Why is my child getting pain on the outside of their foot (Iselin's Disease)? - FALL Blog | Foot Ankle & Lower Limb

Why is my child getting pain on the outside of their foot (Iselin's Disease)?

Conditions
Why is my child getting pain on the outside of their foot (Iselin's Disease)? - Featured image for FALL Clinic Perth podiatry article

Guide to recognising and treating Iselin's disease in growing children

Understanding Iselin's Disease in Children

Iselin's disease affects the growth plate of the 5th metatarsal, causing outer foot pain in growing children. This condition primarily impacts young athletes and requires proper management for optimal recovery.

What is Iselin's Disease?

  • A condition affecting the growth plate in the foot's outer bone (5th metatarsal)
  • Most common in children ages 8-13 years
  • Particularly affects athletically active children
  • Involves inflammation of soft cartilage in growing bones

Risk Factors

Several activities can increase the risk of developing Iselin's disease:

  • High-impact sports participation including:

  • Soccer

  • Basketball

  • Dance

  • Gymnastics

  • Tight calf muscles

  • Frequent running and jumping activities

  • Repetitive loading on the outer foot

Common Symptoms

  • Pain along the foot's outer edge
  • Activity-related discomfort that improves with rest
  • Visible redness and swelling
  • Difficulty participating in usual activities

Treatment Approaches

Immediate Care

  • Rest from aggravating activities
  • Ice application for 10-15 minutes post-activity
  • Topical anti-inflammatory treatments
  • Protective taping techniques

Ongoing Management

  • Regular calf stretching exercises
  • Supportive footwear selection
  • Custom orthotic therapy
  • Careful return to activities only after pain resolution
  • Boot immobilization for severe cases
  • Surgical intervention only if conservative treatment fails

Recovery Expectations

  • Condition typically resolves once growth plate fusion occurs
  • Recovery time varies based on individual growth patterns
  • Professional monitoring ensures proper healing

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