Iselin Disease

This blog discusses a painful condition that can occur in active children and the treatment that we The Footcare Centre can offer.

Iselin Disease

I recently diagnosed a girl that was suffering from severe pain on the outside of her foot as Iselin Disease, a condition that I personally have not seen for a number of years. So as it’s an interesting disease I thought I would blog about it.

Iselin disease is a very painful inflammation or swelling of the growth plate at the base of the 5th metatarsal bone (the bumpy bit on the outside of the foot a 1/3 of the way up from the heel).

This growth plate which is made up of cartilage fully fuses into bone around the age of 12-14 years old. Before the growth plate matures it is soft and vulnerable to trauma especially from running and jumping activities. A similar condition is also seen within the heel called Severs disease; both diseases are generally caused from repetitive pressure or tension on the growth plate.

With Severs disease tension comes from the Achilles Tendon however in Iselin disease it mainly comes from the peroneal brevis tendon that inserts into the base of the 5th metatarsal. Abnormal foot posture combined with unsupportive footwear can be a contributing factor in both of these conditions.

A common presentation is found in children that are active between the ages of 9-14 (my patient was a 10yrs old gymnast at an elite level) that have a localised pain with swelling, redness and possibly warmth on the outside of the foot that causes the person to limp. Pain worsens upon exercise and feels better at rest.

Treatment of the condition may include any of the following:

Depending on the severity, Iselin disease with the correct treatment can settle relatively quickly.

Other conditions can present similar to this and therefore needs to be effectively diagnosed so if you or your child is suffering from pain on the outside of the foot then please call us 01932 849373 or book online.

This blog has been written by David Good and is not necessarily the opinion of The Footcare Centre Ltd.

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