We see a lot of children at our clinic. There are a number of different problems that they come in for. A common complaint is a painful bone that sticks out on the inside of the foot or sometimes the outside of the foot. On the inside of the foot or medial aspect it may be that they have the beginning of a bunion or juvenile bunion. This is similar but often more aggressive than the adult form of a bunion involving prominence of the first metatarsal head. Further back on the foot on the inside (medial) aspect the navicular bone often has an accessory bone or accessory navicular.

Up to 10% of the population may have this. Also the navicular bone itself even without the extra or accessory bone may be quite prominent. This is much more of a problem in children that have low arches/hyperpronation or flat feet. The posterior tibial tendon that attaches this location is at a strong mechanical disadvantage. On the outside or lateral aspect of the foot there may be a tailors bunion or bunionnette. And a smaller percentage of the pediatric population will have a growth plate or and apophysis of the 5th metatarsal base. This is called Iselin's disease. We will go over each of these more detail in some of our following blogs and discussion.

If you are experiencing foot or ankle pain, give us a call today at 425-391-8666 or make an appointment online today.