Introduction Two very similar diseases are summarized as Morbus Köhler. Köhler’s disease I is the dying off of the scaphoid at the foot. The scaphoid is a tarsal bone. In contrast, Köhler’s disease II is the dying off of the metatarsal bone, typically that of the second, third or fourth ray. In both forms of … Köhler’s disease I and II
Complaints Typically, a child with Köhler’s disease is first noticed by pain when the affected foot is strained, whereby there is no external injury. Pain also occurs when pressure is applied to the scaphoid. There are a total of four scaphoids on the body, one on each foot and hand. In Köhler’s disease, the foot … Complaints | Köhler’s disease I and II
Prognosis Köhler I disease has a very good prognosis, even though the healing process can take a long time, several years. An operation is practically never necessary and the damage usually heals without consequences. The situation is different with Köhler II disease. One reason for this is that the disease is only recognized at a … Prognosis | Köhler’s disease I and II
Definition Growth pain is the term used to describe pain occurring mainly in the lower limbs during the growth phase between the ages of four and eighteen. Growth pain typically occurs in the evening and at night. The pain is usually brief and subsides on its own. The growth pain is not due to any … Growth pains
Duration The symptoms usually occur in children between five and ten years of age. A pain attack usually lasts about ten to fifteen minutes, but can sometimes last an hour. The pain usually occurs in the evening or at night. The following morning the children have no more complaints. The pain attacks usually occur over … Duration | Growth pains
Epidemiology Those affected are in the growth phase, which, depending on the source, can be placed in a range from the fourth to the eighteenth year of life. In some cases, the pain already occurs in two and three-year-old infants. Girls and boys are equally affected. Depending on the population, frequencies of 4-37% occur in … Epidemiology | Growth pains
Therapy Growing pains are unclear, frequently occurring non-malignant pains, which occur particularly in the area of muscles, joints and bones. Many infants often complain of pain at night and especially in babies, these complaints can be accompanied by nightly restlessness and tearfulness. For babies who find it difficult to sleep, are particularly restless and do … Therapy | Growth pains
Growth pains during pregnancy The classic growth pain describes a pain that is mostly in the legs, more rarely also in the arms. Usually the different tissues such as bones, ligaments and muscles do not grow evenly during a growth spurt, which is why different strains are repeatedly placed on the arms and legs. This … Growth pains during pregnancy | Growth pains
Differentiation from a tumor It is important to distinguish the harmless growth pain from malignant bone tumors. Because bone tumors can cause similar complaints in the bones as the growth of children. If growth pain is to be clarified by the physician, always only different causes are excluded such as a malicious bone tumor, a … Differentiation from a tumor | Growth pains
Definition – What is growth pain in the knee? Growth pain in the knee is pain that occurs mainly at night. Those affected are often awakened by the pain. The growth pains are usually bilateral and often radiate into the thighs. Since there is no test that can be used to diagnose growth pain in … Growth pain in the knee
Duration of growth pain in the knee Growth pain in the knee usually occurs at night and lasts for a few minutes to hours. After the administration of painkillers, they can usually improve within 30 minutes so that the affected child can sleep again. In the morning, the pain usually disappears. During individual growth spurts … Duration of growth pain in the knee | Growth pain in the knee
Diagnosis The diagnosis of growth pain is primarily to rule out other diseases. A clear diagnosis of growth pain in the knee cannot be achieved through tests. Instead, diseases such as injuries and infections in the knee must be excluded. Joint inflammation and arthritis can usually be excluded by blood tests. Bone lesions or tumors … Diagnosis | Growth pain in the knee
