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.

Instructions

• 1

  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.

• 2

  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.

• 3

  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.

• 4

  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.

• 5

  Evaluate long term recovery and growth for at least two years for your child. This follow up monitors scarring and spots any growth problems.