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Night-time foot pain in children

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  #1  
Old 28th June 2008, 02:05 AM
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Default Night-time foot pain in children

My daughters suffer from pain in their feet at night. They describe it as having "cold" feet, so I can only guess at poor circulation? Their father recognised the symptoms and recalled having the same problems as a small child. My daughters are 4 and 2 years. Any suggestions or advice would be greatly appreciated.
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Old 28th June 2008, 02:56 AM
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Default Re: Night-time foot pain in children

Unless your daughters really have something seriously wrong with them, I highly doubt that at age 2 and 4 years they are demonstrating symptoms of poor circulations. It is certainly not common for such young children to be complaining of foot pain, even when there is justification for it. But it is especially hard for me to associate their relating feet feeling cold to pain, short of their having frost bite or sudden arterial occlusion, and I certainly don't think that is the case. But asking why they have pain, and especially only at night, without even some sort of story which elucidates on it is no more reasonable than asking what's wrong if they perhaps had a headache of a stomach ache and expecting a meaningful answer. First, get as much detail as you can to the extent that your young children can offer it to you, and then seek out a podiatrist who specializes in or has a good deal of interest in treating the feet of children.
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Old 30th July 2008, 06:11 AM
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Default Re: Night-time foot pain in children

i have had foot pains since i was about five all the way up till now( i am now 16) it is always the same foot (right) and when i was little i would wake up crying in pain on the side and bottom of my foot the doctor said it was just growing pains but my parents never really were sure thats what was causing it. i would suggest taking them to the doctor to see what they think because i remember having it when i was a child and at times the pain was horrible
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Old 14th August 2008, 01:38 AM
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I have a son who is 4 and wakes up at night in tears because his feet hurt. I have to give him motrin and I also rub myoflex on his feet. I feel bad for him because I know they hurt and I have no reason why. He has had this problem for about the last year or so. It does not seem to be getting better either. I also thought growing pains but now I am not sure. I just know he wakes up in pain about once or twice a week.
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Old 14th August 2008, 03:04 AM
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Default Re: Night-time foot pain in children

Kohler's disease, an avascular necrosis of the navicular bone of the foot comes to mind, but that certainly does not constitute a definitive suggestion of a diagnosis. See a podiatrist who is into treatment of children's foot problems. There is no such thing as "growing pains," no matter how many wives-tale references you might find regarding them.
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Old 3rd September 2008, 03:53 AM
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Default Re: Night-time foot pain in children

I was looking up foot pain in children and found this site. Ironically, I have the same problems and some of you. My 6 year old son just went to bed and started to cry because his feet "are cold" and hurt terribly. I just gave him motrin. I asked my doctor about it last year and he said there was nothing in the text books about having "cold feet". This has been going on for about 1 year but it does not happen all the time - just once in a while - so it's not a chronic pain.
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Old 11th September 2008, 02:21 PM
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Default Re: Night-time foot pain in children

Thank you for having this Forum for Foot Health problem. This is an excellent idea.

I have 6 year old who is exactly having the same problem. It only happens at bed time / night especially when it is cold. It's been like this since when he was two. Although It does not happen all the time but when it happens it is really painful.
He wakes up at night in tears because his feet hurt. I have to massage his feet and make him wear thick socks to make it warm to relieve the pain. And it works.
I have no clue or any reasons why it is happening and most of the time it happens at night when it is cold. It does not happen on summer season only in cold season.

Do you think it is related to Diabetes? Or just poor blood circulation, restless legs or perhaps Diabetic neuropathies (click this for info on Diabetic neuropathies)
I have an older son who is 9 yrs old and 2 yrs old daughther, they don't ave this cold-feet syndrome.

I also found another information relating to cold-feet symptoms, which is Raynaud's phenomenon
Click here to find out more about this Raynaud's phenomenon

Last edited by Seven; 11th September 2008 at 02:30 PM. Reason: adding more info
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Old 12th September 2008, 06:37 PM
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Default Re: Night-time foot pain in children

DISCLAIMER:
THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE
READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
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Neither you not the previous poster has made it clear whether the child's foot is actually cold or if he/she simply perceives it to be cold. If, indeed, the child's foot is actually sufficiently cold so as to cause real pain, you need to be consulting a circulatory specialist.
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Old 15th September 2008, 02:15 PM
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Exclamation Re: Night-time foot pain in children

[quote=FootDoc;3823][font=Arial]DISCLAIMER:

