Greg Robinson Podiatrist

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  • Common foot and lower limb conditions treated
    • Achilles problems >
      • Achilles tendonitis / tendinopathy
    • Ankle problems >
      • Ankle sprain (Ankle instability)
    • Arch and Ball problems >
      • Flat feet / fallen arches (over pronation)
      • High arched foot / Pes Cavus
      • Metatarsalgia (pain in the ball of the foot)
      • Plantar Fasciitis (arch pain)
      • Sesamoiditis
    • Children - Common conditions affecting children - Osteochindrosis >
      • Osteochondrosis
      • Freiberg's Disease - Pain in the ball of the foot
      • Kohler's Disease - Pain in the navicular (bone near ankle)
      • Osgood-Schlatter Disease - Tenderness in the knees
      • Sever's Disease - Heel pain
      • Sinding-Larsen-Johansson Syndrome - Pain at the bottom of the kneecap
    • Common foot injuries >
      • Ankle sprain injuries (ankle instability)
      • Fractures
    • Deformities >
      • Bunions
      • Burrowing toe
      • Claw toe
      • Curly toe
      • Digital deformity
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      • Mallet toe
      • Metatarsalgia (pain in the ball of the foot)
      • Overriding and Underriding toes
      • Retracting toe
      • Tailors Bunion / bunionette
    • Diabetes and your feet
    • Diseases of your feet >
      • Arthritis >
        • Osteoarthritis
        • Rheumatoid arthritis
      • Freiberg's Disease - Pain in the ball of the foot
      • Gout / gouty arthritis
      • Kohler's Disease - Pain in the navicular (bone near ankle)
      • Raynaud's Disease
      • Sever's Disease - Heel pain
    • Forefoot pain >
      • Metatarsalgia (pain in the ball of the foot)
      • Neuroma / Mortons Neuroma
      • Sesamoiditis
    • Fungal problems >
      • Athlete's foot (Tinea pedis)
      • Fungal nails (Onychomycosis)
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      • ​Foot care for seniors
    • Hip pain >
      • Trochanteric (hip) bursitis
    • Heel Pains >
      • Cracked heels / Heel fissures
      • Heel callus
      • Heel spur
      • Plantar Fasciitis (heel and arch pain)
    • Heel pain in adults >
      • Heel spur
      • Plantar Fasciitis (arch pain)
    • Heel pain in children >
      • Plantar Fasciitis (arch pain)
      • Sever's Disease - Heel pain
    • Knee pain/ injuries >
      • ITB - Iliotibial band syndrome
      • Patellar tendinopathy (jumper's knee)
      • Patellofemoral pain syndrome (anterior knee pain, runner's knee)
    • Nail problems >
      • Black toenails
      • Ingrown toenails (Onychocryptosis)
      • Fungal nails (Onychomycosis)
      • Paronychia (infection of the skin around the toenail)
    • Osteoarthritis
    • Pronation of the foot
    • Shin splints and shin pain
    • Skin problems >
      • Allergies
      • Athlete's foot (Tinea pedis)
      • Blisters
      • Burning feet
      • Callus (thickened skin) & Corns
      • Corns & Callus (thickened skin)
      • Cracked heels / Heel fissures
      • Paronychia (infection of the skin around the toenail)
      • Sweaty feet and Smelly feet
      • Swelling
      • Ulcers
      • Warts / Verrucae (plantar wart)
    • Stress fracture
    • Toe problems >
      • Bunions
      • Burrowing toe
      • Claw toe
      • Curly toe
      • Digital deformity
      • Hammer toes
      • Ingrown toenails (Onychocryptosis)
      • In-toeing and out-toeing
      • Mallet toe
      • Neuroma / Mortons Neuroma
      • Overriding and Underriding toes
      • Retracting toe
      • Subluxation
      • Tailors Bunion / bunionette
      • Turf toe
    • Vascular / Nerve problems >
      • Alcoholic neuropathy
      • Burning feet
      • Chilblains (cold feet)
      • Neuroma / Mortons Neuroma
      • Raynaud's Disease
      • Spasms
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Kohler's Disease - Pain in the navicular bone

Kohler's disease is a condition where the navicular bone in the foot undergoes avascular necrosis (temporary or permanent loss of the blood supply to the bone).
Without blood, the bone tissue dies and causes the bone to collapse.

The navicular is the last tarsal bone to ossify in children. When the child becomes heavier this bone might be compressed between the already ossified talus and the cuneiforms resulting in the clinical symptoms.
Picture
Picture
Symptoms
Children present with a limp and local tenderness of the medial aspect of the foot over the navicular.
The child often walks with increased weight on the outer side of the foot.
Swelling and redness of soft tissues are frequent.
​The typical patient is a 5 year old boy, although it can sometimes happen to a girl who complains of pain in the foot over the apex of the longitudinal arch.
Treatment
Involves rest - being non weight bearing, perhaps in a moon boot/ CAM walker or cast. - Much will depend on the age and ability of cooperation of the child.
Orthotics to support the arch of the child is prescribed to normalise the foot position and pressures of weight bearing.
​

1 Stan Road, Grayston Drive, Morningside, Sandton. Johannesburg

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