severs

[joann3925]

my daughter toohas beendiagnosed with severes  she has not had ortho therapy yet but has  doen many rounds of  physical therapy and  rest and other things she is a rather active child inpast and  grew  algreat deal this past year now 13 planning  to have an ortho see her she has had many podiatrist visit   the  severes is confirmed with mri onthe  right and the left  was  sen  4 months previously with xray  of suspicion  both feet hurt  pretty much allthe time she  just "lives with it
  she could not take gym that is a required  course inher school starting last month  this condition started in 05/11

what labs and  where should she go from  here  taking her to  primary  on friday for regerral to  ortho   another new issue is she started having headaches  about  2 months ago that are constant too

[joann3925]

she has done al that had an mri it did confirm the severes though xray suggeted the left foot and  mri suggested on the right  how do you keep a child  quiet in the middle of her active years  how long  cant his last  
went to ortho peds and they feel she has short tendon symdrome (fom the  growth?) he didnot say  
wants to do botox injection of the gastrous muscle
related it willbe confirmatory and  then idf this deos not resolve stripping of the  tendon

hjas taken tylenol  ib and  tried other painrelief modalities nothing works  the sever  pain seem to be  bit less constant  but sometimes it is real bad  she  went for a run the other day an tellsme it does not hurt  as much nmow

[S. Kaul, MD]

Hi there!

Well, without an evaluation, it would be difficult to determine the cause of her foot pain. Aside sever’s disease other possibilities that may need to be considered include fractures, ligament/ tendon injuries, infections, inflammations like fasciitis etc, spur formation, heel fat pad syndrome, arch issues etc. It is advised to consult an orthopedician for an accurate diagnosis and appropriate management. Meanwhile it is advised to rest the foot and avoid weight bearing. She could also use some tylenol for pain relief.
Hope this helps.

Take care!