Childrens bones continue to grow until their early 20’s. Until the bones fuse there are vulnerable areas such as the heel and the knee that commonly cause discomfort during growth spurts. Add high levels of activity and sport and this discomfort can be acute pain affecing walking and sleep.
Severs Heel Pain – pain at the heel where the Achilles tendon attaches to the foot. Classically occurring in children aged between age 8-14. The growth plate fuses at 14 and the problem ends.
Things that help-
- Pain relief – Ice can reduce pain. Following the advice below really helps manage the growing skeleton.
- Footwear – Shoes with a shock-absorbing, thick heel help. Barefeet are more vulnerable so always wear footwear.
- Sport/ Activity – jumping, running even walking can aggravate the pain. Activity needs to be modified to allow the pain to settle.
- Stretching – Calves and hamstrings can become tight during growth spurts. This tension creates more pull on the sensitive bone site so stretching helps. However aggressive stretching adds more strain.
- Orthotics – flat feet can also add to Severs strain
Osgood Schlatters – pain at the front of the knee at the top of the shin bone. Commonly occurring between age 12 to 16. A bony bump can occur at the painful area that will remain.
- Pain relief – ice
- Footwear – supportive
- Sport/Activity – modify leap/ land, running. Rest from sport may be necessary.
- Stretching – Tight quads, hamstrings and calves
- Orthotics – poor foot mechanics can throw more strain on the knee
I will guide and teach you through the best plan for you and your child. A thorough assessment highlights what can be done to help the growing body. Knowing how to modify, not stop all sports is important. I will communicate with school and coaches to ensure your child is supported.