Kohler disease is a rare childhood foot condition that affects one of the small bones in the middle of the foot, known as the navicular bone. It most often develops in children between the ages of 4 and 7, especially boys, although girls can also be affected. The condition occurs when the blood supply to the bone is temporarily reduced, causing the bone to become irritated before it gradually heals. Children with Kohler disease may begin limping or avoid putting weight on the affected foot because of discomfort. Since many childhood foot problems produce similar symptoms, a professional evaluation is important for an accurate diagnosis. Early assessment can also help rule out fractures, infections, or other conditions that may require different treatment.

Symptoms of Kohler disease usually involve pain along the inner part of the foot where the affected bone is located. Many children experience tenderness, swelling, or discomfort while walking. Others may avoid running or playing, because activity increases pain. In some cases, a child may begin walking on the outside of the foot to reduce pressure on the painful area. Symptoms often develop gradually and may be mistaken for a minor injury at first. Prompt evaluation is important because persistent foot pain in children should never be ignored. Identifying the cause early helps guide appropriate treatment and supports healthy foot development.

A podiatrist specializes in diagnosing and treating both common and rare foot conditions, including Kohler disease. During an examination, the podiatrist reviews symptoms, evaluates the child's foot, and may recommend imaging studies to confirm the diagnosis. Treatment focuses on relieving discomfort, protecting the affected bone, and monitoring healing as the foot develops. Regular follow-up visits also help ensure the condition is improving and that normal foot function is returning. If your child is experiencing foot pain, limping, or swelling that may be related to Kohler disease, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Some foot conditions may require additional professional care. If you have any concerns, contact Kentston Cripe, DPM of Roseville Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions, please feel free to contact our office located in Roseville, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Overlapping toes develop when one toe rests on top of the neighboring toe instead of lying flat. The condition can affect one or both feet, and is seen in children and adults. The pinky toe is affected most often, although the big toe and second toe can also overlap. Some babies are born with overlapping toes because the condition runs in families or because of their position before birth. Adults can develop the problem later because of inherited foot structure, wearing shoes that are too tight, or another foot condition that changes toe alignment. Bunions, hammer toes, and flat feet can gradually push the toes out of their normal position.

Symptoms include pain, tenderness, and swelling where the toes rub together or press against shoes. Corns and calluses can form because of repeated friction and pressure. Some patients also notice redness or irritation between the toes. The condition can affect balance and make walking feel less comfortable. A podiatrist checks toe movement, joint alignment, and the way the foot bears weight. Imaging studies, like X-rays, can help show changes in the bones and joints when more information is needed.

Treatment depends on the cause of the overlapping toe and how much discomfort it creates. A podiatrist can recommend custom orthotics to improve foot alignment and reduce pressure on the affected toes. Protective padding or toe splints can help improve toe position and reduce rubbing. Patients also benefit from guidance about choosing shoes with enough room in the toe box to avoid extra pressure. When the toe has become rigid or severe pain continues despite treatment, surgery can restore better alignment and improve comfort. Prompt care also improves comfort and helps protect normal foot function. If you have painful overlapping toes, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact Kentston Cripe, DPM of Roseville Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please contact our office located in Roseville, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Heel pain can make walking, standing, and daily activities uncomfortable. It may develop suddenly after an injury or appear slowly from repeated stress on the foot. One common cause is plantar fasciitis, which involves irritation of the strong band of tissue that supports the arch and connects to the heel. Pain may also come from Achilles tendon irritation, bursitis, or a heel fracture. Symptoms can include sharp pain under the heel, aching at the back of the heel, or discomfort that worsens after activity. Pain that continues or returns often means the heel needs professional attention. Early evaluation can help identify the cause before the problem becomes harder to treat.

A podiatrist can examine the heel and determine what may be causing the pain. During the visit, the podiatrist checks the location of discomfort, foot movement, and signs of swelling or injury. Imaging may be recommended if a fracture, bone spur, or deeper injury is suspected. Treatment depends on the diagnosis and may include custom orthotics, medical therapies, or advanced care when needed. A podiatrist can also evaluate how foot structure and walking patterns may be adding stress to the heel. This helps create a treatment plan that supports healing and improves comfort.

Professional heel pain treatment can help restore mobility and protect long-term foot health. Delaying care may allow irritation, inflammation, or injury to worsen over time. A podiatrist can monitor progress and adjust treatment as symptoms improve. Proper diagnosis is especially important, because other heel conditions can feel similar but require different care. Whether pain is under the heel or near the back of the ankle, podiatry care can help address the source of discomfort. If you have ongoing heel pain, it is suggested that you consult a podiatrist for an evaluation.

Many people suffer from bouts of heel pain. For more information, contact Kentston Cripe, DPM of Roseville Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions, please feel free to contact our office located in Roseville, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Civinini-Morton syndrome is a condition that affects the nerve between the toes, often causing sharp pain, burning, or tingling in the front of the foot. It develops when the nerve becomes irritated or compressed, usually from pressure during walking or from tight footwear. This condition may feel like stepping on a small object and can worsen with activity. Foot orthotics are often used as part of treatment to reduce pressure on the affected nerve and improve foot alignment. By providing cushioning and support, orthotics can help relieve discomfort and promote more natural movement. A podiatrist can diagnose the condition, design custom orthotics, and guide treatment to prevent further irritation. With proper care, many patients experience lasting relief. If you have symptoms of Civinini-Morton syndrome, it is suggested that you consult a podiatrist who can offer effective treatment solutions, which may include custom-made orthotics for relief.

Custom orthotics can be an important solution for reducing foot pain by targeting its structural causes rather than just the symptoms. When the feet are misaligned, excess strain develops in the muscles, tendons, and ligaments, often resulting in discomfort in the arches, balls of the feet, or toes. Orthotics are designed to match each foot’s natural shape, supporting proper alignment and evenly distributing pressure to ease pain and improve movement.

Foot pain is commonly caused by overuse, wearing improper footwear, or biomechanical issues that place added stress on sensitive areas. By stabilizing the foot and restoring natural motion, custom orthotics help reduce strain, calm inflammation, and promote healing. Many patients experience lasting relief and greater comfort while walking, standing, or exercising.

Created from a detailed assessment using advanced imaging or casting, each pair of orthotics is tailored to your individual needs. If you are experiencing ongoing foot pain, it is suggested that you contact our office for an evaluation and treatment.

If you have any questions, please feel free to contact our office located in Roseville, CA .