
Osgood-Schlatter Disease

Osgood-Schlatter disease is a common knee condition in adolescents, especially those going through growth spurts. It occurs when the tendon that connects the kneecap to the shinbone (patellar tendon) becomes irritated where it attaches to the tibia. This irritation is often caused by repetitive stress from sports like running, jumping, or soccer. While not dangerous, it can cause significant pain and swelling just below the kneecap.
Diagnosis of Osgood-Schlatter Disease
Diagnosis of Osgood-Schlatter disease typically includes:
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Medical history review (age, growth stage, activity level, sports involvement).
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Physical exam to check for swelling and tenderness at the tibial tubercle (just below the kneecap).
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Movement tests to assess pain during jumping, squatting, or running.
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Imaging (X-ray) may be ordered in some cases to rule out fractures or other knee conditions.
Treatment for Osgood-Schlatter Disease
Physical therapy helps reduce pain and keep young athletes active while symptoms improve. Treatment may include:
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Activity modification (reducing high-impact sports until pain decreases)
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Manual therapy to relieve tight muscles and improve mobility
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Stretching routines for the quadriceps, hamstrings, and calves
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Strengthening exercises for the hips and legs to reduce knee stress
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Pain management using ice after activity
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Education for athletes, parents, and coaches on safe return to play
Most cases resolve as the child finishes growth, but therapy helps manage pain and prevent long-term issues.
Symptoms of Osgood-Schlatter Disease
Common signs of Osgood-Schlatter disease include:
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Pain and swelling just below the kneecap (front of the shinbone)
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Tenderness at the tibial tubercle
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Pain that worsens with running, jumping, or climbing stairs
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Stiffness or tightness in the quadriceps and hamstrings
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A visible or palpable bump below the kneecap in some cases
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Symptoms that flare with activity and improve with rest
Prevention of Osgood-Schlatter Disease
To reduce the risk or severity of Osgood-Schlatter disease:
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Warm up properly before sports or workouts
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Stretch quadriceps, hamstrings, and calves regularly
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Strengthen hip and leg muscles for better support
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Avoid sudden increases in training volume or intensity
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Encourage rest during growth spurts if pain develops
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Use supportive footwear to reduce stress on the knees
