Definition: Kohler's Disease is a condition of the midfoot of young children. Kohler's Disease is most common in children around the age of 5 years (age 3-7 years). These children will typically complain of foot pain or may limp slightly. Exactly why some children develop Kohler's Disease is not clear.
If Kohler's Disease is suspected, x-rays of the foot should be obtained. The x-rays are usually abnormal and show damage to the navicular bone in the midfoot. The symptoms typically resolve spontaneously with minimal treatment. The standard treatment is to place the child in a short-leg walking cast for several weeks to allow the symptoms to subside. No long-term effects are usually found in adolescents and adults who had Kohler's Disease.
