Paediatrics

What causes a tarsal coalition?

A tarsal coalition is a fusion (coalition) between two or more bones in the tarsal bones of the foot and is cased by a failure of separation of the bones during fetal development. During early development of the fetus, the “bones” of the...

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What can be mistaken for Sever’s Disease?

Sever’s disease (aka calcaneal apophysitis) is a common cause of heel pain in growing children, especially those who are physically active (ages 8–14). It results from inflammation at the growth plate (apophysis) of the heel bone (calcaneus)...

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Can Sever’s Disease come back in adults?

No. … the Sever’s disease (calcaneal apophysitis) that affects kids does NOT come back later in adults. Sever’s disease (calcaneal apophysitis) is an overuse problem that commonly occurs in child around the age of 10-14 years. The...

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What is Buschke disease of the cuneiform bones?

The cuneiform bones are 3 bones (medial, intermediate and lateral) in the midfoot at the top of the arch of the foot. Buschke disease of the cuneiform bones is a very rare disorder of one or more of these bones due to a disruption of blood supply to...

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Can you use rigid footplates for toe walking?

Yes. There are a number of different causes of toe walking. The most common identified cause is autism spectrum disorder. However, the reason underpinning most cases of toe walking is not known and is given the name of idiopathic toe walking. The...

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Which heel cups work best for Severs Disease?

Sever’s disease is a common problem at the back of the heel bone in children that is typically self limiting but can be quite painful, so certainly needs to be looked after to allow the child to continue to be active and play sport. Treatment...

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What age does calcaneal apophysitis occur at?

Calcaneal apophysitis (or Sever’s disease) is a common cause of pain in the heel in children. It is a stress injury to the growth plate at the back of the heel bone. That growth plate merges with the rest of the heel bone at about the mid...

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Can adults get Calcaneal Apophysitis?

No. Calcaneal apophysitis (or Severs disease) is a disorder in children that causes pain at the back of the heel bone. It is a disorder of the growth plate at the back of the heel bone. This growth plate at the back of the heel bone merges with the...

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Can adults have Severs disease?

No. Severs disease (or calcaneal apophysitis) is a disorder in children that causes pain at the back of the heel bone. It is a disorder of the growth plate at the back of the heel bone. This growth plate at the back of the heel bone merges with the...

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How long does Severs disease last?

Sever’s disease (calcaneal apophysitis) is a common problem with the heel bone in children and will typically last anywhere from weeks to months or longer. There is no predictable pattern or time frame. If activity levels are reduced to a very...

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