Explaining Kohler’s Disease in Children
Kohler disease, though rare, can cause distress for both you and your child. This bone disorder is characterized by pain and swelling in the foot, often resulting in a limp and pain during walking. While Kohler disease primarily affects boys aged three to seven, girls can also be affected. It is less frequent in girls, however, with typically only one foot being involved, which leads to a preference for walking on the side of the foot. The exact cause of Kohler disease is uncertain. Stress-related compression during critical growth periods and delayed bone formation are thought to be related to its development. The tissue destruction takes place in the navicular bone of the foot due to compromised blood flow, resulting in pain and discomfort. A podiatrist can order X-rays of the navicular bone to identify any such abnormalities. Treatment options include pain management and supportive measures, such as weight-bearing casts or special shoes. Fortunately, Kohler disease may resolve on its own within six months to two years. Even so, early intervention to alleviate discomfort and support natural healing is encouraged. If your child is limping, or otherwise exhibits symptoms that signal pain, it is suggested that you schedule an appointment with a podiatrist for a full exam, diagnosis, and treatment options.
The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Jeffrey Parrett, DPM of Parrett Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
Tips for Keeping Children's Feet Healthy
- Make sure their shoes fit properly
- Look for any signs of in-toeing or out-toeing
- Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
- Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
- Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
- Cut toenails straight across to avoid ingrown toenails
- Keep your child’s foot clean and dry
- Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.
If you have any questions, please feel free to contact our office located in Waxahachie, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
