Understanding Anterior Knee Pain in Teenagers: Growth, Puberty & Physiotherapy

Knee pain is one of the most common reasons teenagers step back from sport or activity. It might show up as a dull ache at the front of the knee, or a sharp pain below the kneecap.

Parents are often told “don’t worry, they’ll grow out of it” — but research shows this wait-and-see approach can leave young people with ongoing pain, loss of confidence, and reduced participation in the activities they love.

So why does it happen? During growth and puberty, bones grow quickly while muscles and tendons struggle to keep up. Hormonal changes, busy sporting loads, and developing coordination all put extra pressure on the knees. The result? Conditions like patellofemoral pain, Osgood-Schlatter disease, and Sinding-Larsen-Johansson syndrome — common but very treatable with the right support.

Physiotherapy helps teenagers stay active by:

• Pinpointing the cause of pain with clear assessment.

• Building strength in hips, thighs, and core to protect growing joints.

• Improving movement patterns like landing, squatting, and running.

• Balancing sport and recovery, so they don’t have to stop everything.

• Reassuring and empowering teens to understand their pain and keep moving confidently.

The takeaway? Anterior knee pain in teens is common, but not something to ignore. With early, active management, your child can recover, rebuild confidence, and keep enjoying the activities they love.

Why Paediatric Physio is Awesome!

At Nurture Paediatrics, we know kids aren’t just small adults—their growing bodies and minds need care designed just for them. Our paediatric physiotherapy is about more than exercises; it’s about empowering tamariki and whānau with understanding, support, and fun, evidence-based therapy. From injuries and pain to long-term conditions, we help children feel confident in their bodies, return to the activities they love, and build lifelong strength and resilience.