An ankle fracture is accompanied by one or all of these symptoms:
Pain at the site of the fracture, which in some cases can extend from the foot to the knee
Significant swelling, which may occur along the length of the leg or may be more localized
Blisters may occur over the fracture site. These should be promptly treated by a foot and ankle surgeon.
Bruising that develops soon after the injury
Inability to walk—however, it is possible to walk with less severe breaks, so never rely on walking as a test of whether a bone has been fractured
Change in the appearance of the ankle – it will look different from the other ankle
Bone protruding through the skin—a sign that immediate care is needed. Fractures that pierce the skin require immediate attention because they can lead to severe infection and prolonged recovery.
The following options to treat calcaneal apophysitis will be selected:
Reduce activity.The child needs to reduce or stop any activity that causes pain.
Support the heel. Temporary shoe inserts or custom orthotic devices may provide support for the heel.
Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, help reduce the pain and inflammation.
Stretching or physical therapy modalities are sometimes used to promote healing of the inflamed issue.
In some severe cases of pediatric heel pain, a cast may be used to promote healing while keeping the foot and ankle totally immobile.
Often heel pain in children returns after it has been treated because the heel bone is still growing. Recurrence of heel pain may be a sign of calcaneal apophysitis, or it may indicate a different problem.
If your child has a repeat bout of heel pain, be sure to make an appointment with your Podiatrist
Overuse and stress on the heel bone through participation in sports is a major cause of calcaneal apophysitis. The heel’s growth plate is sensitive to repeated running and pounding on hard surfaces, resulting in muscle strain and inflamed tissue. For this reason, children and adolescents involved in soccer, track, or basketball are especially vulnerable.
Other potential causes of calcaneal apophysitis include obesity, a tight Achilles tendon, and biomechanical problems such as flatfoot or a high-arched foot.
There are two different categories of heel pain.
The First Is caused by over-use repetitive stress which refers to a soreness resulting from too much impact on a specific area of the foot. This condition, often referred to as "heel pain syndrome," can be caused by shoes with heels that are too low, a thinned out fat pad in the heel area, or from a sudden increase in activity.
The second is Plantar fasciitis, a very common diagnosis of heel pain, is usually caused from a biomechancial problem, such as over-pronation (flat feet).
The plantar fascia is a broad band of fibrous tissue that runs along the bottom surface of the foot, from the heel through the midfoot and into the forefoot.
Over-pronation can cause the plantar fascia to be excessively stretched and inflamed, resulting in pain in the heel and arch areas of the foot. Often the pain will be most intense first thing in the morning or after a prolonged period of rest.
The pain will gradually subside as the day progresses.