Kohler’s Disease is a problem with the tarsal navicular bone in young kids in which the vascular supply to the bone is disrupted. This leads to a softening of the bone and as the bone is one of the ‘pillar stones’ of the arch of the foot it lead to compression and deformity of the bone. Usually the child will complain of pain over the arch of the foot, bit given their age it can be difficult to get them to precisely localize the spot. There may be some slight swelling and it can cause the child to limp.
My Advice for Kohlers Disease:
- This is serious. The cast is needed. Do not try and self-treat
- Foot orthotics should be used long term after the cast has come off to keep the load of the arch of the foot and the navicular bone.