Kohler Disease and the Importance of Early Podiatry Care

Kohler disease is a rare childhood foot condition that affects one of the small bones in the middle of the foot, known as the navicular bone. It most often develops in children between the ages of 4 and 7, especially boys, although girls can also be affected. The condition occurs when the blood supply to the bone is temporarily reduced, causing the bone to become irritated before it gradually heals. Children with Kohler disease may begin limping or avoid putting weight on the affected foot because of discomfort. Since many childhood foot problems produce similar symptoms, a professional evaluation is important for an accurate diagnosis. Early assessment can also help rule out fractures, infections, or other conditions that may require different treatment.

 

Symptoms of Kohler disease usually involve pain along the inner part of the foot where the affected bone is located. Many children experience tenderness, swelling, or discomfort while walking. Others may avoid running or playing, because activity increases pain. In some cases, a child may begin walking on the outside of the foot to reduce pressure on the painful area. Symptoms often develop gradually and may be mistaken for a minor injury at first. Prompt evaluation is important because persistent foot pain in children should never be ignored. Identifying the cause early helps guide appropriate treatment and supports healthy foot development.

 

A podiatrist specializes in diagnosing and treating both common and rare foot conditions, including Kohler disease. During an examination, the podiatrist reviews symptoms, evaluates the child's foot, and may recommend imaging studies to confirm the diagnosis. Treatment focuses on relieving discomfort, protecting the affected bone, and monitoring healing as the foot develops. Regular follow-up visits also help ensure the condition is improving and that normal foot function is returning. If your child is experiencing foot pain, limping, or swelling that may be related to Kohler disease, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Some foot conditions may require additional professional care. If you have any concerns, contact one of our podiatrists of ABC Podiatry. Our doctors 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 Columbus, OH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Diabetic Foot Pain and Nerve Damage

Foot pain from diabetes is a common and serious condition that develops when prolonged high blood sugar damages nerves and blood vessels. This condition is known as diabetic neuropathy and often affects the feet first, due to their distance from the heart and reduced circulation. Over time, nerve damage disrupts normal sensation, making it difficult to feel temperature changes, pressure, or even injuries. Many individuals describe this pain as burning, tingling, or sharp discomfort. The condition may begin subtly, but can progress into persistent pain that interferes with daily activities. Early recognition is essential to prevent complications such as ulcers or infections.

Symptoms of diabetic foot pain often include numbness, tingling sensations, and heightened sensitivity. Some individuals experience a pins and needles feeling, while others report a complete loss of sensation. A hallmark sign is increasing pain during the night, which can disrupt sleep and reduce quality of life. In more advanced cases, muscle weakness or changes in foot shape may develop. Since sensation is reduced, minor cuts or blisters may go unnoticed and worsen, over time. This makes routine foot checks an important part of daily care for anyone managing diabetes.

 

Several risk factors contribute to the development of diabetic neuropathy. Poor blood sugar control is the most significant factor, as elevated glucose levels damage nerve fibers over time. Additional risks include long duration of diabetes, smoking, obesity, and poor circulation. Causes of foot pain in diabetes are directly tied to nerve damage and reduced blood flow, which limits the body’s ability to heal. Without proper care, this can lead to chronic wounds or infections that require advanced medical attention. Understanding these risks helps patients take proactive steps toward prevention.

 

Managing diabetic foot pain begins with maintaining stable blood sugar levels through diet, exercise, and medication. Wearing supportive footwear, inspecting feet daily, and keeping skin moisturized can also help prevent complications. Regular visits with a podiatrist ensure early detection of any developing issues. If you have developed diabetic foot pain, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this serious condition.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our podiatrists  from ABC Podiatry. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact our office located in Columbus, OH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Bunion Pain and Correctors

Bunions are a progressive foot deformity defined as a bony enlargement at the base of the big toe joint. This condition develops when the big toe gradually shifts toward the second toe, causing the joint to protrude outward. The misalignment places stress on surrounding tissues, leading to inflammation, discomfort, and changes in foot structure. Bunions can worsen over time, especially when contributing factors are not addressed early.

Common symptoms of bunions include swelling, redness, and joint stiffness at the base of the big toe. Pain often increases with walking, standing, or wearing tight fitting shoes. The skin over the bunion may become irritated due to friction, and the joint may feel tender or warm. As the condition progresses, individuals may notice difficulty with shoe fit, decreased range of motion, and changes in walking patterns.

 

Several causes and risk factors contribute to bunion formation. Genetics plays a key role, as inherited foot structure can predispose individuals to joint instability. Footwear is another major factor, especially shoes with a narrow toe box or high heels that place excessive pressure on the forefoot. Additional risk factors include flat feet, ligament laxity, and repetitive stress from prolonged standing or walking.

 

A bunion corrector is a supportive device designed to help improve toe alignment and reduce pressure on the affected joint. It works by gently guiding the big toe into a more natural position while providing cushioning and stability. Although it does not reverse the deformity, it can relieve discomfort and slow progression when used consistently. Benefits include reduced friction, improved comfort, and better foot positioning during daily activities. If you have bunions and want information about bunion correctors, it is suggested that you consult a podiatrist who can determine if this form of treatment is right for you.

If you are suffering from bunion pain, contact one of our podiatrists of ABC Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

  • Genetics – some people inherit feet that are more prone to bunion development
  • Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

  • Redness and inflammation
  • Pain and tenderness
  • Callus or corns on the bump
  • Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

If you have any questions, please feel free to contact our office located in Columbus, OH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Facts About Plantar Fasciitis

Plantar fasciitis is one of the most common causes of heel pain. It develops when the plantar fascia becomes irritated. The plantar fascia is a strong band of tissue that runs along the bottom of the foot and supports the arch. When this tissue is placed under repeated stress, small tears can develop. This can lead to inflammation and pain. Many people notice pain near the heel when taking their first steps in the morning. It can also occur after sitting for a long period of time. Some people feel a sharp pain, and others describe a deep ache that makes daily activities more difficult.

Several factors increase the risk of plantar fasciitis. People who spend many hours standing are more likely to develop this condition. Running and other high-impact activities can also place extra strain on the foot. Foot structure can play a role as well. Flat feet, high arches, and tight calf muscles can increase stress on the plantar fascia. Excess body weight can add pressure to the heel and arch. Symptoms include heel pain, foot stiffness, and tenderness near the bottom of the heel. Many patients find that pain becomes worse after activity. Pain can also interfere with comfort while walking and standing.

A podiatrist can diagnose plantar fasciitis through a physical examination and a review of symptoms. Imaging tests such as X-rays or ultrasound studies may be used to rule out other causes of heel pain. Treatment depends on the severity of the condition. A podiatrist may recommend custom orthotics, supportive footwear, or a brace to reduce strain on the plantar fascia. Additional treatment options include a targeted stretching program and other medical therapies designed to reduce pain and inflammation. If you have symptoms of plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist for effective relief and management solutions.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists  from ABC Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions, please feel free to contact our office located in Columbus, OH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Plantar Fasciitis

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