Kohler’s disease is a rare bone disorder that occurs among children between the ages of 3 and 7. It is the result of stress-related compression during certain growth periods. This condition may first be recognized by pain, swelling, redness, and limping. It is five times more likely to occur in male children and usually affects only one foot. The child’s foot will be especially tender along the arch because the flow of blood to one of the foot bones, the navicular, has been blocked. The reason for this is uncertain. The child may walk on the outside of his foot to reduce the pain. A visit to a podiatrist may include an X-ray of the affected foot, which will then be compared with that of the other foot. In addition to pain relievers, a podiatrist may prescribe a weight-bearing short cast or special supportive shoes for the child. In addition, staying off the affected foot can help to speed up recovery. In most cases, a child will outgrow the disorder in a few months as the bones resume their normal growth pattern, but in some cases, it can last as long as two years. If your child is exhibiting the symptoms of Kohler’s disease, it is suggested that you consult with a podiatrist.

Some foot conditions may require additional professional care. If you have any concerns, contact Dr. Steven Shlonsky of Louisville, Kentucky. Dr. Shlonsky can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions please feel free to contact our office located in Louisville, KY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.