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Description of the Symptom

This chapter describes possible causes of ankle and foot pain in a child. Local causes are defined as occurring between the distal one-third of the tibia and the toes, inclusive of musculoskeletal and neurovascular structures that cross the ankle joint, rearfoot, midfoot, forefoot, and toes. Remote causes are defined as occurring outside this region.

Special Concerns

  • Pain of sudden onset without known cause

  • Pain that continues with rest or elevation of the feet

  • Skin breakdown, rash, or infection of any area around the foot

  • Unexplained mass(es)

  • Swelling of one limb for longer than 24 hours

  • Pain that increases with exercise

  • Any numbness, tingling, or other loss of sensation

  • Sudden inability to walk or loss of muscle strength

CHAPTER PREVIEW: Conditions That May Lead to Ankle and Foot Pain in a Child

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