Osgood-Schlatter in teenagers
A tender lump just below the kneecap, most often in active teenagers aged about 13–17 and more often boys. The kneecap tendon pulls on the growing area of the shin bone, and a twist in the leg can add to that pull.
Knee pain where the cause sits below the knee. How the foot loads changes what the knee has to do.
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If this sounds like your pain, there is a structural reason for it. The assessment is what finds it.
The knee sits between the hip and the foot and is affected by both. Where the foot rolls in or out more than it should, the knee has to absorb that difference on every step — which is why knee pain with no injury behind it is often a lower limb alignment problem.
Knee pain without an injury often starts at the foot. There are three areas of the knee, each linked to a different foot movement.
Which part of the knee
For every degree the foot rolls in, the shin turns in by about the same amount, straining the inner knee ligament. The hip muscles tighten to compensate.
The shin turns out, then suddenly in, twisting the knee so the kneecap tracks from side to side.
Rolling out through the whole step strains the outer knee ligament and can contribute to ITB syndrome.
A tender lump just below the kneecap, most often in active teenagers aged about 13–17 and more often boys. The kneecap tendon pulls on the growing area of the shin bone, and a twist in the leg can add to that pull.
When the shin is twisted, the hip muscles tighten to straighten the leg up. The knee is caught between the two, which is why the assessment includes the hips.
Knee Pain is diagnosed with the Najjarine Biomechanical Assessment, so treatment is prescribed against a finding rather than a symptom.
We assess alignment from the feet up rather than starting at the knee, because the knee is often where the pain shows up and not where it starts.
We identify what is changing the load at the knee and explain what we found.
Treatment addresses that cause. Where the foot is driving it, treating the foot is what changes the knee.
All ten treatments, starting with those most often used for knee pain. 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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Running injuries, return to sport, and footwear that matches your gait.
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Pigeon toe, flat feet and growing pains, assessed while the foot is still developing.
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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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Fine needles inserted into trigger points to break down restrictive tissue.
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Hands-on work addressing restrictions across the foot’s 26 bones.
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Routine care including ingrown toenails, corns and calluses.
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Therapeutic support to offload tissue while it recovers.
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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.
Knee pain for two years and the answer was my foot. Would not have thought to ask a podiatrist.
Explained the link between my feet and my knee clearly.
Treated the cause rather than the knee itself.
Because the knee is loaded by what the foot does underneath it. Where that is the cause, the foot is where the treatment goes.
An irritation of the growth plate at the top of the shin, seen in active children and adolescents. It is one of the knee problems we assess.
Usually not. Imaging is requested only where it would change the plan.
That depends on the cause and how long it has been there. You will get a realistic timeframe at the assessment.
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.
