KOHLER’S DISEASE
Kohler disease is a rare bone disorder of the foot in children that may be the result of stress-related compression at a critical time during the period of growth. It is characterized by limping caused by pain and swelling in the foot.
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Kohler’s Disease
Kohler’s disease is a rare condition that affects children between the ages of two and eight. It is a bone disorder that occurs when the navicular bone in the foot does not receive enough blood. This leads to bone death or necrosis. This condition is more common in boys than girls, and it typically affects only one foot.
Causes
The exact cause of Kohler’s disease is unknown, but it is thought to be related to the disruption of blood supply to the navicular bone. This disruption can be due to a variety of factors. These factors refer to trauma, infection, or inflammation of the bone or surrounding tissues. However, in most cases, the condition occurs spontaneously without any clear precipitating factors.
Symptoms
Kohler’s disease can cause a variety of symptoms, including pain, swelling, and tenderness in the foot. The affected foot may also be stiff and difficult to move, and there may be a limp or gait abnormality. In severe cases, the skin over the affected bone may become red and warm to the touch.
Diagnosis
Diagnosing Kohler’s disease typically involves a thorough physical examination of the affected foot. In addition, the doctor will order imaging studies such as X-rays or MRI scans. These tests can help identify any changes in the structure of the navicular bone or surrounding tissues. Additionally, the doctor will review the extent of the damage caused by the condition.
Treatment
The treatment of Kohler’s disease depends on the severity of the condition and the age of the child. In mild cases, conservative treatments such as rest, ice, and elevation of the foot may be sufficient to relieve foot pain and swelling. Nonsteroidal anti-inflammatory drugs (NSAIDs) may also be prescribed to reduce pain and inflammation.
In more severe cases, surgical intervention may be necessary. This may involve removing damaged tissue or bone from the affected foot or fusing the affected bones together to create a more stable structure. In some cases, a cast or brace may also be necessary to immobilize the affected foot and allow it to heal properly.
QUESTIONS AND ANSWERS
What is Kohler's Disease, and what causes it?
- Kohler’s Disease: Kohler’s Disease is a rare condition that primarily affects the navicular bone in the foot. It is a form of avascular necrosis, a condition where bone tissue dies due to a lack of blood supply.
- Cause: The exact cause of Kohler’s Disease is not always clear, but it is believed to result from temporary interruptions in the blood supply to the navicular bone during the child’s growth and development. This can lead to bone tissue death and subsequent healing and reshaping of the bone.
What are the common symptoms of Kohler's Disease in children?
- Foot Pain: Children with Kohler’s Disease often experience pain and tenderness in the midfoot, typically on the top of the foot, which can worsen with activity.
- Limping: The pain may cause a child to limp or avoid putting weight on the affected foot.
- Swelling and Redness: In some cases, there may be mild swelling and redness in the foot.
- Stiffness: There can be stiffness and limited range of motion in the affected foot.
How is Kohler's Disease in children treated?
- Observation: In many cases, Kohler’s Disease is a self-limiting condition that resolves as the child grows and the navicular bone matures. Observation and providing pain relief are often the primary approaches.
- Pain Management: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, may be recommended to alleviate pain.
- Orthotic Devices: In some cases, a healthcare provider may recommend orthotic devices, such as arch supports, to provide additional cushioning and support for the foot.
- Physical Therapy: Physical therapy may help improve foot function, strength, and range of motion.
- Surgery (Rare): In rare and severe cases that do not improve with other treatments, surgical interventions to address the navicular bone may be considered, such as a realignment or a procedure called “navicular cuneiform arthrodesis.”
It’s important for parents to consult a healthcare provider if they suspect their child has Kohler’s Disease or if their child is experiencing persistent foot pain or limping. A healthcare provider can provide an accurate diagnosis and recommend appropriate treatment options based on the child’s specific condition and age.
There are many things that negatively affect children’s bones. Kohler’s Disease is one of those conditions that affect the bones of the foot. The Doctors at Medical City Children’s Orthopedics and Spine Specialists treat this condition.
Prevention
Preventing Kohler’s disease is difficult, as the exact cause of the condition is not yet fully understood. However, parents can take steps to reduce the risk of injury to their child’s feet, such as ensuring that they wear appropriate footwear and avoiding activities that may put excessive strain on the feet.
Recovery Time
The recovery time for Kohler’s disease varies depending on the severity of the condition and the type of treatment used. In mild cases, recovery may only take a few weeks or months with conservative treatment. However, in more severe cases that require surgery, recovery may take several months to a year or more.
Conclusion
In conclusion, Kohler’s disease is a rare condition that can cause significant pain and discomfort in affected children. While the exact cause of the condition is not fully understood, it is thought to be related to disruptions in blood supply to the navicular bone in the foot. Treatment typically involves conservative measures such as rest and pain management, as well as more invasive options such as surgery in severe cases. Prevention measures are difficult, but parents can take steps to reduce the risk of injury to their child’s feet. The recovery time for Kohler’s disease varies depending on the severity of the condition and the type of treatment used. If you suspect that your child may be suffering from Kohler’s disease, it is important to seek medical attention as soon as possible to ensure prompt and effective treatment.
Why Choose Medical City Children’s Orthopedics and Spine Specialists
Pediatric orthopedics is a specialty of our doctors and surgeons at Medical City Children’s Orthopedics and Spine Specialists. They understand your concerns, can answer your questions regarding your child’s condition, and know how to use their specialized knowledge to assist you. Dr. Shyam Kishan, MD, and Dr. Kathryn Wiesman, MD, have many years of training and experience in bone, joint, and muscle care for children and young adults and can help you and your child get back to living the life you love.
The following are just a few of the many reasons why patients might choose Medical City Children’s Orthopedics and Spine Specialists.
- Expertise in pediatric orthopedics and spine: The team of specialists at Medical City Children’s Orthopedics and Spine Specialists are experts. They specialize in the diagnosis and treatment of pediatric orthopedic and spinal conditions, ensuring the best possible care for children.
- Cutting-edge technology: Our practice uses the latest technology and techniques to diagnose and treat a wide range of conditions. In addition, we use minimally invasive procedures that reduce pain and promote faster recovery.
- Comprehensive care: Our practice offers a full range of services, from diagnostic imaging and physical therapy to surgery. We ensure that patients receive complete, seamless care for their orthopedic and spinal conditions.
- Dedicated pediatric facilities: Medical City Children’s Orthopedics and Spine Specialists are dedicated to providing children with a safe and comfortable environment.
- We have offices in Arlington, Dallas, Flower Mound, Frisco, and McKinney, TX.
Finally, our board-certified physicians and fellowship-trained orthopedic surgeons will use the full range of treatments. Get in touch with us today at 214-556-0590 to schedule an appointment.
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