel helpless as they witness the power and intensity of labor and birth. They may end up feeling as though all of their efforts and suggestions for comfort measures are without any effect. But this couldn't be further from the truth!

Every little thing a partner does to make the laboring woman more comfortable matters immensely. Every sip of water offered, every new position suggested, every word of encouragement, every reminder to breathe, every single touch, provides comfort to the laboring woman. And partners need to know this and believe in the power that their undivided attention and connection can bring to the laboring woman.

Here's why I think the findings from this latest study are so important—it's that feeling of shared empathy between the laboring woman and her partner that causes the physiological coupling and pain relieving effects that help a woman when she's experiencing pain.

That's why I've always told the partners in my classes that even if they hired an army of the world's greatest labor doulas, their unwavering, focused and empathetic attention during birth, is the reason why she'll tell everyone that she couldn't have made it through labor without her partner! Even if all they did was hold her hand.

It's a conundrum many parents wrestle with: We don't want to lie to our kids, but when it comes to Santa, sometimes we're not exactly giving them the full truth either.

For Kristen Bell and Dax Shepard, lying to daughters Lincoln, 5, and Delta, 3 just isn't an option, so everyone in the Bell-Shepard household knows the truth about Santa.

"This is going to be very controversial," Shepard told Us Weekly earlier this month. "I have a fundamental rule that I will never lie to them, which is challenging at times. Our 5-year-old started asking questions like, 'Well, this doesn't make sense, and that doesn't make sense.' I'm like, 'You know what? This is just a fun thing we pretend while it's Christmas.'"

According to Shepard, this has not diminished the magic of Christmas in their home. "They love watching movies about Santa, they love talking about Santa," Shepard told Us. "They don't think he exists, but they're super happy and everything's fine."

Research indicates that Shepard is right—kids can be totally happy and into Christmas even after figuring out the truth and that most kids do start to untangle the Santa myth on their own, as Lincoln did.

Studies suggest that for many kids, the myth fades around age seven, but for some kids, it's sooner, and that's okay.


Writing for The Conversation, Kristen Dunfield, an Assistant Professor of Psychology at Concordia University, suggests that when kids come to parents with the hard questions about Santa, parents may feel a bit sad, but can take some comfort in "recognizing these challenging questions for what they are—cognitive development in action."

Kids aren't usually the ones who are upset when they figure it out, researchers note. Typically, kids are kind of proud of themselves for being such great detectives. It's the parents who feel sadness.

Some parents may not choose to be as blunt as Shepard, and that's okay, too. According to Dunfield, if you don't want to answer questions about Santa with 100% truth, you can answer a question with a question.

"If instead you want to let your child take the lead, you can simply direct the question back to them, allowing your child to come up with explanations for themselves: "I don't know, how do you think the sleigh flies?" Dunfield writes.

While Dax Shepard acknowledges that telling a 3-year-old that Santa is pretend might be controversial, he's hardly the first parent to present Santa this way. There are plenty of healthy, happy adults whose parents told them the truth.

LeAnne Shepard is one of them. Now a mother herself, LeAnne's parents clued her into the Santa myth early, for religious reasons that were common in her community.

"In the small Texas town where I grew up, I wasn't alone in my disbelief. Many parents, including mine, presented Santa Claus as a game that other families played," she previously wrote. "That approach allowed us to get a picture on Santa's lap, watch the Christmas classics, and enjoy all the holiday festivities so long as we remembered the actual reason for the season. It was much like when I visited Disney World and met Minnie Mouse; I was both over the moon excited and somewhat aware that she was not actually real."

No matter why you want to tell your children the truth about Santa, know that it's okay to let the kids know that he's pretend. Kristen Bell's kids prove that knowing the truth about Santa doesn't have to make Christmas any less exciting. Pretending can be magical, too.

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