It is a condition in which the navicular bone in the foot has reduced blood flow temporarily and enters a state of ‘bone death’, also referred to as ‘avascular necrosis.’ First signs of Kohler’s Disease begin between the age of 24-30 months in boys and 18-24 months in girls, but more often it occurs in boys than girls. Generally, Kohler’s Disease appears in children of 4 or 5 years.

Signs and Symptoms:

• Pain in the top of foot and along the length of the arch
• Limping
• Pain, swelling or redness over the navicular
• Pain worsens with weight-bearing
• Night pain
• Can occur in both feet

Causes

There is no exact reason for the cause of Kohler’s Disease, but often compressive forces, excessive stress during activities or exercise during development periods can be identified as main reasons for it. Typically, the blood supply returns, and the structures begin to heal on its own.

Kohler’s Disease Diagnosis and Treatment at Mint Footcare

Treatment

At Mint Foot Care our podiatrists diagnose this condition by physical examination, thorough history and X-ray.

Conservative treatment for Kohler’s Disease is most common, surgery or more intense forms of treatment may be necessary if nonsurgical care fails or consistent pain continues.  The pain usually resolves  within a few days to two years. Conservative treatment can consist of:

• Icing and rest
• Immobilisation with a CAM walker
• Non-steroidal anti-inflammatory medication
• Orthotics