Kohler’s disease is a condition in which the bone in the arch of the foot is compressed and may break into pieces, before healing and hardening back into a bone. This condition is common in children who are growing, generally between the ages of five and 10. The bone that is affected by this condition is called the tarsal navicular bone.

While the exact cause of Kohler’s disease is unknown, it is believed that it may be caused by excessive strain on the bone in the arch and the associated blood vessels before the bone is completely hardened. The Tarsal navicular bone hardens more slowly than other bones in the foot, which leads to surrounding bones to compress this bone.


There are many signs and symptoms that may be present with Kohler disease. The symptoms will vary from person to person, and someone with Kohler disease may not show all of the symptoms listed. Some of these symptoms include:

  • Swelling of the foot
  • Redness of the affected area
  • Tenderness, especially along the length of the arch
  • Limp or abnormal gait
  • Foot pain
  • Abnormally large ankle bone
  • Ankle swelling


Generally, the symptoms that are present are used to diagnose Kohler’s disease. An x-ray can be done to confirm the diagnosis and to ensure that the foot is healing correctly.


This type of foot condition generally will heal on its own, with or without treatment. However, there are a few different treatment options that can help with pain and allow the foot to heal faster. Treatments may include pain relievers, cast immobilization, reduced activities, and foot orthotics or insoles.

While this foot condition will generally heal on its own, be sure to schedule an appointment with a foot expert, especially if the foot seems to not be healing or causing your child too much pain. Dr. Nathan Lucas at Renuva Xtremity can help with a variety of foot conditions and treatments, be sure to contact us today here!