I'm seeking some advice for my 9 year old son. He is a big boy both in height (1.55m) & weight (50+kg). He's had symptoms of Severs for several years & over the last 12 months probably increasing discomfort in a multitude of leg regions including Achilles, medial tibia, tibial tubercle & to a lesser extent thigh region. I have in the past diagnosed these as being related to his physical size, growth & underlying mechanical issues. Use of orthoses & at times strapping have helped but not as much as I'd expect/hope & normally see in my patients. He does not have other symptoms in the upper body. I'm becoming increasingly concerned that maybe something else is happening due to the lack of success with my treatment, even though examining his legs tonight his pain is all in classically strained areas. I have recently put him in new functional orthoses with minimal improvement. What am I missing? Is this consistent with some arthritic issues? Any other thoughts/suggestions greatly appreciated? From a concerned & confused father
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