Stretching
Practicing Martial Arts
Two children on gymnastic balls
Plank of Weights
Dance Studio
Children Playing Football
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Experts in Healthcare

 Physiotherapy For Kids 9+

Physiotherapy for Kids

 

Children and adolescents suffer from injuries through trauma or sports and general play. And young athletes will suffer acute , chronic, or overuse, injuries. It is very common for children to get an injury and recover very quickly and be back playing the sports or games they enjoy.  Unfortunately, the injuries that children suffer from can be very different from an adult. This is because the immature skeletal system has not yet fully developed, thus the stress on a structure may cause trauma that it won't in an adult. Due to the effects of growth on the musculoskeletal system, they are at risk for injuries to the growth plate, apophysis, and joint surface. The growing body can also go through very quick changes over a relatively short period of time, thus can be more suspectable to injuries. It is important that adolescent injuries are treated early as they can have a significant impact on their future musculoskeletal health. It's observed that up to one-third of adolescents report MSK pain monthly or more, and the prevalence of MSK pain rises quickly from childhood to adolescence. This can be due to the quick musculoskeletal changes that occur during growth combined with physical activity volume. 

Stuart Mailer has worked extensively with adolescents especially in Tennis, Football and Athletics and particularly those involved in high-level sport. He was the Clinical lead Physiotherapist at the Sutton Junior Tennis Academy for 10 years helping many junior Tennis players and with Chelsea FC Academy and with Sutton District runners. Due to this, he has a special interest in musculoskeletal and orthopaedic conditions affecting this very special age group.

Children's Soccer Coach

Common Adolescence Ailments 

There are many injuries a child may suffer from but here are some of the most common that we deal with and a small selection of what we see.

Knee

  • Osgood–Schlatter disease

  • Osteochondritis dissecans (OCD)

  • Meniscal Injury

  • Patella maltracking/subluxation

  • Anterior knee pain

 

Foot/Ankle

  • Sever’s disease (osteochondritis of the calcaneum)

  • Ankle Sprain

  •  Shin Splints ( Medial tibial stress syndrome)

  • Tarsal  coalition

  • Slipped capital femoral epiphysis

 

Back

  • Pars defects/fractures

  • Discogenic Low back 

 

Shoulder/Elbow /Wrist

  • Rotator cuff strain,

  • Tendonitis

  • Little Leaguer’s Elbow (Medial Apophysitis)

  • TFCC (wrist injury)

Youth Rehabilitation 

When a growing child has an injury, rehabilitation is paramount to help a speedy recovery and prevent areas of weakness or lack of mobility that may cause problems later on in a child's development.  Once an accurate diagnosis is made then a rehabilitation plan is formulated and undertaken.  

This requires a very specific approach to ensure that the root cause of the problem is identified and not only the presenting pain. A thorough examination must be performed to ascertain this and then a specific rehabilitation plan implemented that considers the child's age, lifestyle, sporting interests and long term physical endeavours.

Rehabilitation can include a range of exercises to help address basic fundamental movements patterns and address the injury. This may be bodyweight exercises, Resistance Bands, Gym balls, External loads, Resistance equipment. This is also related to the sport and a progressive plan will be given with the sport in mind. If required we can liaise with Coaches to help in returning your child to the sport they enjoy safely and quickly. 

Chilren During Physical Education Lesson
Soccer Practice

Musculoskeletal Screening- Injury Prevention

With increased sports participation, it is important for children or youth athletes to undergo pre-participation examination, including musculoskeletal screening, Injury Prevention and functional performance testing to reduce the risk for future injuries. The ‘injury prevention through prediction’ approach aims to assess fundamental movement qualities in order to identify injury risk as reduced movement quality is suggestive of higher injury risk especially in youth athletes. Check out the Fifa 11+ injury prevention warm up. MSK screening or Injury Prevention screening is a selection of specific targeted tests of muscle strength. flexibility, joint mobility, core strength that are relevant to the sport the person is participating in. This is combined with functional testing to highlight factors predisposing an athlete to injury or a performance hindrance that can be highlighted and corrected. The use of specific tools and testing protocols such as the SFMA (Selective Functional Movement Assessment) and FMS (Functional Movement Screen) may be used to help identify why an injury has presented and others.

What does it involve;

  • 60 mins detailed physical and functional examination in clinic.

  • 30 min follow up appointment to discuss findings.

  • A detailed report that is written highlighting findings and proposal. 

  • Injury screening.  Testing each joint and potential underlying injuries.

  • Functional testing for lower limb agility, balance, stability and strength

  • Core and spinal testing

  • Exercise programme given 

           60 mins

Injury Prevention Screening

£ 90.00

Your first Physiotherapy visit

A physiotherapy assessment can take anything from 30-60 mins. On your initial visit, we will introduce ourselves then will take a detailed history of your condition asking questions about your injury, how it occurred your pain and then a physical examination will be performed to help diagnose and formulate the treatment plan and ongoing rehab. Once the examination has been performed the findings will be discussed and a treatment plan is introduced to help return you to function pain-free.  Treatment may commence using interventions such as Soft tissue therapy, Electrotherapy, Rehabilitation, Joint manipulation among others. A rehabilitation plan will be given to commence and follow up treatment or options will be discussed.  Our goal is to get to the underlying cause of your ailment and provide not just immediate treatment but advice, education and rehabilitation exercises for long-term improvement. We work closely with your doctor or consultant and will remain professional and patient-centred throughout the process aiming to provide you with the best possible care.

Ideally, you should wear loose-fitting clothing to ensure the registered physiotherapist has proper access to the injured area in question.  If at any point you have questions please feel free to ask our registered health professionals. Our patient-centred model of care really does revolve around you.  Remember the more informed you are about the assessment and treatment plan, the more effective and efficient your recovery will be.

4 Tips to help prevent  children sport injuries

  1. Play a variety of sports. The evidence demonstrates that kids who play more sports rather than one only have fewer injuries.

  2. Incorporate good warm-up habits and cool down habits- Fifa 11+ is a great example

  3. Keep mobility and stability up - practice balance exercises and stretching.

  4. Give them time off sport- even a week of offloading or less sport can help the body recover, rejuvenate and prevent injury

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