1. Growing pains and growth injuries

2. Do they exist? The reported pain is very real
Relates to the rapidly growing skeletal tissue
Muscles react to the growing bones
Where the muscles and tendons insert are often the areas most sore
No damage occurs just inflammation
Best managed with heat, massage, light stretching, compression, analgesia, activity modification

3. Growth plate injuries

4. Heel Pain “Severs Disease”

15. When can the player return to running and sport?
When there is no more swelling, resting pain
They can load the area without pain, rock back on heels, hop, squat
There is no limping
For heel pain:
Modify running so less heel contact
Ice immediately after training
Ensure the modifiable factors are addressed for example Asics versus Nike
Reduce running volume through the week
Insert heel cup, orthotics, review boots, joggers
How sore during and afterwards?
Medication?
Planning the return to play
Periodisation altering the type, volume, intensity to reduce overuse injuries
Start of season going from thongs to boots
Whole leg and core need conditioning

16. Heel Pain
Reduce running
Skills
Address modifiables
Continue to train
Non-weight bearing ex
Function & strengthen
Can they:
Walk on heels
Hop
Run on toes
Slowly increase running volume
Return to match play
Continue preventative routine

17. Osgood Schlatters Disease

23. Coloured card system for return to sport
Yellow Card
Green Card
Coloured card system for return to sport