Kohler's disease, a rare foot condition primarily affecting children, involves the temporary interruption of blood supply to the navicular bone in the foot, leading to bone damage and subsequent pain. Typically occurring between the ages of 4 and 7, Kohler's disease manifests gradually, with such symptoms as localized swelling, tenderness, and difficulty in bearing weight on the affected foot. Children may also start limping or change their gait pattern as they try to alleviate discomfort. While the exact cause remains unclear, theories suggest factors such as vascular insufficiency or mechanical stress on the bone. Diagnosis often involves physical examination, imaging studies like X-rays, and ruling out other potential conditions. Treatment focuses on relieving symptoms and promoting healing, typically through rest, orthotic devices, and pain management strategies. Fortunately, most children recover fully without long-term complications, but early detection and intervention remain essential for optimal outcomes. If your child has symptoms of Kohler’s disease, it is strongly suggested that you make regular appointments with a podiatrist who can offer treatment and management techniques.

Some foot conditions may require additional professional care. If you have any concerns, contact Corinne R. Kauderer, DPM of Dyker Heights Foot & Ankle. 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 one of our offices located in Brooklyn, NY and Old Bridge, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.