What is Severs Disease?
This is an inflammation of the growth plate of the heel or calcaneus. It can be very painful and you may notice your child limping or complaining of heel pain during or after exercise. You may also notice a tender lump on the back of the heel. Severs occurs in periods of growth, if the calf bone (tibia) grows faster than the calf muscles. This puts undue pressure on the Achilles attachment to the heel and can result in inflammation. Your physiotherapist can assist by stretching and releasing the calf muscles and providing support and offloading through tape or heel raises. Your child will be encouraged to do a series of exercises at home to assist with the resolution of symptoms.
What is Osgood-Schlatter Disease?
“My child has a lump on the front of his/her knee”
Osgood- Schlatter Disease is one of the most common growth related issues in children and adolescents, affecting boys more often that girls. It is caused by the femur bone (upper thigh) growing faster than the quadriceps muscle which lies over the top. The quadriceps muscle then pulls too tightly on its attachment just below the kneecap. This can result in pain, tenderness and a noticeable lump. One or both legs may be affected. Initial treatment is to settle the inflammation with ice, rest and offloading taping. Your physiotherapist can then instruct your child on suitable home exercises to assist with muscle stretching.