Osgood Schlatters disease is a very common cause of knee pain in children and young athletes. It is a condition where the bony protrusion below the knee (called the tibial tuberosity or tubercle) becomes inflamed, painful and swollen.
· Swelling at the tibial tuberosity (or bony bit at the top of the shin) just below the kneecap.
· Tenderness and pain on the tibial tuberosity during and after exercise
· Pain when contracting the quadriceps against resistance or when contracting the muscles with the leg straight.
· Pain is aggravated by loaded knee extension activity, especially activity with power or impact characteristics.
· Symptoms may occur with activities of daily living (ADLs) such as walking and using stairs.
The condition is caused by stress on the patellar tendon that attaches the quadriceps muscle at the front of the thigh to the tibial tuberosity. It is seen more often in children involved with running and jumping activities .Following an adolescent growth spurt, repeated stress from contraction of the quadriceps is transmitted through the patellar tendon to the immature tibial tuberosity. With repeated trauma new bone grows back along with inflammation of the tendon during the healing which causes a bony lump which is often felt at the tibial tuberosity. It mainly affects boys aged 10 to 16 years old and will clear up when they stop growing and the tendons become stronger, however, it can rarely persist into adulthood.
-Rest. This injury needs rest if it is to heal properly. Only do as much exercise as it will allow without causing pain. Weight bearing exercise will make it worse. Keep your sessions few and high quality rather than train every day.
-Apply ice or cold therapy to the knee regularly throughout the day to reduce pain and inflammation and particularly following activity or sport. Ice should be applied at least three times a day for 10 to 15 minutes. Ice massage with an ice cube or a paper / polystyrene cup with water frozen in is a convenient way to apply cold therapy to a specific area such as the patella tendon.
-Use a knee support or brace to help reduce the tension on the knee.
Visit physioline for further treatment and rehabilitation.
Patellar tendon strap
Electrotherapy to reduce pain
Strengthening of muscle
Overall physical conditioning
Sports specific training