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What Is Osgood-Schlatters Disease?

Osgood SchlattersOsgood-Schlatter’s disease is one of the most common causes of knee pain in children. The Condition typically arises in Children during late childhood and early adolescence. Osgood Schlatter’s is generally more common in boys, often presenting in one knee, although both may be affected.

This condition often affects children who are highly active, particularly in sports requiring a lot of explosive movements such as running and jumping. Although Os-good schlatter’s is often considered a self-limiting disease (resolves on its own, in time), it can take several months to years to resolve entirely.

Risk factors include:

  • Age (Girls: 8-12, Boys: 10-16)
  • Gender (Male ? Female)
  • High activity level
  • Recent growth spurt
  • Poor physical conditioning or underlying Biomechanical issues

Signs and Symptoms:

Typically the onset of pain is gradual, with localised tenderness and swelling around the tibial tuberosity (the bony prominence below the knee cap). Pain is often aggravated by activities that require extending the knee with force or against resistance, eg: Running or jumping. In some cases the tibial tuberosity may become enlarged and quite painful to touch. Patients typically report that the pain reduces with rest.

Diagnosing Osgood-schlatter’s disease

Diagnosis of this condition is usually made through a detailed history of the patient and clinical/physical examination by the clinician.

How do we treat Osgood-schlatter’s?

This condition often responds well to conservative measures. Which may include and combination of the following:

  • Activity modification – Reducing overall activity level (especially in the initial stages), avoiding activities such as running, jumping, Kneeling and squatting.
  • Rest & Ice: apply ice to the affected knee for 15-20 minutes to the affected knee every 2 to 3 hours or immediately following activity/exercise.
  • Stretching & strengthening: Individual tailored stretching and exercise programs can be implemented to help reduce the stress placed on the tibial tuberosity.
  • Taping: can sometimes help to reduce the symptoms of this condition
  • Oral medications: Nonsteroidal anti-inflammatory drugs (NSAIDs), such as Ibuprofen or Voltaren, may be helpful in reducing pain and inflammation.
  • Orthotic therapy: If there are any underlying biomechanical factors contributing to this condition, orthotics may be implemented to correct any alignment issues.

What Is The Prognosis of Osgood Schlatters?

  • The prognosis of Osgood-schlatter disease is very good, as the disease in considered self-limiting. Meaning that the pain and symptoms of this condition often resolve when the patient finishes growing.IMG_1551

Thanks for reading, Tim

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Shop 2/17-19 East Parade
Sutherland, NSW 2232

Tel: 02 9542 3491
Email: info@sutherlandpodiatry.com.au