Physio for Osgood Schlatters
What is Osgood-Schlatter Disease?
Osgood-Schlatter disease is a common condition that affects growing adolescents, especially those who participate in sports involving running, jumping, and quick direction changes. It's characterised by pain, swelling, and tenderness just below the kneecap (patella), where the patellar tendon attaches to the shinbone (tibia).
During periods of rapid growth, adolescents' bones, muscles, and tendons often grow at different rates, leading to tension and stress in the areas where the tendons attach to the bones. In the case of Osgood-Schlatter disease, the repeated stress on the patellar tendon, which connects the kneecap to the shinbone, causes inflammation and pain at the site of attachment on the shinbone.
The condition is more common in boys than girls and typically occurs in adolescents between 10 and 15. It often affects physically active individuals, especially those involved in sports like soccer, basketball, gymnastics, or running.
The symptoms of Osgood-Schlatter disease include knee pain and swelling just below the kneecap, especially during activities like running or jumping. The pain usually worsens with physical activity and may improve with rest. In some cases, a bony bump can develop at the site of the pain.
Treatment for Osgood-Schlatter’s disease focuses on managing symptoms. This may include rest, ice packs, over-the-counter pain relievers, and physical therapy exercises to strengthen the quadriceps and hamstring muscles. In most cases, the condition resolves independently once the adolescent stops growing and the bones and tendons fully mature. Severe cases that do not respond to conservative treatments may require further medical intervention. It's essential for individuals experiencing persistent knee pain to consult a healthcare professional for an accurate diagnosis and appropriate management.
What are the signs and symptoms of Osgood schlatter’s disease?
Osgood-Schlatter disease is characterised by several signs and symptoms, primarily centred around the knee area. Adolescents, typically between the ages of 10 and 15, experiencing a growth spurt and actively participating in sports might notice persistent knee pain as the primary symptom. The pain is localised below the kneecap and is usually aggravated by physical activities such as running, jumping, squatting, or climbing stairs. This discomfort tends to be more pronounced during and after sports participation, ranging from a dull ache to sharp, intense pain.
Swelling and tenderness are also standard features of Osgood-Schlatter disease. The affected area, where the patellar tendon attaches to the shinbone (tibia), can become visibly swollen and tender to the touch. In some cases, a bony lump may develop at the site of the pain. This lump, known as a tibial tubercle, is the body's response to the stress placed on the patellar tendon. The presence of this lump is a hallmark sign of Osgood-Schlatter disease.
Furthermore, adolescents with this condition might experience stiffness and limited range of motion in the affected knee. Activities that require bending or straightening the knee, such as kneeling or even sitting for an extended period, can be particularly uncomfortable. It's essential for individuals experiencing these symptoms, especially persistent knee pain and swelling during physical activities, to seek medical attention for an accurate diagnosis and appropriate management. Consulting a healthcare professional, such as a pediatrician or orthopedic specialist, is crucial to ensure proper evaluation and tailored treatment for Osgood-Schlatter disease.
Should my Child have Surgery for Osgood Schlatters?
The decision to undergo surgery for Osgood-Schlatter’s disease should be made after careful consideration and consultation with medical professionals. In most cases, surgery is not necessary. It is only considered in rare situations where conservative treatments have been unsuccessful, and the pain and functional limitations are severe and significantly affect the child's quality of life.
Conservative treatments for Osgood-Schlatter disease typically include rest, avoiding activities that worsen the pain, physical therapy, ice packs, and over-the-counter pain relievers. Sometimes, a knee brace or strap can help alleviate tension on the patellar tendon, reducing pain during activities. These measures are usually effective, and the condition often resolves on its own once the child stops growing and the bones and tendons reach maturity.
Surgery for Osgood-Schlatter disease typically involves the removal of the bony bump (tibial tubercle) that forms at the site of the pain. This procedure is called a tibial tubercle osteotomy. Surgery is usually considered only when the child has reached skeletal maturity, which is important because the growth plates must be closed to be effective.
Discussing surgery’s potential risks and benefits thoroughly with a Kids Physiotherapist is essential. They can comprehensively evaluate your child's condition, considering factors such as the severity of pain, impact on daily activities, and overall health. Additionally, seeking a second opinion from another qualified orthopedic surgeon can provide valuable insights and help decide whether surgery is the right course of action for your child's specific situation.
What Scans are Best to Identify Osgood Schlatters?
Osgood-Schlatter disease is a condition that can often be diagnosed based on the child's medical history, symptoms, and physical examination by a healthcare professional. Imaging studies are not typically required for diagnosing Osgood-Schlatter disease, as the characteristic symptoms and physical examination findings are usually sufficient for diagnosis.
However, imaging studies may be considered if there is uncertainty about the diagnosis or if the healthcare provider wants to rule out other potential causes of the symptoms. The most common imaging techniques that can be used, although not routinely, include:
X-rays can show the bony bump (tibial tubercle) and may help rule out other conditions that can cause similar symptoms. X-rays can also reveal any fractures or abnormalities in the knee joint.
Ultrasound: Ultrasound imaging can provide real-time images of the patellar tendon and the tibial tubercle. It can help assess the thickness and inflammation of the tendon and may help confirm the diagnosis.
MRI (Magnetic Resonance Imaging): MRI scans can provide detailed images of the soft tissues, including tendons, ligaments, and muscles. While not commonly used for diagnosing Osgood-Schlatter disease, an MRI may be ordered if there is suspicion of other underlying conditions or complications.
It's important to note that these imaging studies are usually unnecessary for a straightforward diagnosis of Osgood-Schlatter disease. The diagnosis is primarily clinical, based on the child's symptoms and a physical examination by a healthcare professional, often a pediatrician or orthopedic specialist. Suppose you have concerns about your child's symptoms. In that case, it is best to consult a healthcare provider who can assess the situation and determine the appropriate course of action, which may or may not include imaging studies based on the specific clinical presentation.
