About kohler's disease of the tarsal navicular
What is kohlers disease of the tarsal navicular?
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. It most often occurs in children between the ages of three and seven, and it affects males five times more often than it does females. Typically, just one foot is affected.
Children appear to grow out of the disorder, and the affected bones regain their size, density and structure within a year. For some, however, symptoms may last as long as two years.
What are the symptoms for kohler's disease of the tarsal navicular?
Kohler disease is a rare bone disorder characterized by a painful swollen foot. The foot is especially tender along the length of the arch. It may include Redness of the affected area. Putting weight on the foot or walking is difficult, causing further discomfort and a limp. For reasons that are not understood, the flow of blood to one of the bones in the foot (navicular bone) is interrupted, resulting in progressive degeneration of that bone. In a relatively short time, however, the bone heals itself.
Usually, symptoms will be mild, and patients may not seek treatment until the Pain and Swelling have persisted for a while.
What are the causes for kohler's disease of the tarsal navicular?
The exact cause of Kohler disease is unknown.
Some orthopedic specialists think that Kohler disease may be related to an injury in the area around the navicular bone in the foot and may be the result of delayed bone formation (ossification). Bone ossification usually begins at age 18-24 months in girls and at age 24 to 30 months in boys. Structural weakness might result from an increase in the ratio of cartilage to bone. Since the navicular bone is part of the mechanism by which the foot moves (articulation), it is subject to weight-bearing pressures and stresses from twisting and turning.
Under normal circumstances, the navicular bone is served by a blood vessel from which smaller arteries supply blood to the regions of bone growth. At around the ages of 4-6, the blood supply to these regions of bone growth increases as other blood vessels reach them. If ossification is delayed and the child gains weight, the effect is to compress the blood vessels, thus causing tissue destruction (ischemia).
It has been suggested that genetic factors may play a role in the development of Kohler disease, but a specific gene has not been found to be associated with this disease.
What are the treatments for kohler's disease of the tarsal navicular?
Kohler disease typically resolves over time with or without treatment. Symptoms can last for a few days or persist for up to two years, but symptoms usually resolve within six months. Treatment can include pain relievers or weight-bearing short-leg plaster casts. Special supportive shoes may also be considered. Staying off the foot as much as possible helps in recovery. The long-term outlook (prognosis) for people with Kohler disease is usually excellent. People affected by the condition typically recover all function of the affected foot and have no lasting consequences.
What are the risk factors for kohler's disease of the tarsal navicular?
Kohler's disease of the tarsal navicular is a condition that causes pain in your ankle and foot. It's caused by inflammation, which can lead to arthritis.
You have a tarsal navicular bone in your ankle that supports your arch when you walk. If it becomes inflamed or arthritic, it can cause pain when you walk or stand on uneven ground.
It occurs when the tendons around the navicular bone become inflamed, causing pain when you stand or walk on your feet. You may also feel pain when you touch or move your foot and ankle. If left untreated, this condition can lead to arthritis in your ankle joint and permanent damage to your toes.
The following are some signs and symptoms of Kohler's disease of the tarsal navicular: Pain that increases with activity and decreases with rest; stiffness; tenderness; swelling; warmth around the joint; redness (erythema); weakness in your foot or leg muscles; limited range of motion or inability to move your ankle normally; difficulty walking on uneven surfaces like stairs or hillsides.
There are several risk factors for Kohler's disease of the tarsal navicular:
1. Genetic predisposition
2. Highly active lifestyle
3. Overuse injuries
4. Trauma to the foot (such as falling)
5. Age: This is an important risk factor because it increases with age-the average age at diagnosis is between 35 and 45 years old. Women are also more likely than men to develop this condition.
6. Excessive weight gain or loss: Both gaining too much weight and losing too much weight can put extra stress on bones in your feet and ankles, which can lead to injuries like Kohler's disease of the tarsal navicular over time.
Symptoms
Pain in the foot, especially when you first wake up or after you've been sitting for a long time,Pain when walking on uneven ground or stairs,Swelling and inflammation around the affected area of your foot
Conditions
An abnormal shape or position of the tarsal navicular bone,Excessive pressure on the tarsal navicular from other bones in the foot, such as when walking on uneven surfaces or over prolonged periods of time without rest,Abnormal alignment of the ankle joint due to an injury, such as an ankle sprain or fracture
Drugs
Tramadol,Diclofenac,Naproxen