Iselin’s disease is a traction apophysitis that occurs at the base of the fifth metatarsal causing pain on the outside of the foot of the child.
Iselin’s disease is characterized by inflammation and irritation of the growth plate at the base of the fifth metatarsal bone, called the apophysis. The specific cause of Iselin’s disease is not well understood, but it is thought to be related to repetitive stress or trauma to the foot, such as participation in sports activities that involve running, jumping, or pivoting.
Symptoms of Iselin’s disease may include:
- Pain on the outer side of the foot, particularly near the base of the fifth metatarsal bone.
- Swelling and tenderness in the affected area.
- Difficulty with weight-bearing activities or walking.
Treatment for Iselin’s disease typically involves conservative measures aimed at reducing pain and promoting healing. These may include:
- Rest: Limiting activities that exacerbate symptoms, particularly those that involve high-impact or repetitive stress on the foot.
- Ice therapy: Applying ice packs to the affected area for 15-20 minutes at a time, several times a day, to reduce pain and inflammation.
- Pain management: Over-the-counter pain relievers may be recommended to alleviate pain and discomfort.
- Supportive footwear: Wearing shoes that provide proper cushioning and support can help reduce pressure on the affected area.
- Physical therapy: Stretching and strengthening exercises prescribed by a healthcare professional may help improve symptoms and prevent recurrence.
- Gradual return to activities: Once symptoms have improved, gradually reintroducing activities under the guidance of a healthcare professional can help prevent re-injury.
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