Freiberg’s Disease

Gold Coast Children’s Podiatry

Freiberg’s disease – Ball of the foot pain  Treatment

Ball of the foot pain in children is very common. It is made worse the more they walk. Freiberg’s disease is basically growing pains. Ball of the foot pain can be very sore and hinder the activities that children do, preventing them from doing the activities they love. Children will eventually grow out of it after a few years. It is important to understand the cause the ball of the foot pain though, as tight muscles may make it worse. It is also important to try and offload the ball of the foot so that the child may continue their normal activity.

Just before puberty the foot bones typically grow faster than the surrounding soft tissue

What Is Severs Disease – heel pain

An irritation and inflammation of the growth plate (apophysis) at the 2nd/3rd metatarsal head (ball of the foot). In a child, the bones grow from areas called growth plates. The growth plate is made up of cartilage cells, which are softer and more vulnerable to injury than mature bone.

Ball-of-Foot-Pain ace podiatry gold coast

Risk Factors 

  • Tight calf’s
  • Boys 3:1 girls
  • Growth spurts
  • Active children
  • Between age 12-18
  • Inappropriate footwear
  • Flat feet

Signs & Symptoms

  • Tenderness over the 2nd/3rd metatarsal head
  • Occurs between 8-15 years of age
  • Increase in pain during or after activity
  • Can cause changes in shape to the bone
  • May lead to OA of the joint and require surgery later in life
children's feet ace podiatry gold coast
children's feet ace podiatry gold coast

Preventing Freiberg’s disease  – Ball of the foot pain

  • Correct footwear
  • Warm up, cool down
  • Orthotics