In children of the age category from 7 to 15 years involved in sports, the development of such pathology as Schinz's disease is possible. It is associated with the destruction of the spongy bone of the heel and can lead to lameness and pain in the joints. However, do not despair, because this disease is curable, if you follow all the guidelines recommended by doctors.
General characteristics of Schinz's disease in children
In the scientific dictionary, Shinz's disease is defined as osteochondropathy of the calcaneus. The fact is that in each person the process of the final formation of the bone apparatus is completed by the age of majority, and if at this age the heel bone is subjected to great loads, then the development of Schinz's disease can be achieved. In children who are not involved in sports, this disease usually does not occur, because they do not have constant loads on the legs.
Schinz disease develops due to improper circulation of the blood supply in the heel region. The blood simply does not have time to move normally due to constant jumps and jumps. As a result, necrosis of spongy tissue and improper formation of ossification occurs.
How is pathology manifested?
The specialists have thoroughly studied and studied this disease, so they can diagnose the patient without too much difficulty. Most often, Schinz disease develops in boys and in 20% of girls involved in sports games. Often, only one heel is affected, but in rare cases, the disease can be affected and two legs at the same time.
Symptoms of Schinz's disease in children:
- pain in the heel area with a gradual increase and increase of lameness;
- nagging pain worse after playing sports and long walking;
- the appearance on the back side of the heel swelling, accompanied by aching pain, especially at the moment of touching and pressing it;
- attempts of the child to walk on socks because of the inability to lean on the heel;
- decrease in motor capacity of the foot.
A swelling above the heel appears when the disease form is neglected, but it is not accompanied by temperature and redness. The development of Schinz's disease in children takes place in different ways: sometimes for a month, and in rare cases, can last for two years.
Constant strain of the tendons leads to pressure on the muscle tissue and, as a result, to the appearance of swelling. Temporary reduction of the load on the legs does not give a positive result, since for the final recovery you must complete a full course of treatment.
The main causes of the onset and development of Schinz's disease in childhood
Doctors identify several obvious causes that may affect the development of Schinz's disease in children. These include:
- underdevelopment of blood vessels;
- weak muscle tissue;
- lack of calcium in the body, which leads to the destruction of bone cartilage;
- genetic predisposition;
- endocrine disruption;
- heel or lower leg injuries in childhood.
It is necessary to monitor the child closely and consult a doctor at the very first symptoms of the disease, as late treatment can worsen the subsequent result of recovery. It is possible that the treatment process with the neglected form of the disease will last for many years and will not give the final positive result.
Diagnosis of pathology and its treatment
The development of Schinz's disease can be determined by the complaints of the child and during an external examination. The orthopedic surgeon makes a diagnosis, based on the result of the X-ray, in order to understand the complexity of the disease and prescribe the correct treatment. In surgery, there are diseases that are similar to Shinz's illness, so you need to be extremely careful when making a diagnosis. Similar symptoms are observed in such diseases as:
- heel tuberculosis;
The course of treatment is based on the following criteria:
- neglect of the disease;
- the degree of destruction of the calcaneus;
- the presence or absence of swelling;
- level of painful sensations.
In cases of Schinz disease in children, as a rule, the treatment is conservative and, above all, includes limiting the movement of the patient. Reducing the load on the heels is due to the tight bandage of elastic bandage or plaster. If the development of the pathology is accompanied by pain, then physiotherapy procedures and the use of painkillers are prescribed. As a physical therapy, conduct:
- ultrasound with hydrocortisone.
European experts advise to carry out therapy from baths with relaxing oils and herbs, as well as to use ozocerite baths.
Main regulations rehabilitation period:
- after full recovery, doctors recommend avoiding large loads on the legs;
- shoes should be worn only with special orthopedic insoles without heels;
- for each patient, the insole must be individually selected by special order;
- a child with Schinz's disease is necessarily exempt from physical education and training;
- load on the foot should be minimal;
- for fixing the heel in the correct position, it is better to wear shoes with high heels and laces.
Is it possible to cure a child at home?
Specialists have not identified the popular methods of treating Schinz's disease, therefore it is necessary to strictly adhere to the prescriptions of the doctors and not to self-medicate. At home, you can only apply compresses to reduce pain and take warming baths.
In case of severe pain, it is recommended to lubricate the heels with such anti-inflammatory ointments:
- Fastum gel;
To remove the edema, you can use the bath of sea salt, as well as make applications of therapeutic mud.
In almost all cases, Schinz's disease in children goes without complications, but sometimes it is necessary to carry out an operation to cut off the nerve transverse stem. Such a surgical intervention is not always justified, since any abnormal jump can subsequently lead to serious complications. The implementation of the parents of all recommendations of the attending specialist will restore the health of the child.