‘Growing pains’ can be blamed for a number of aches and discomforts that children and adolescents suffer from. In some cases, these are quickly eased with some gentle massage and rest, but others can be more persistent. In active children, particularly those involved in sports with repetitive activations such as running, jumping, swimming or cycling, these pains can be debilitating to their sport.
Physiologically bones grow more rapidly than muscles and tendons. As the bones grow, relative tension within the muscles and tendons will increase. This can place a tensile stress on the epiphyseal plates (growth plates), causing pain and discomfort. There are a number of conditions that can be associated to very similar causes, however each is termed differently depending on the location of the injury.
Osgood-Schlatter’s Disease
Pain localised to the protrusion on the front of the shin bone just below the knee (tibial tuberosity).
Sever’s Disease
Pain situated in the calcaneus (heel bone).
Sinding-Larsen Johansson Disease
Pain situated at the bottom point of the patella (knee cap).
In most cases, rest from activity is recommended in order to limit the loads placed on the muscles and tendons. This can be difficult enough in active children, particularly those competing in their chosen sports. It is even more frustrating when the symptoms return as soon as activity is increased again.
In these cases it may be a combination of growth as well as poor movement biomechanics that increases the symptoms. As a result, the issue may continue recur until normal biomechanics are achieved.
To limit the amount of time out of sport, as well as controlling the painful symptoms, seeking professional advice from a physiotherapist is recommended. Treatment may then include stretching and massage, as well as specific strength exercises to improve movement biomechanics. In some cases where poor foot biomechanics are to blame, custom orthotics may be prescribed to support the feet.
If your child is suffering from any of the symptoms mentioned above and you would like some further advice, please feel free to call the Drummond Clinic Team on 01628 639 532.