Iselin’s Disease

Causes and Risk Factors of Iselin's Disease:

• Overuse: Activities like running, jumping, or sudden movements (e.g., soccer, basketball) put repetitive stress on the fifth metatarsal, leading to growth plate inflammation.

• Adolescence: The condition commonly affects adolescents when bones are still growing and the growth plate is more vulnerable.

• Foot Alignment Issues: Abnormal foot mechanics, such as flat feet or high arches, may contribute to Iselin’s disease by increasing the stress of the peroneal tendons on the fifth metatarsal bones. 

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Signs and Symptoms of Iselin's Disease:

• Pain on the Outside of the Foot: Pain and tenderness at the base of the fifth metatarsal, which may worsen with activity or pressure.

• Swelling: Swelling around the affected area, often visible on the outer side of the foot.

• Pain During or After Physical Activity: Increased pain or discomfort while running, jumping, or engaging in weight-bearing activities, which may persist afterward.

• Limping: A child may limp due to discomfort or pain in the affected foot.

Treatment of Iselin's Disease

• Activity Modification: Reducing activities that stress the affected foot, such as running or jumping.

• Footwear: Wearing shoes with proper support and cushioning to alleviate pressure on the affected area.

• Stretching and Strengthening Exercises: These exercises can help improve a child’s muscle strength and flexibility, reducing stress on the affected area.

• Customised Insoles: Orthotic devices can improve foot mechanics and reduce pressure on the fifth metatarsal.