Iselin disease is an overuse injury resulting from repetitive pressure or tension on the growth center at the base of the 5th metatarsal. Running and jumping can put a great amount of pressure on the forefoot. This disease affects children and usually resolves itself once the growth plate fuses, which generally occurs around age 12 for girls and 14 for boys. It cannot occur in adults because the growth plate closes over and turns into the bone with skeletal maturity at approximately 16 years of age. If your child has foot pain and you think it might be Iselin disease, consult with a podiatrist for proper management of discomfort associated with this condition. A pediatric immobilization brace may be used to offload the growth plate and allow for healing so that your child may maintain their activity level.

Some foot conditions may require additional professional care. If you have any concerns, contact Donald Manger, DPM of Associated Podiatric Physicians, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions please feel free to contact our office located in Hamilton Township, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.