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Printed at: 05:01:39 / 23-09-2021

Osgood-Schlatter Disease

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What is Osgood-Schlatter Disease?
Osgood-Schlatter is a very common cause of knee pain in children; it is a common condition affecting the bony lump below your knee cap. Osgood-Schlatter is caused by overuse of strong muscles at the front of the thigh (called the quadriceps). These often become tight as a result of rapid growth. Pain is usually felt during or after sport, as an ache or soreness at the front of the knee. In severe cases, pain can be felt just walking around.

Who does it affect?
• Children aged between 8-15 years old
• Children participating in activities that stress the patella tendon, such as jogging, jumping and sudden turning.
• Children going through a rapid growth spurt.
• It is more common in boys than girls.

What are the signs and symptoms?
• Pain and swelling, and/or tenderness just below the knee that usually worsens during physical activity.
• A painful bump just below the knee that is sensitive to touch.
• Discomfort with running, kneeling, jumping and climbing up and down stairs.

How is it managed?
Osgood-Schlatter can normally be self-managed. Your physiotherapist may give you advice and also teach you some exercises to help your pain settle.

Modifying activity: Modifying how much sport/exercise you are doing and the types of activities, and ensuring you warm up and cool down when exercising.

ICE: Applying ice to the affected area for 10 minutes after activity.

Pain relief: Pain relieving medication, but you will need to discuss these options with your GP.

Footwear: Good supportive footwear.

Stretches: To help loosen the muscles.

Exercises

Stand holding on to a support.
Pull your ankle towards your bottom, keeping the
knees together and hips pushed forwards.
Hold for 30 seconds.
Repeat 3 times on each leg, 3 times a day.

 

 

 

 

 

Stand with the leg to be stretched on a chair or step with your
toes pointing up towards the ceiling.
Bend your trunk forwards keeping your back straight.
Hold for 30 seconds.
Repeat 3 times on each leg, 3 times a day.

 

 

Will it get better?
The pain usually goes away within a few months without any treatment by following the advice given above. Unfortunately, some symptoms can last 12-24 months. If you ignore the pain and play through it, the condition may get worse and take longer to recover. With future growth spurts the pain may return, therefore keep doing the stretches and follow the advice given. The good news is that you will eventually grow out of it.