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Growth Plate Problems in the Lower Limb of Children

The developing bones in youngsters are at risk of injury if an excessive amount of stress gets put on the bone too soon and the bones are usually not provided time to adjust to those stresses. Normally in the ends of each bone are cartilage growth areas in which growth occurs at. It's this softer cartilage material zones that is susceptible to damage. Conditions with these growth areas are more frequent in children which are more active or have a higher body weight. All of these problems improve on there own when growth in the bone tissue is completed and the cartilage material growth plate area merges with the rest of the bone tissue.

Osgood-Schlatter Disease:

This is the growth injury in front and top of the shin bone just beneath the patella. It takes place in the location where the tendon from the knee cap inserts into the shin bone. The attachment of the tendon can become inflamed, painful along with a smaller hard lump can appear. This is commonly quite painful on physical activity and especially when ascending stairs. The treatment of Osgood-Schlatter Disease is generally using a decrease in exercise to within pain degrees as well as the use of ice following physical activity to assist with the discomfort. Stretches and also strengthening exercises are frequently done.

Severs Disease:

This is a problem to the growth plate region at the rear of the calcaneus bone which is more appropriately called calcaneal apophysitis. The symptoms of Severs is discomfort at the back and edges of the heel bone, specifically if you squeeze the heel bone from the sides. It is usually far more uncomfortable following physical activity. The most effective way to manage Severs disease is always to reduce physical activity levels to tolerable levels, use ice following physical activity.

Kohlers Disease:

This is a condition of the developing navicular bone in the foot with the pain being usually experienced at the top of the foot, just in front of the ankle joint. This usually impacts younger children. A characteristic signal of Kohler’s Disease is the fact that on x-ray the navicular bone is quite slender. This is nastier than the other types of growth problems and might have permanent implications, so these are generally put in a walking cast to immobilize the injured bone.