My sons also face the similar problem. It is observed during cold season. my opinion is bcos of contrction of muscles in cold and hence pain. By massaging with warm coconut oil, the pain get subsidise.
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Old 16th September 2008, 02:17 AM
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Hey! My four year old daughter's "feet hurt" too! I've thought maybe growing pains, but they aren't supposed to last so long.. and ONLY hurt at night. Of course, she could be too busy to notice during the day.. I sometimes wonder if it's just that she likes foot rubs before bed, but she insists its real and is very consistent about it. I've tried to get her to describe the pain and she has also described it as a cold feeling. They aren't cold.. but when digging for a description, that's a word she's used. It seems to be VERY hard to describe. My friend's three year old has had this issue as well. So I think it IS common in some children. There doesn't seem to be anything wrong. My daughter used to have night terrors and wasn't a great sleeper.. but now that she's better at describing and meeting her own needs, and sleeps better, she never wakes in pain. She just feels it before going to sleep. She says that's the only time she gets it, and once in a great while in the morning when she first wakes. I have wondered if her arches are forming and she can feel it, or if she's just adjusting to increased exercise. She says "they hurt so bad!" but I can tell it's not terrible because she's calm when she says it and falls asleep shortly after complaining. I don't make a big deal out of it and she doesn't get much reward for it, besides a 30 second foot rub.. but she knows she can just ask for a rub without complaining. So while I don't think its a big deal, I do think it's real. Anyway, mostly just wanted to say, "me too."
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Old 16th September 2008, 02:27 AM
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Default Re: Night-time foot pain in children

You might want to check this discussion on Growing Pains at over at Podiatry Arena (a forum for health professionals)
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Old 16th September 2008, 05:26 AM
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My 5 year old boy also suffers from night time foot pain...sometimes it is only one foot other nights both feet...sometimes he simply cannot sleep at all from the pain. He has not been able to explain the pain other than it hurts and is on the base of his feet. His activity level doesn't seem to affect whether he will have the pains or not. I have simply been massaging him and if the pain is unbearable for him I give him painkillers.
I read an article in a girly magazine written by Joanna Griggs (an Australian swimmer) that her son also suffered for years from this particular problem and she always put it down to growing pains but then actually finally discovered what it was...but for the life of me I can't find any information on it as I don't remember what it was called. So frustrating and I feel for the little man as I know he really is in agony..so off to the podiatrists and hopefully a good one who can diagnose and help him.
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Old 31st October 2008, 07:31 AM
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We have struggled with foot pain for several years now. I am up because we just had another case. My daughter is 9 and we've been to 2 podiatrists and a pediatric orthopedic specialist at Vanderbilt University. So far we haven't gotten a lot of answers. After tonight's incident I'm definately going to me more demanding about searching for the cause. Hers is only at night, only one foot and she wakes up shaking in tears from the pain. She has never said anything about the foot being cold. I gave her ibuprofen and rubbed as best I could and after 1 hour she calmed and has gotten back to sleep. I hate to see her in so much pain! I can't seem to find any help - all blood tests have been done to rule out medical conditions and were normal. I think the next step is that they want to look at her back, but the pain is always only in the foot..... what to do?
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Old 18th November 2008, 07:08 AM
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My 3 year old daughter has been waking up 3-4 nights a week in tears from foot pain for about a year. Sometimes both feet bother her sometimes only one does. She is fine during the day but will wake repeatedly at night until I give her Ibuprofen. She has never described it as cold. I have noticed a correlation of pain to days that she is particularly bouncy. Our pediatrician said not to worry about it if it does not affect her day time activities. My older daughter (14) used to wake at night crying but I don't recall it being from foot pain. She has been successfully braced for scoliosis. Recently I mentioned the foot pain to her orthopedist (a very highly regarded doctor, head of our Children's Hospital in a very urban area). He said he hears complaints of it a lot and not to worry about it. Of course I am looking into it which is how I found this site. The Ibuprofen takes care of the pain but I do worry. Although I'm not sure if seeing many doctors and worrying more is the answer.
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Old 19th November 2008, 11:55 AM
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I have been all over the net tonight as we just had another episode of the same thing in my 5 1/2 year old. There are tons of people asking about this but so far no answers or even leads really. I have a friend who says it is dehydration and I have read that muscles cramp when dehydrated and I have even been able to see a correlation here with that. I still would like to know what it tis though. Very frustrating.
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Old 21st November 2008, 10:48 PM
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My little girl has been suffering with night time pain in her right foot since she was 18 months old, i took her to my GP and he said that it was just growing pains i wasn't happy with that and demanded xrays to be done, they came back normal but 2 and a half years on the pain has got so much worse, took her to a different GP who sent her to the hospital to be seen by a physio, we had further xrays done and they now show damage to part of the bone which is restricting the blood supply to that part of the foot which causes the awful pain, It is called KOHLER DISEASE 9 times out 10 it heals its self but in my daugthers case it has too much damage and she now needs to have her foot put in a cast for 8 weeks to hold the foot in place, hopefully this will sort my poor little girls pain out.
http://en.wikipedia.org/wiki/K%C3%B6hler_disease
Hope this link helps.

