Children's Musculoskeletal Physiotherapy

Children’s Musculoskeletal Physiotherapy addresses problems relating to bones, joints, muscles and ligaments following injury or operation; as well as issues related to growth and development in children and young adults. Our aim is to support return to normal function and sporting activities.

A few common conditions we see as part of our service are;

Flat feet

What is a flat foot?

The inside arch of the foot is ‘flat’ to the floor.

Is it a problem?

Children under the age of 5 often have flat feet; this is considered part of normal development and most children grow out of it. Those with a persistent flat-foot, rarely develop symptoms or pain and participate in physical activity and sports without any problems.

It is often ‘flexible’ in nature, and an inside arch can be formed when stood on your tiptoes. In a few cases there is an underlying problem that may require further investigation and treatment. This can be assessed by a clinician and they will then discuss appropriate treatment.

Download information about Flat Feet in children for parents and carers (opens in new window) >


Some children and adults walk with their toes pointing inward and parents or carers often report their child to be clumsy and falling over frequently.

There are a few reasons that contribute to in-toeing:

  • Femoral Anteversion
  • Internal Tibial Torsion
  • Metatarsus Adductus

Download information about Intoeing Gait in children (opens in new window) >

Osgood Schlatters

Osgood Schlatters is a common cause of anterior knee pain in late childhood and early adolescence and can affect one or both knees. The patella tendon inserts into the tibial tuberosity. Reoccurring pulling from the quadriceps can cause repetitive injury to the growth plate and can lead to pain and swelling in the region of the tuberosity.

It often occurs in children who are sporty, particularly sports involving running and jumping.

What are the risk factors?

  • Rapid growth, typically girls 8-12 years and boys 10-14 years
  • Regular high impact, repetitive activities e.g. running & jumping

Download information about Osgood Schlatters disease (opens in new window) >

Knee Ligament Reconstruction

There are various types of knee ligament reconstruction and each has a specifically designed post-operative protocol that has been put together by our Orthopaedic Surgeons and Specialist Physiotherapists.

It is important to keep active as it helps keep our body strong and healthy, and supports with development and reducing the risk of illness. Here are some links with national guidance on physical activity in people under the age of 18.