How is Köhler Disease diagnosed?

Köhler Disease is a rare condition that primarily affects children between the ages of 3 and 7. It is characterized by temporary loss of blood supply to the navicular bone, a small bone located in the midfoot. This lack of blood flow can lead to bone damage and subsequent pain.

Diagnosing Köhler Disease involves a combination of clinical evaluation, medical history assessment, and imaging tests. A healthcare professional, typically a pediatric orthopedic specialist, will conduct a thorough examination to assess the child's symptoms and medical history.

Physical examination: The doctor will carefully examine the affected foot, looking for signs of tenderness, swelling, or redness. They may also assess the child's gait and observe any changes in foot structure or alignment.

X-rays: X-ray imaging is a crucial diagnostic tool for Köhler Disease. It helps visualize the affected bone and identify any abnormalities or changes in bone structure. X-rays can reveal signs of bone fragmentation, sclerosis (hardening), or flattening of the navicular bone.

Magnetic Resonance Imaging (MRI): In some cases, an MRI scan may be recommended to obtain more detailed images of the affected foot. MRI can provide a clearer view of the bone, surrounding tissues, and blood vessels, helping to confirm the diagnosis and rule out other possible causes of foot pain.

It is important to note that Köhler Disease is a self-limiting condition, meaning it resolves on its own as the blood supply to the navicular bone improves. Therefore, treatment primarily focuses on managing symptoms and providing pain relief. In most cases, Köhler Disease does not require invasive interventions or long-term medical treatment.

If you suspect your child may have Köhler Disease or is experiencing foot pain, it is essential to consult a healthcare professional for an accurate diagnosis and appropriate management.