Paediatric Physiotherapy: Low Back Pain in the Young Athlete

Many of us think of lower back pain as a condition that affects us as we age. As a result, when our child is experiencing back pain, it can be a real cause of worry and concern. In fact, pediatric back pain is common, with estimates showing that anywhere from 30-70% of young people aged 10-17 will experience back pain. While back pain can be common in more sedentary children, studies show that participation in sport, particularly those with high levels of training volume and intensity, is also associated with an increased incidence of paediatric back pain. The overwhelming majority of these cases are not caused by serious conditions, but rather relate to overuse and inappropriate training load. This is what is referred to as mechanical low back pain.

Understanding Apophysitis in Children: Causes, Symptoms, and Treatment

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.

Exciting New Collaboration Between Reform Physiotherapy & Pilates and The Menopause Consortium

Exciting New Collaboration Between Reform Physiotherapy & Pilates and The Menopause Consortium

At Reform Physiotherapy & Pilates, we are always seeking innovative ways to support women's health, especially when it comes to the often-overlooked areas of pelvic health and hormonal health. We are thrilled to announce our upcoming collaboration with The Menopause Consortium (TMC), a forward-thinking organisation dedicated to empowering women through every stage of hormonal change—from puberty through to post-menopause.

Class passes- How do they work?

We think our class passes provide an excellent value option for classes, but want to make sure everyone is happy with how they work.

Read on for everything you need to know

  • Pass activation: Your pass will activate on the date of your first booked class and is valid for 60 days from that point

  • Validity period: The pass is valid for 60 days from the first class booking. Classes must be booked and attended within the 60 day window.

  • Booking order: If you’re scheduling multiple classes, please book in chronological order.

  • Waitlists: Wait list spots will only be deducted from your class pass if they fall within the 60 day validity period.

  • Choose the right pass: Our 10 and 20 class passes are designed to streamline the booking process for our most regular attendees. Passes are non refundable, so please ensure you choose the pass that best suits your needs.

  • Pay as you go option: The option to pay per class remains available.

  • Class passes are non refundable: Pick the right pass for you, use it or lose it!

  • Check expiry dates: You can check the expiry dates on your packs on a computer or tablet. If you don’t have access to this, please get in touch and we’ll be happy to help.

  • Please read the terms of your pack before you purchase!

As much as we love our class passes, remember there’s always the option of paying for individual classes as you go on a £16.50 per class basis.

Can’t wait to see you in a class soon.