Iselin's Disease

My 11 year old daughter is a competitive swimmer who has been diagnosed with Iselin's disease, which is similar to Sever's disease but at the base of her 5th metatarsal. I have tried to find out about it on the internet but there is very little about it, mainly repeats of the same information. At the moment she has on a removable walking cast which she must wear for weight bearing but can take off at night. She has had this for 3 weeks during which time the pain has reduced to an ache, disappeared, returned as an ache , returned as a pain, and reduced to an ache with no particular pattern or identifiable triggers (i.e. it is as likely to start hurting whilst she is sitting doing nothing, as when she is walking about). My daughter is keen to return to her swimming, which theoretically shouldn't be a problem, but which did make her foot hurt more before the cast went on. We have an appointment to see a physio once her cast is removed, but the physio has never come across this condition before either. Does anyone have any experience of this condition that they could share with me, particularly around whether the pain ever went away completely (before growth was complete), and what treatments helped. Thanks - UK mum

[FootDoc]

I have never had a patient with that problem, so I cannot personally attest to what is presented in the below reference, but it seems to be a reasonable review.
http://www.childrensmemorial.org/dep...n-disease.aspx

Foot Doctor. Thanks for trying to be helpful, and so quickly. As it happens this is the same info that the consultant at the hospital gave me (who hadn't come across a patient with the condition either)- and I think it is the best information around, but it doesn't quite seem to be matching with my daughter's experiences which is why I hoped that this forum might uncover others who had encountered it, to see if their experiences had more in common with my daughter's. If you haven't come across it either then maybe it just is an uncommon complaint. Always likes to be different, my daughter! UK Mum

Hello my daughter has Iselins Disease. She has had it since she was 5 and is now 13. We found the more she is in sports the more it will swell common sense whe have seen Surgeons at chop in pa and various doctors. They can put pins in a fuse the growth plate but they will have to remove them and the Surgeon did not think this was the best option either. We ice the foot when it swells, put the cast on and keep her off of it as much as posssible when it swell because if it breaks surgery is the only answer.

I know my daughter too! We are working on trying to see the doctor again this week. We are in the middle of a flare up and it has lasted a week in pain and with the boot on. The only concern I have the last x ray showed the growth plates are fused appox 90 percent and it is still swelling. I read a article that said they could have this up until age 18 to 19 that really concerns me. I know that hospitals that specialize in Childern really have some good ideas about this but then once there treatments don't work I am stuck. Keep me posted and I will let you know what the new doctor says.

PA MOM

My 12 year old son, who plays basketball, has Iselin's and Sever's. When we discovered the Iselin's, he had actually broken the growth plate at the base of his baby toe. He was in a walking boot 24/7 (slept in it but could bathe without it). He was out of sports, by doctor's order, for 6 weeks. The doctor said that he needed this extended time to heal. This was December of 2008. He started playing basketball again immediately after that and has had no problems since then. I hope that helps.