Foot Care (Podiatry) Expert Forum
7 year old boy (left foot) cannot walk without pain
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7 year old boy (left foot) cannot walk without pain

On Saturday morning 7 year old son woke up and could not walk.  Took him to an Urgent Care Center where they took x-rays and told me found nothing 'broken'.  However, put son in an aircast and crutches.  It's been 5 days and he is still unable to walk (very well) without pain.  Claims pain when walking is right around and/or above bone on ankle area.
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any history of injury?
i would get blood work done to rule out bone marrow disease.  did he have the flu or cold recently?  sometimes, bacteria can float in the blood stream and settle into the joints and cause infections (hemotogenous osteomyelitis).  i don't want to scare you, but want to make sure that he has been ruled out for these diseases so treatment is not delayed if needed.
he needs to get a cbc w/ differential (this will let you know if he has an infection).  he also needs to get a ESR and CRP test (blood test) to see if he has some sort of inflammatory disease occurring.  he should also be checked for rheumatoid arthritis, screen for lyme disease, and screen for HLA B27 (which is a marker for arthritic diseases).
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