Re: child back of heel pain

Calcaneal apophysitis or inflammation of the growth plate is common in active children until the growth plate in the heel bone finally closes down (around 14). I always x-ray both heels and do a careful comparison. Fractures of the growth plate can occur. Also (although more rare) the blood supply to the growth plate can get disrupted and the bone needs to be immobilized until new blood supply regrows.

The casting may not have been in place long enough. If he had a cast boot, then it might be as simple as putting him back in it.

Having said all of this, I can not be certain of any of the above, as I have not examined him.

Posted By Vivian Abrams DPM on October 08, 2005 at 20:41:33:

In Reply to: child back of heel pain posted by tom on October 07, 2005 at 20:11:08:

This slip-on device is a soft and stretchable Nylon/Lycra® fabric molded with a proprietary gel pad to protect the entire Achilles tendon of the foot by absorbing pressure and friction resulted from rubbing with the surface of the shoe.

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