Any foot specialists in ?
Discussion
My 12 year old son has been complaining of "sore ankles" for a few weeks. We put this down to the usual "growing pains" as he is going through a bit of a growth spurt. When we took a look this morning, it's not really his ankles, but more the inner foot that is causing him problems. He does appear to have a lump/bone sticking out (at least more than I do !).
Not sure this photo does it justice, but it's clearly rubbing on shoes / trainers. He's a size 8/9 ! It's about 2 inches in front of his ankles, and 1 inch below. The pain appears to be more than just rubbing though...and painful on both left and right.
He is very active, playing competitive football at the weekends and lots of sports in school, including cross country and other athletics activities.
We are going to get him into the GP and see if anything is abnormal as this is affecting his ability to play sports at the moment (he had to pull out of football training this morning as it was so painful and they were training for middle distance events at school this week and he had to go very easy.)
Anyone got any professional thoughts or experience of this ?
Not sure this photo does it justice, but it's clearly rubbing on shoes / trainers. He's a size 8/9 ! It's about 2 inches in front of his ankles, and 1 inch below. The pain appears to be more than just rubbing though...and painful on both left and right.
He is very active, playing competitive football at the weekends and lots of sports in school, including cross country and other athletics activities.
We are going to get him into the GP and see if anything is abnormal as this is affecting his ability to play sports at the moment (he had to pull out of football training this morning as it was so painful and they were training for middle distance events at school this week and he had to go very easy.)
Anyone got any professional thoughts or experience of this ?
its probably an irritation of the insertion of posterior tibialis tendon into the Navicular bone. It could be that his growth spurt has altered his leg biomechanics, as bones and muscles/tendons do not always grow together. also changes in activity types or overuse can irritate,
There is a condition called Kohlers disease, which affects this area, but typically in a younger child.
you would probably be best to take him to an podiatrist or physio with a good reputation for musculo skeletal work, and even better one who deals with kids a lot.
Sometimes there may be an underlying functional issue - tight muscles groups, tendency to be a bit flat footed which can be irritated by change to activity pattern or even footwear. eg excessively flat, or minimally cushioned shoes.
treatment might involve some rest initially, stretching program (eg Calf and hamstrings) possibly footwear changes, and orthotics in his shoes (normal and sports shoes)
There is a condition called Kohlers disease, which affects this area, but typically in a younger child.
you would probably be best to take him to an podiatrist or physio with a good reputation for musculo skeletal work, and even better one who deals with kids a lot.
Sometimes there may be an underlying functional issue - tight muscles groups, tendency to be a bit flat footed which can be irritated by change to activity pattern or even footwear. eg excessively flat, or minimally cushioned shoes.
treatment might involve some rest initially, stretching program (eg Calf and hamstrings) possibly footwear changes, and orthotics in his shoes (normal and sports shoes)
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