Köhler’s Disease—also known as Navicular Osteochondrosis—is a rare condition that affects children, typically between the ages of 3 and 7. It involves a temporary loss of blood supply to the navicular bone in the foot, leading to bone weakening and pain. Though the condition often resolves on its own over time, it can cause significant discomfort and mobility issues during its course.

With guidance from a pediatric foot specialist, the symptoms of Köhler’s Disease can be effectively managed to ensure your child maintains a healthy, active lifestyle.

Request an Appointment

Causes of Köhler’s Disease

The exact cause of Köhler’s Disease remains unclear, but the condition is believed to result from:

  • Interrupted blood supply to the navicular bone due to abnormal development of surrounding arteries.
  • Mechanical stress on the growing bone, which may impair circulation.
  • Hereditary factors that affect bone development or blood flow in the foot.

The navicular bone is one of the last bones in the foot to ossify (harden), making it more vulnerable to temporary disruptions in blood flow during early childhood.

Symptoms of Köhler’s Disease

Symptoms can vary in severity but often include:

  • Pain in the midfoot, especially during weight-bearing activities like walking or running.
  • Swelling or tenderness over the inner side of the foot.
  • A noticeable limp, often the first sign parents observe.
  • Refusal to bear weight on the affected foot in more severe cases.

Symptoms may be present for several weeks or months and often affect only one foot.

Treatment of Köhler’s Disease

In many cases, Köhler’s Disease resolves naturally as the bone recovers and blood flow returns to normal. This process usually takes 1 to 2 years, and the bone typically regains normal size and shape without long-term complications.

To ease discomfort and support healing, your doctor may recommend:

  • Temporary immobilization with a walking cast or below-the-knee boot to reduce pressure on the foot.
  • Arch supports or custom orthotics to relieve strain on the navicular bone.
  • Anti-inflammatory medications (such as ibuprofen) to manage pain and swelling.
  • Limiting high-impact activity until symptoms subside.

When to See a Doctor

If your child is limping, complaining of foot pain, or showing signs of swelling without an obvious injury, it’s best to seek medical evaluation. Early diagnosis can help manage symptoms effectively and rule out other causes of foot pain.

With proper care and monitoring, children with Köhler’s Disease typically make a full recovery and go on to lead active, pain-free lives.