How to Treat a Separating Heel Growth Plate
Your child is complaining of heel or ankle pain after running or playing a sport. He may have trouble putting weight on that foot. You suspect a sprain, or even a fracture, possibly involving the growth plate. This injury is also commonly referred to as a Salter Harris fracture or injury. It requires immediate treatment.
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Instructions
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Take the child to the doctor as soon as possible. A thorough exam by an orthopedic surgeon, as well as possible x-rays and CT scans, may be necessary.
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Immobilize with a short leg cast for three to six weeks for less severe cases, known as Salter Harris I or II. Discourage activities that will use the injured area for the first week or two.
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Prepare for surgery in more severe cases. In Salter Harris III or higher, a surgeon must repair the growth plate and stabilize it. Immobilization is used after surgery for six to eight weeks, depending on the severity of the injury.
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Use strengthening and range-of-motion exercises after the fracture is fully healed. Specific types and repetitions of exercises is dependent on a doctor's recommendation.
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Evaluate long term recovery and growth for at least two years for your child. This follow up monitors scarring and spots any growth problems.
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Tips & Warnings
The more severe the separation is, the more chance there is for growth arrest, which is when the affected area grows less than it should, causing the foot to be crooked.
