Köhler's Disease (Navicular Osteonecrosis)

It is a type of bone disease that occurs in the ankle and foot bones. Köhler DiseaseNavicular Osteonecrosis The disease occurs when bone tissue dies as a result of decreased or cessation of blood circulation in the navicular bone.

The navicular bone is a bone located on the inside of the ankle and provides stability of the ankle. This bone can be damaged by high-impact sports activities, repetitive trauma, overload, or impaired blood circulation in the bone.

It is a disease usually seen in children between the ages of 3-12. It is more common in boys than in girls. The disease may occur unilaterally or bilaterally.

It manifests itself with pain, swelling and tenderness. Pain increases during ankle movements and decreases with rest. Children may also limp while walking. Restriction in ankle movements can also often be observed.

Köhler's Disease (Navicular Osteonecrosis) Diagnosis

Köhler DiseaseNavicular Osteonecrosis Diagnosis is usually made with imaging tests such as x-rays or magnetic resonance imaging (MRI). While x-rays do not usually show changes in the early stages, MRI is more sensitive and is used to determine the stage and severity of the disease.

Treatment usually begins with rest, painkillers, ankle support, and physical therapy. Köhler's disease usually heals on its own, but the healing process can be long (6-12 months). Depending on the severity of pain and symptoms, surgical intervention may be required.

With early diagnosis and treatment, it can usually be treated successfully. However, if left untreated, progressive damage to the bone can occur and cause chronic pain. Therefore, it is important to consult a doctor when symptoms occur.

Köhler's Disease (Navicular Osteonecrosis) Treatment Processes

Köhler DiseaseNavicular Osteonecrosis  Treatment varies depending on the severity of the disease and the patient's age, activity level and health status. Treatment may be more effective if started in the early stages of the disease. Treatment options may include:

• Rest: In the treatment of Köhler's Disease, rest is recommended to prevent overload on the ankle. In children, crutches or splints may be used to reduce walking during the treatment process.
• painkillers: Painkillers may be prescribed to relieve pain and discomfort caused by the disease.
• ankle support: Ankle support has an important role in the treatment of the disease. An ankle brace can prevent progression of the disease by providing additional support to the ankle bones.
• Physiotheraphy: Köhler DiseaseNavicular Osteonecrosis Performing physical therapy exercises is recommended to strengthen muscles and support bone remodeling.
• Surgical: In rare cases, if the disease progresses and does not respond to treatment, surgical intervention may be required. Surgical intervention aims to remove dead tissue from the bone and allow the bones to reshape.

The treatment process may vary depending on the severity of the disease and the type of treatment. If left untreated, Köhler's Disease can cause progressive damage to the bone and cause chronic pain. Therefore, it is important to consult a doctor when symptoms occur.