Kohler’s disease is a condition in which the navicular bone of the foot undergoes avascular necrosis, or loses blood supply. It almost always occurs in young children aged 8 or younger. While it can cause foot pain, it typically resolves on its own.
Symptoms and diagnosis of Kohler’s disease
A child with Kohler’s disease will usually have foot pain on the medial side of the arch of the foot. Usually there is no history of a traumatic event, but it can hurt with aggressive physical activity. X-rays usually demonstrate this condition.
Treatment of Kohler’s disease
This condition resolves spontaneously. Anti-inflammatory medications can help with pain, as can a short period of rest from sports. Occasionally placing the child in a cast can help resolves symptoms if pain is severe.