Kohler’s Disease

Kohler’s Disease is a rare bone disorder that affects the tarsal navicular bone which is located on the arch of the foot. This disease occurs usually in children between the ages of 5 to 10 and is also found 5 times more in males than in females.  Unfortunately, its primary cause is still unknown, but many physicians suspect it could be related to excessive strain on your tarsal navicular bone or even a delayed hardening of that bone. This disease usually affects only one foot and affects less than 2% of the population.

While it is very rare, you must be looking out for any signs or symptoms. One of the best ways to seek out early intervention is to make regular visits to a podiatrist in Manhasset at Great Neck Family Foot Care!


Symptoms of Kohler’s Disease last as long as two years when left untreated. This may include:

  • A swollen foot that is tender along the arch. 
  • Redness around the affected area of the foot. 
  • Limping. 

The pain may get worse and progress with increased high-impact activity. This disease may not show any signs of symptoms and is often discovered during testing for other medical issues. If you are experiencing these symptoms or any other foot discomfort, Dr. Hochstein is a podiatrist in Manhasset who can help!


A child that has Kohler’s Disease may be treated with non-inflammatory and non-steroid medications. Other options also include foot orthotics, such as medical heel wedges or arch supports. Children that experience more severe symptoms such as pain with certain activities may need a cast molded under the arch of the foot for 3 to 6 weeks. Over time, this condition can heal and the bones will go back into place.  A podiatrist in Manhasset and Great Neck Family Foot Care can come up with the best treatment options for you!


This condition is diagnosed through a series of scans such as an X-ray, CT Scan, or MRI of the foot. An examination of the foot can help determine where the pain and tenderness are occurring. Through radiology tests, they can show patchy areas of the heel with increased density.

Since Kohler’s disease usually resolves itself on its own, most people believe it is okay to postpone treatment or neglect it completely. While it tends to go away over the course of two years, seeking out medical attention can ensure that you make a full recovery as well as regain proper function. Make an appointment with a podiatrist in Manhasset to take the next step in your foot care today!