Have Pediatric Questions? Ask a Pediatrician.
Hello, Sorry your daughter has this pain. Any injury to that foot or ankle? Is the area red / visibly swollen / bruised? Full movement of the foot and ankle? Any fever or other symptoms?
Thanks for the additional info. I tend to be very cautious. With no trauma to that foot, in a child /preteen who knows her own body, I would DEFINITELY demand an Xray NOW.
You should request (pediatrician knows this) standard 3-view of ankle, plus add'l films of any areas on the top of the foot that are tender on exam.
I'd also request screening complete blood count / manual differential, basic kidney functions, ESR, LDH, uric acid tests.
OK, this is not normal. Without trauma, this is concerning for a viral synovitis, unknown injury (UNlikely in an 11 year old), possible bone infection, possible malignancy. This needs in person attention Mon and Xrays to start with. I recommended screening blood tests above. The other tests (if her treating pediatrician agrees) are screens for leukemia, abnormal liver or kidney function. I am being overly cautious. This is what I'd do if your daughter were my patient.
I should add, screening for malignancy but also sub-clinical infection.
I agree with that assessment and approach. Also, her pediatrician may identify a clear area of likely strain on physical exam and then recommend with more info a wait and watch approach for another 1-2 weeks. The no improvement concerns me.
Would continue with RICE over wkend. If pain wakes her up at night, worsens, or new symptom (like unexplained fever) then recommend your contacting her pediatrician's on call ASAP. Best of luck, and please do let me know,
Good to know, but I still recommend as above. At least see the pediatrician in-person Mon and s/he can examine her and make more informed recommendation. Best of luck to her, Hope she's feeling fine soon,
All the best, XXXXX XXXXX likely a strain but let's be sure and let's be cautious. take care,
Please ACCEPT if I've answered your question, post back as much as you wish, All Best,
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