Knee Pain in Children

 Osgood-Schlatters is a common condition in young athletes that refers to irritation of a growth plate at the knee. It typically occurs in active teens during their growth spurt.

Anatomy

Children have growth plates called apophyses where muscles and tendons attach. The patellar tendon of the knee connects the knee cap quadriceps (thigh) muscles to the shin bone at the tibial tuberosity (bump below the knee). This growth plate is attached to the shin bone by cartilage and is subject to stress from overuse when the quadriceps muscles repetitively pull while running or jumping.

Symptoms

The main symptom of Osgood-Schlatter is pain at the bump below the knee with activity or after a fall. There may also be swelling around or enlargement of the bump. This bump is usually very tender to the touch. Forceful contraction of the thigh muscles can also cause pain. This condition may occur in one or both knees.

Treatment

Treatment is designed to decrease stress at the tendon attachment site. In severe cases, children may need to stop or back off from their sport. Ice the injury for at least 20 minutes after activity with either an ice cup or an ice pack. Nonsteroidal anti-inflammatory drugs (NSAIDs) may also help with swelling and pain. Physiotherapy assessment and treatment is recommended to confirm diagnosis and help with regular stretching and to identify any other muscle imbalances.

Please note that although Osgood-Schlatters is the most common cause of knee pain in children, it is not the only cause. Please book in for a full assessment to ensure that the right diagnosis and treatment can be carried out.