Osgood-Schlatter Disease · Growing-knee pain

Osgood-Schlatter disease — knee pain in active kids.

Sharp pain just below the kneecap during sport, made worse by running, jumping and kneeling. Osgood-Schlatter is one of the most common growth-related conditions in 10-15 year old athletes. Manageable with the right load adjustments and time.

What Osgood-Schlatter actually is.

Osgood-Schlatter disease is an apophysitis — irritation of the growth plate where the patellar tendon attaches to the tibial tuberosity (the bony bump just below the knee). When kids are growing fast, the bone outpaces the soft tissue, and the patellar tendon ends up pulling repeatedly on a growth plate that’s still soft. The result is local pain, swelling, and sometimes a visible enlargement of the bump.

It’s a self-limiting condition — meaning it resolves when the growth plate finishes fusing, usually 12-24 months after symptoms start. Our job isn’t to make it disappear faster (you can’t), but to manage symptoms enough that your child can keep playing the sport they love through the growth phase.

Most common in 10-15 year olds, more in boys than girls (though girls catch up as they hit growth spurts earlier). Particularly common in soccer, basketball, gymnastics, dance and running sports.

Treatment options

Six management strategies that genuinely help.

No single fix — a combination of these is what gets most kids through the growth phase with minimal time off sport.

01
Load management without complete rest
Reduce the activities that flare it (jumping, kneeling, sprinting) without taking sport away entirely. Complete rest isn’t needed; smart load adjustment is.
02
Ice and stretching post-activity
Ice the tibial tuberosity for 15 minutes after sport. Quad and hamstring stretching daily — tight quads are the main mechanical contributor.
03
Patellar tendon strap or brace
A simple infrapatellar strap reduces the pull on the tibial tuberosity during activity. Cheap, effective, available from most pharmacies.
04
Footwear and orthotic support
Where excessive foot pronation is loading the knee unfavourably, orthotic support can reduce the load chain reaching the tibial tuberosity.
05
Eccentric quadriceps strengthening
Targeted strengthening once acute symptoms have settled. Builds tendon resilience and helps the body cope with the growth spurt.
06
Coach and parent communication
A specific letter to the coach about safe loading levels means your child doesn’t have to opt out of every drill on their own initiative.
How we approach it

Three steps from first visit to outcome.

01
Assessment.
A 45-minute paediatric podiatry assessment. We confirm the diagnosis (Osgood-Schlatter has a classic presentation), assess the foot-to-knee biomechanical chain, and rule out other causes of anterior knee pain.
02
Treatment plan.
A tailored management plan combining load advice, stretching, brace prescription, and (where indicated) orthotic support. Plus written communication to the school or sports coach if you want it.
03
Review and progression.
Reviewed every 4-8 weeks during peak symptoms. Discharge when symptoms are managed and your child is back to sport at the level they want. We’re here through the full growth phase.
HICAPS on the spot with every major fund · Medicare GPCCMP, DVA, NDIS & WorkCover accepted where applicable.
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Through the growth phase, on the field.

Book your child’s Osgood-Schlatter assessment.

(07) 5572 6222