Last edited by Admin; 21st November 2008 at 10:51 PM. Reason: removed check4spam message
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Old 4th December 2008, 06:57 PM
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Question Re: Night-time foot pain in children

My 6-year old son also complains of severe foot pain at night in both feet. He has always had a very high threshold for pain so it really bothers me that something may be seriously wrong. But, I have been researching all over the net and I believe it is Kohlers disease (cut off circulation - usually temporary - for a year). We are going to let it be for awhile and see if it does indeed work itself out - if not we will pursue treatment further. My son is VERY active and loves to do sports, so this does worry me. We will give him motrin for the pain in the meantime.
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Old 4th December 2008, 08:03 PM
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Default Re: Night-time foot pain in children

Quote:
Originally Posted by Unregistered View Post
My 6-year old son also complains of severe foot pain at night in both feet. He has always had a very high threshold for pain so it really bothers me that something may be seriously wrong. But, I have been researching all over the net and I believe it is Kohlers disease (cut off circulation - usually temporary - for a year).
Congratulations! I would suggest that yours is the first possibly relevant lay post since this thread was begun. If you will look back at the previous posts you will see that in August I stated that avascular necrosis of the navicular comes to mind. That condition is also know as Kohler's disease of the navicular. That is not to say that either of us have hit on the diagnosis, but at least we have come up with a condition that is know to manifest itself in part as night-time foot pain in children.
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Old 25th December 2008, 03:17 PM
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Is it real? Why am i here? Because my 4 year old son just had ANOTHER bout of hurting feet. This occurs occasionally, ONLY at night, and sometimes in both feet. He has in the past woke up screaming in pain. All i can do is rub them, he insists this makes it better. He is not prone to exaggeration or whining. I did this time get him to point out an exact location of where the pain is, and he indicated it was the TOP of his foot, over the arch. He is otherwise completely healthy and active.
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Old 9th January 2009, 04:36 PM
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My 4 yr old has a similar complaint. She wakes up at night once or twice a week screaming and crying about her "leg". When you ask her to point to where it hurts it is the top of her foot and/or her ankle. Massaging the area helps, heating pad, and children's motrin. Sometimes she casually complains about her "legs" being sore in the morning and limps a little and then she is fine. Healthy child otherwise except food allergies. Could it be a vitamin deficiency? Any other ideas of what might cause this? We had blood work and xrays done a year ago and nothing was suspicious. She does not say her foot is cold and I have not noticed it being cold.
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Old 18th January 2009, 10:05 PM
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Thank you for all the information. My 2-year old just started complaining of foot pain in the middle of the night, so bad that he couldn't sleep at all. Gave him some Motrin and massaged his feet and he finally settled down. We will closely monitor him and take him in to see the doctor if need be. Any more information or advice would be greatly appreciated.
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Old 15th February 2009, 01:44 PM
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Thank God for the internet. My 9 y/0 daughter has been complaining of foot pain for years. It's always in one foot, at night, and very sporadic. She cries and describes the pain in her arch as the bone being cold. Not much really helps but we'll use warm socks, a heating pad, and/or ibuprofen. I will be looking for a podiatrist that has experience w/ Kohler's disease.
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Old 17th February 2009, 11:18 PM
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My 7 year old daughter has had a history of bad leg pain at night from 3 years old til she was 6. Our doctor said it was growing pains. Now my 4 year old daughter often wakes with foot pain. We used to think she must be laying on it funny and cutting off the circulation. Recently we've wondered if her pajamas elastic near her ankle was too tight. She has suffered from night terrors in the past. I know someone else mentioned her daughter also had a history of night terrors. Her foot or feet hurt mostly at night but also occasionally during the day, like today. Sometimes I have to carry her because it hurts her too bad to walk on it but it never lasts all day. We have a podiatrist friend. I'll see what he has to say. Glad to find out that Kohler's disease is a possible answer.
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Old 20th February 2009, 06:54 PM
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My daughter is 9 and has complained of foot pain at night since she could speak (about 18 months). It is somewhat random, but always at night. Sometimes one foot, sometimes both. It comes in spurts. I have asked pediatricians on several occasions and was just told "growing pains" or to just use tylenol.

