Midfoot Pain and Limping in Young Children
Köhler’s disease is a childhood foot condition that affects the navicular bone, a small bone located on the inner side of the mid-foot. It can cause pain, swelling and limping, particularly in children aged around 3 to 7 years.
Although the name can sound worrying, Köhler’s disease is usually a temporary condition and most children recover well with conservative treatment.
Symptoms of Köhler’s Disease
Common signs and symptoms include:
- Limping
- Pain through the arch or middle of the foot
- Tenderness on the inner side of the foot
- Swelling around the mid-foot
- Walking on the outside of the foot
- Pain that worsens with activity and improves with rest
- Reduced interest in running, jumping or sport
If your child is limping or complaining of foot pain, a podiatry assessment can help identify the cause and guide appropriate treatment.
What Causes Köhler’s Disease?
Köhler’s disease occurs when the navicular bone temporarily loses some of its normal blood supply during growth. This can make the bone painful and irritated. It is more common in boys and usually affects one foot.
Diagnosis
A podiatrist will assess your child’s foot, walking pattern, footwear and the exact location of pain. An X-ray may be recommended to confirm the diagnosis and rule out other causes of mid-foot pain.
Treatment for Köhler’s Disease
Treatment focuses on reducing pain and supporting the foot while the bone recovers. This may include:
- Activity modification
- Supportive footwear
- Padding or offloading
- Orthotic support
- Short-term use of a moon boot or cast in painful cases
- A gradual return to sport and normal activity
Surgery is rarely required.
Recovery and Prognosis
Most children with Köhler’s disease recover well without long-term problems. Symptoms may improve within weeks, although some children can experience discomfort for several months. Early assessment and appropriate management can help reduce pain and support a safe return to activity.
When to See a Podiatrist
Book an appointment if your child has persistent foot pain, limping, swelling, difficulty walking, or reduced participation in play or sport.
At Highett Podiatry, we assess and manage children’s foot pain, including Köhler’s disease, and provide treatment plans tailored to your child’s symptoms, footwear and activity level.