KOHLER´S DISEASE

  • Arch pain. An irritation and inflammation of the growth plate (apophysis) at the Nevicular (arch bone), where the Posterior Tibial tendon inserts. In a child, the bones grow from areas called growth plates. The growth plate is made up of cartilage cells, which are softer and more vulnerable to injury than mature bone.

    • Tenderness over navicular, otherwise little pain
    • Swelling of the foot.
    • Redness of the affected area.
    • Limp or abnormal gait (style of walking)
    • Increase in pain during or after activity
  • It is thought that if the navicular bone ossifies a little later than usual, the softer bone is affected by weight bearing pressures and stresses caused by repeated running, jumping, hopping and skipping. This compression or strain injury to the soft bone causes a temporary loss of blood supply to the developing navicular bone resulting in an avascular necrosis of the growth centre in the bone.

  • Unfortunately, children can’t always explain what they’re feeling other than saying it hurts. It is therefore vital for parents and people involved in the child’s upbringing, to pay close attention to the development of your child’s feet.

    • Correct footwear
    • Calf stretches
    • Warm up, cool down
    • Orthotics
  • Call us to find out whether your children’s treatment is covered by your private health care provider. There are a few things to consider with your private health fund such as your level of cover, your policy waiting periods, annual limits and fund rules. It is important to know what you are up for prior to your visits to avoid unwanted, expensive surprises.