- Kohler’s disease is a relatively uncommon condition of avascular necrosis of the navicular which leads to pain and swelling in a child’s foot.
- Sickle cell anemia is a risk factor.
- Occurs in children between the ages of 4 and 9.
- Common in boys.
- Pain and swelling in the midfoot particularly at the navicular
- Movement of the mid and hindfoot may create discomfort
Tests and Imaging
- Xray will confirm avascular necrosis.
- Minimize weight-bearing activities until the condition settles.
- Short-leg walking cast or cam walker for up to six weeks followed by comfort shoes and supportive orthoses to allow the bone to settle and the symptoms to improve.
- Podiatry for footwear advice, cam walker, orthoses to limit loading of the area
- Surgery is not indicated for this disease.