The exact cause is not known, but the pain is often accentuated if a lot of exercise is done without rest and recovery periods. Most often experienced by adolescents during and after growth spurts.

• Pain at the point where the tendon meets the shinbone
• Swelling and tenderness at the point where the tendon meets the shinbone
• A bulge may appear at the point where the tendon attaches

• A knee brace for relieving pressure and warmth
• Reduce the amount of weekly training sessions and competitions
• Alternative training (e.g. wet-vest training in a pool or cycling)
• Treatment with heat and cold
• Stretching
• Insoles and good footwear