What to expect from paediatric physiotherapy for Osgood-Schlatter disease

Osgood-Schlatter disease affects the growth area at the front of the knee, where the tendon attaches below the kneecap. Pain often increases with running, jumping, kneeling or repeated activity. The physiotherapist may assess symptoms, thigh and calf flexibility, hip and leg strength, movement technique and training load. The aim is to reduce irritation while maintaining useful activity; the tender bump can remain even as symptoms settle.

Follow the agreed limits for running, jumping and sport, and use rest or lower-impact activity when symptoms rise. Exercises may include gentle stretching, progressive strengthening and control drills for the hip, thigh and lower leg. Increase activity in stages, guided by symptoms during the activity and afterward. Supportive footwear, a warm-up and communication with coaches can make the return plan easier to follow.

Contact the clinician if pain steadily worsens, causes a persistent limp, interrupts sleep or does not improve with the agreed activity changes. Seek prompt assessment after a sudden injury, marked swelling or inability to bear weight. Fever, redness or unusual warmth around the knee should also be medically reviewed, because these findings are not explained by routine activity soreness alone.

Ask which activities are acceptable now, how to judge a safe training load, and when running or jumping can be increased. Clarify the home exercise schedule, pain thresholds, school sports adjustments, options for symptom relief and what would suggest another diagnosis or review.