My Physio News

Osgood-Schlatter’s and Sever’s Disease

Traction Apophysitis

Traction apophysitis is a painful inflammatory condition of a normal bony protrusion that typically presents in active adolescents. As we mature, growth plates (epiphyseal plates) in our bones develop at much faster rates than our muscles and tendons. This mis-match leads to a slower lengthening process for muscle and tendon compared to bone.

The result is the potential to cause strong traction, or pulling, forces exerted on the areas where the muscle’s tendon attaches to these bony prominences. This produces irritation, inflammation, pain, and if left untreated may cause small parts of bone to be pulled away (called an avulsion fracture).

This situation is especially amplified during repetitive or high-load activities, such as those sports involving running, jumping, and landing. 

The most common sites of traction apophysitis are just below the knee (known as Osgood-Schlatter’s) and at the back of the heel (known as Sever’s condition).

Osgood-Schlatter’s

The quadriceps lie at the front of the thigh and are powerful knee extensors. These muscles converge to share a common tendon (the patella tendon) which attaches to the bony protrusion just below the knee known as the tibial tuberosity.

When we extend our knee, the quadriceps contract and the patella tendon acts as an anchor against the tibial tuberosity. However, traction apophysitis can occur if the anchor is too strong, and the tendon begins to pull at the bone.

Children with Osgood-Schlatter’s will likely report localised pain to the tibial tuberosity (either in one or both legs), especially during physical activity, and the knee may appear swollen and/or enlarged due to bony remodelling in response to the associated micro-trauma.

Sever’s Condition

The muscles comprising the calf are similar to the quadriceps in that they too share a common tendon, the Achilles, which inserts into the back of the heel, slightly towards the inside of the foot.

Running and jumping activities, where the foot is raised and lowered rapidly or with great force or repetition, can place large amounts of stress on the Achilles tendon and its attachment to the heel bone (calcaneus). As with Osgood-Schlatter’s, such forces may produce micro-trauma at the bony insertion site and result in a similar clinical presentation regarding the heel.

Treatment and Management

Traction apophysitis is a self-limiting condition. That is, those with symptoms must acknowledge when they are experiencing pain and make necessary adjustments in order to continue living active and healthy lives.

This often involves:

  • Appropriately modifying activity and load
  • Using ice and medication as prescribed
  • Improving neuromuscular activation and control
  • Addressing biomechanical and/or sporting technique issues
  • Progressively strengthening muscles, tendons, ligaments and bones

More News

The Netball Knee Program

Knees and ankles are the most commonly injured body parts of netballers and most of these injuries occur when landing.

Osgood-Schlatter’s and Sever’s Disease

A painful inflammatory condition of a normal bony protrusion that typically presents in active adolescents.

What do you think are the most common injuries in Footy?

A detailed picture of the injury prevalence and severity facing AFL clubs and players.

Lydia Lassila – An Injury Case Study

Lydia’s Olympic campaign and career was at a crisis point due to debilitating low back pain. It was at this point that she turned to Trish for help.

Ankle Sprain

Ankle sprains are commonly thought of as an innocuous injury that will heal over time. They are not so simple!

Opening Hours

Monday to Friday 8am-7.30pm
Saturday 8am-12pm

Come visit us at:
200 East Boundary Road, Bentleigh East 3165 (Located inside the Glen Eira Sports & Aquatic Centre - GESAC)

Freecall: 1800 MY PHYSIO
Phone: (03) 9570 7181
Triage number: 1300 IM HURT 

About Us

MYPHYSIO® was established in 2004. We have been based in Bentleigh East at GESAC (Glen Eira Sports and Aquatic Centre) since 2012. MYPHYSIO® GESAC is a purpose-built, state of the art clinic located in a unique sporting hub, that boasts a highly experienced team of practitioners and a wide range of services. Helping our clients achieve their best is our highest priority!

Careers

Career opportunities at MYPHYSIO

If you are interested in a rewarding change of direction, we would be delighted to discuss opportunities. Email: jobs@myphysio.net.au

All our services qualify for Private Health Insurance rebates (Extras cover). No referral required for Private, TAC, Worksafe services. We offer services to Medicare EPC patients, where a valid GP referral is provided. Out of pocket expenses for Medicare EPC services may apply