Osgood Schlatters disease is a very common cause of knee pain in children between the ages of 10 and 15 years old (more likely to affect boys). It was named after two physicians in 1903, Dr. Robert Osgood and Dr. Carl Schlatter. The condition usually develops during rapid periods of growth combined with high activity levels. As the young athlete’s bones grow quickly, it can take some time for the muscles and tendons to catch up.
These changes result in a pulling force from the patella tendon, on to the Tibial Tuberosity at the top of the shin. This area then becomes inflamed, painful and swollen. This is frequent in younger people because their bones are still soft and are not yet fully grown. With repeated trauma new bone grows back during the healing process which causes a bony lump often felt at the Tibial Tuberosity. Lower limb biomechanics, foot alignment and footwear choices can also be a contributing factor.
Symptoms of Osgood Schlatters disease typically consist of pain at the Tibial Tuberosity or bony bit at the top of the shin where the Patella tendon attaches to the bone.
- The Tibial Tuberosity may become swollen or inflamed and may even become more prominent than normal.
- Tenderness and pain is worse during and after exercise.
- Pain will usually increase with activities that involve contracting the quadriceps muscles. E.g.- performing squat type exercises, running, jumping.
Treatment
- Ice
- Activity modification
- Analysis of lower limb biomechanics and orthotics if necessary
- Ultrasound treatment
- Stretches
- Massage
- Medication – Anti infammatories may be prescribed by your
doctor if indicated - Education
If your child is experiencing knee pain then a comprehensive physiotherapy assessment is essential in determining the cause of their symptoms and implementing a treatment plan that will obtain the best possible outcome. Appointments can be made by contacting our friendly staff on 03 9716 2250.