Treatment by the podiatrist is aimed at alleviating the symptoms and correcting the cause of the symptoms. Injections to decrease the pain and inflammation in the heel area, as well as orthotic devices to properly align the foot are usually effective. This condition is seen commonly in adolescents, particularly boys in the 8-12 year age group. This is caused by stress and strain by the Achilles tendon on the posterior end of the heel bone, which has not yet fused to the rest of the heel bone. Strenuous exercise and activity cause irritation and pain in the heels, often seen in both heels simultaneously.
Treatment is usually complete rest and possibly casting, until the entire heel bone is fused.
After the age of 2, the legs should have straightened and progressed to a mild knock-kneed appearance, and gradually then should become straight by the age of 6 years. If bowing of the legs persists in a child past the age of 2 years, or if the bowing increases in severity, the child should be seen by a podiatrist for evaluation. After the age of 14, knock-knees is considered abnormal, and should be brought to the attention of your podiatrist. Persistent knock-knees past the age of 14 can lead to foot problems such as severe flat feet, which may be very difficult to correct. Limb Length Discrepancy Limb length discrepancy is a common condition that may not manifest itself until adolescence, when the child may become more active or more involved in activities such as sports.