Yesterday I took her, for the first time, to a podiatrist. Her x-rays were completely normal but he noted that her plantar fascia was extremely tight, and felt that was the cause of her problems, plantar fasciitis. We are going to work on stretches and she is getting custom inserts for her shoes (her feet are too small for premade ones). We will see how it goes.
mk
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Old 3rd March 2009, 09:05 PM
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Default Re: Night-time foot pain in children

Hi
My son is 2.5 years old.He has Torticollis ( wry neck) and has had stretching exercisies for this and he has come along way but his whole body is out of enlignment i think he may have scoliosis and also walks on his tip toes. He complains of his feet hurting, he screams with pain i was up with him for the best part of the night with him. It doesn't happen every night but it seems to be getting regular. I am so glad i have found this website its good to know i am not on my own.
Mel
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Old 8th March 2009, 05:09 AM
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Our 5 yr old seems to be having much the same as others have described. I'll have to ask about the cold sensation but he didn't say that yet. This is the first serious bout of it and I'm glad to find this information. We've already given him Motrin so hopefully that'll help.
Interesting topic and thanks to all
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Old 9th April 2009, 07:40 PM
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I have always had "growing pains". Thats what my mom always called them. My son recently has been waking up in the middle of the night or even after a nap and complains his feet hurt. Sometimes he says they are cold as well. If your foot has ever "fallen asleep" sometimes it will have a painful and cold sensation as it "wakes up". My chiropractor educated me on calcium citrate. Not enough calcium in our diet will cause muscle contractions. Charlie horse is a good example. Surprisingly milk does not offer the amount of calcium needed to fulfill our daily intake and supplements are often the case. Try calcium citrate not carbonate. Carbonate is a manufactored version and citrate is natural. I give my son multivitamins daily.
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Old 12th April 2009, 10:02 AM
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My daughter (turned 3 recently) has had a few instances of leg pain, but tonight woke up crying about her feet hurting. We gave her ibuprofen, and rubbed her feet. I asked if it felt like lots of pokes all over her feet and she said yes, so it made me think of the "asleep" feeling, but it took a long time to go away. After reading some of this post I asked if her feet were warm or cold, she said warm.

Now she was diagnosed over a year ago as having Internal Tibial Torsion (a twist in the tibia bone) and it causes her to walk toes in. The Orthopedic Pediatrician said it would correct itself by age 7 by encouraging sitting cross legged. Anyway, I'm wondering if any of the other children have leg bone concerns, or walk toed in as I'm wondering if this is a piece of it.
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Old 23rd May 2009, 11:07 PM
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Quote:
Originally Posted by Unregistered View Post
I have a son who is 4 and wakes up at night in tears because his feet hurt. I have to give him motrin and I also rub myoflex on his feet. I feel bad for him because I know they hurt and I have no reason why. He has had this problem for about the last year or so. It does not seem to be getting better either. I also thought growing pains but now I am not sure. I just know he wakes up in pain about once or twice a week.
My son is 3 years old and he also wakes up in the middle of the night in pain with his foot,
Doctor said it was his shoes adidas, nike that was giving him the pain so we stopped putting those type of shoes on him but he is still in pain.
I would just love to find out once and for all what the problem is, good luck with your little boy. xx
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Old 3rd June 2009, 02:14 AM
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My son is almost 4 years old and also developed foot pain with no history of injury. It is worse at night causing him to wake up crying, and is also relieved by motrin. As is turns out, his father and I are both physicians and I am an orthopedic surgeon. I brought him to a friend who is a pediatric orthopedist who believes this is Kohlers' and he is being treated in a walking boot. To offer another possibility for those whose kids do not have radiographic changes consistent with Kohlers' (collapse and sclerosis of the navicular bone), there is also an entity called osteoid osteoma. This is a small benign bone lesion (often less than 1 cm) that is tremendously painful, hurts more at night, and is reliably relieved with NSAIDS (motrin, etc.). The foot is not a common area and it is usually seen in the 10-20 year old range, but I have seen it in kids younger than 10. It usually resoves on its own in a couple of years but occasionally requires a procedure to remove it or a radiofrequency ablation in cases where the symptoms are intolerable. They are frequently visible on xrays but occasionally a CT is required to see them in smaller bones. Just a thought...
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