Kohler disease is a rare bone disorder that causes a child’s foot to hurt and swell. This disease usually impacts children between the ages of 3 to 7. Boys are much more likely to be afflicted with Kohler disease than girls. The flow of blood to the navicular bone in the foot is interrupted and there is a progressive degeneration of the bone. Some experts believe it may be related to an injury near the navicular bone and delayed bone formation leading to structural weakness. It can be caused by genetic factors, or it may develop from stress-related compression during a child’s growth period. A child will often limp or walk on the side of their foot because it might hurt them to put weight on it. There may be tenderness along the length of the arch and the affected area may redden. Those with this disorder most often outgrow it and the affected bone regains size, density, and structure. It often resolves itself within three months to two years. Since other disorders can have symptoms similar to those of Kohler disease, treatment can be helpful. If your child is complaining of foot pain or you notice a gait change, contact a podiatrist who can diagnose the problem and offer remedies.

Some foot conditions may require additional professional care. If you have any concerns, contact Jim Maxka, DPM of South Penn Foot & Ankle Associates. Our doctor 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 Hanover, PA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.