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Journal of the American Podiatric Medical Association, Vol 89, Issue 2 67-74, Copyright © 1999 by American Podiatric Medical Association

JOURNAL ARTICLE

Heel pain in children. Diagnosis and treatment

CW Kim, K Shea and HG Chambers
Department of Orthopaedic Surgery, University of California, San Diego, Medical Center 92103-8894, USA.

Heel pain in children is common, and its evaluation is challenging. Medical history and physical examination may be unrevealing owing to children's limited communication skills. Often, advanced laboratory and imaging studies are required to make an accurate diagnosis. The most common causes of heel pain in children are apophysitis, enthesopathy, and overuse syndromes such as tendinitis. Juvenile rheumatoid arthritis is relatively uncommon. In very active children, occult fractures must also be evaluated. Pain unrelated to activity may indicate tumors, infection, or congenital problems. In general, heel pain in children is treated nonoperatively. For fractures in particular, children are less likely than adults to receive surgical treatment.


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