Kohler Disease

Kohler Disease

Kohler disease is a relatively uncommon condition where the blood supply to the navicular bone in the foot is greatly impaired or lost. This is known as avascular necrosis, and causes tissue death through the insufficient blood (and oxygen) supply. Kohler disease most often affects children from the age of 5 years onward, though can present in children as early as 2 years old and again in adulthood. It has a greater prevalence in boys than girls.  

What causes Kohler disease?

While the exact reason for the loss of blood supply to the navicular is unknown, it is thought to be linked to:

• Compression and excess stress on the naviuclar bone during growth
• Genetic predisposition
• Vascular abnormalities
• Bony abnormalities

What are the symptoms?

Symptoms can last from days to up to two years, and may include:

• Pain and tenderness in the area of the navicular of the inside of the foot and arch
• Redness and swelling
• Limping or avoiding weight-bearing on the inside of the affected foot

How is it treated?

While symptoms can resolve on their own, Kohler’s can produce significant pain in the meantime and make it difficult to walk. Your podiatrist will work with your GP to effectively manage this condition and may obtain radiographs to examine the state of the navicular bone. To help resolve painful symptoms, this may include the use of:

• Orthotics to help support the navicular and arch and reduce compressive forces acting on the affected area
• Brace, moonboot or cast to immobilise the area
• Footwear assessment to ensure that the shoes are helping and not hindering recovery

The outcome of Kohler disease is usually excellent, often with no long-term complications or damage.

Our Latest News & Blogs

---

Walking Shoes vs Running Shoes: What’s the Difference And What Should You Be Wearing?

Yesterday

If you’re unsure whether you should wear walking or running shoes when exercising, this article is for you.

We explain the differences between walking and running shoes and how to determine which one is best for your feet. When it comes to buying a new pair of shoes, most people walk into a store expecting to just “find something comfy.” Then, suddenly, you’re asked: Are you looking for walking shoes or running shoes? And that’s where the confusion begins. Because for many people, the answer isn’t that simple.

You could walk a lot – to work, around the block, chasing after the kids, or while catching up with friends. You could have also just joined a gym or registered for the Couch to 5km. Or you could be a walker who just wants the option to go for a run if the mood strikes. So, which shoe do you pick?

Read More

---

Healthy Feet, Happy Life: Why Seniors Shouldn't Ignore Their Foot Health

13 Jun

Discover why foot health is so important as we age and how Perform Podiatry supports seniors in staying mobile, independent, and pain-free. From diabetic care to personalised treatment plans, we’re here to help keep your feet happy and healthy, every step of the way.

Read More

---

Class IV Laser Therapy: Advanced Relief for Foot and Ankle Pain

13 Jun

Discover how Class IV Laser Therapy at Perform Podiatry offers powerful, drug-free relief for foot and ankle pain. Backed by science, this advanced treatment helps you heal faster and move better, without the need for surgery or medication.

Read More