As OSD and Severe’s usually doesn’t completely resolve until their growth plates finish developing, the priority is managing your child’s symptoms while they go through this period of activity limiting pain. Recent studies have shown that physiotherapy interventions and monitoring during this time period can help reduce the amount of sport/activity that a child misses out on as the key treatment to reduce pain is to monitor and adjust a child’s activity levels to ensure they aren’t in too much pain/discomfort but still able to participate in sport/activities as much as possible. Strengthening exercises as shown in the videos are also vital to help improve the load tolerance in the heel and knee in both conditions as well as helping improve sporting performance. Finally, having their running/jumping assessed to see if changing their biomechanics reduces their pain without affecting their performance. In summary, the main priority with this condition is to monitor activity levels and adjust to reduce pain but do not completely abstain from the sport if possible, strengthen the surrounding muscles, and to alter jumping, landing, and running mechanics to reduce the load in the knee or heel. These strategies, along with time, your child’s OSD or Severe’s should become much more manageable, less impacting on their sport/exercise, and everyday activities and should resolve over time. See your local physio or get in contact with us if you need some more help or advice!