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Assess
We assess the whole limb rather than only the knee, because the twist through the knee usually starts below it or above it.
A painful lump just below the kneecap in teenagers, usually between thirteen and seventeen. The knee is where it hurts; the assessment looks at what is causing it.
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If this sounds like your pain, there is a structural reason for it. The assessment is what finds it.
At this age the top of the shin bone is still growing and is softer than the bone around it. The tendon from the kneecap attaches there. Where the shin is rotated — inwards or outwards — and the hip muscles tighten to compensate, a twist is created through the knee. The tendon then pulls on the growing area repeatedly, which inflames it and can pull it away from the bone, forming the lump. Bone and soft tissue growing at different rates is part of why it happens when it does.
Osgood-Schlatter is diagnosed with the Najjarine Biomechanical Assessment, so treatment is prescribed against a finding rather than a symptom.
We assess the whole limb rather than only the knee, because the twist through the knee usually starts below it or above it.
We identify where the rotation is coming from — the shin, the hip, or the way the foot is loading — and explain what we found.
Treatment is prescribed against that finding, and staged around your teenager’s growth and sport.
Find out what is actually causing your Osgood-Schlatter.
All ten treatments, starting with those most often used for Osgood-Schlatter. Which you need is decided at the assessment; most plans combine more than one.
A full lower limb assessment from the feet up. It is the foundation of every treatment plan we prescribe.
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Prescribed devices that change how your foot meets the ground. Manufactured on site at our Kirrawee head office.
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Fine needles inserted into trigger points to break down restrictive tissue.
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Therapeutic support to offload tissue while it recovers.
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Hands-on work addressing restrictions across the foot’s 26 bones.
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Acoustic waves using kinetic energy to stimulate repair in tendon and soft tissue. We use it most often for persistent heel pain and Achilles pain.
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Pigeon toe, flat feet and growing pains, assessed while the foot is still developing.
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Running injuries, return to sport, and footwear that matches your gait.
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Routine care including ingrown toenails, corns and calluses.
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Injectable therapy to stimulate a repair response. Paired with prolotherapy.
Read moreEvery clinic books into its own diary. Choose the one nearest you.
Basketball season and a sore knee. They looked at his whole leg, not just the knee.
Clear explanation of why it happens at this age.
Gave us a plan that worked around her training instead of just saying stop.
The lump can remain after the pain settles. What the assessment addresses is the pulling that is causing it, and your podiatrist will explain what to expect.
Until they have been assessed, yes. Running and jumping keep pulling on the growing area below the kneecap. Once we know what is causing it, your podiatrist will tell you what they can return to and when.
Stretching the front of the thigh is often suggested for this condition. Where the tendon is already pulling on a growing area, our clinical approach is not to add more traction to it. Your podiatrist will explain what to do instead.
Because the shin rotates between the two. A twist that shows up as knee pain is often driven by how the foot is loading and how the hip is compensating, which is what the assessment measures.
No. You can book directly.
Treating lower limb pain since 1990
Choose your clinic and book straight into its diary, or call and we will point you to the right practitioner.
