Köhler Disease: Symptoms, Diagnosis, and Treatment
Köhler disease, also called juvenile osteochondrosis of the tarsus, is a rare condition that affects children between the ages of 3 and 14. It occurs when blood supply to the navicular bone in the foot is disrupted, leading to bone damage and changes in the surrounding joint and cartilage.
Symptoms may include pain, swelling, and limping, especially during activity. As the condition progresses, the affected foot may appear flattened and the arch may collapse. Diagnosis is typically made through a physical exam, medical history, and imaging such as X-rays or MRI.
Treatment usually focuses on reducing pain and inflammation while supporting healing. Non-surgical approaches such as rest, immobilization, and physical therapy are often recommended first. In more severe cases, surgery may be needed to repair or realign the affected bone.
With early diagnosis and proper treatment, most children recover well from Köhler disease and avoid long-term complications. Ongoing follow-up with a healthcare provider is important to ensure the best outcome.
