We have recently welcomed Physiotherapist Tamara Ranspot to our team. Tamara has a particular interest in musculoskeletal conditions in children and will be sharing her knowledge over the next few months, starting with Apophysitis.
As children grow and become more active, they may experience aches and pains that can sometimes be dismissed as "growing pains." However, one common condition affecting young athletes and rapidly growing children is apophysitis.
What is Apophysitis?
Apophysitis is a condition that causes pain and inflammation where a tendon attaches to a soft, bony growth plate. Growth plates are areas of developing cartilage at the ends of long bones in children and adolescents. These plates eventually harden as a child reaches skeletal maturity. Until then, they are vulnerable to stress and overuse, making them prone to conditions like apophysitis.
Apophysitis can occur at any joint but is most common at the knee and the heel.
At the knee is is called Osgood Schlatter’s and is characterised by pain where the patella tendon pulls onto the shin bone.
At the heel this is called Severs, and impacts the area where the achilles tendon pulls on the bone.
Who is at Risk?
Apophysitis is most commonly seen in:
Active children who participate in sports or high-impact activities.
Children experiencing a growth spurt, as rapid bone growth can put extra strain on the tendons and growth plates.
Boys slightly more often than girls, though both can be affected.
Common Symptoms
The primary symptom of apophysitis is pain near a growth plate, often worsened by activity and relieved with rest. Some children may also experience swelling, tenderness, and stiffness in the affected area.
Pain often increases with activity and settles with rest.
How is it Managed?
While apophysitis can be uncomfortable, it is typically self-limiting, meaning it resolves once the growth plates close. However, managing symptoms effectively is key to keeping kids active and pain-free. Treatment may include:
Activity modification to reduce stress on the affected area.
Ice therapy/analgesia to help control pain and inflammation.
Stretching and strengthening exercises guided by a physiotherapist to improve flexibility and muscle support.
Proper footwear and orthotics to reduce excessive strain.
When to See a Physiotherapist?
If your child complains of persistent pain that interferes with daily activities or sports participation, it’s a good idea to consult a paediatric physiotherapist. They can assess the severity of the condition and create a tailored treatment plan to help your child recover while maintaining an active lifestyle.
Tamara is based at our Albyn Terrace clinic and has appointments Tuesday-Friday. Physiotherapy appointments can be booked here.
