August 2014 – Osgood-Schlatter Disease

The school year is approaching, and along with new teachers, new classes, and homework, many kids are returning to their active, athletic lives. Seen often in adolescent athletes is the overuse injury: Osgood-Schlatter Disease. It occurs as a result of extreme stress to the front of the knee in years where skeletal growth occurs at rapid rates. Repetitive irritation to the top, front portion of the tibia (shin) at the point of attachment of the tendon to the kneecap, can cause pain and swelling. With continued stress, this condition will progress to the increased production of bone which can develop into a growth that feels like a bump on the upper portion of the shin.

Description: Diagram of Osgood-Schaltter

People with Osgood-Schlatter, may experience:

  • Gradually worsening pain below your knee, at the top of the shinbone.
  • Pain that worsens with exercise.
  • Swelling and tenderness at the top of the shin.
  • A boney growth at the top of the shin.
  • Loss of strength in the quadriceps muscle (connecting the hip to the knee).
  • Increased tightness in the quadriceps muscle.
  • Loss of knee motion.
  • Discomfort with daily activities that use your knee, like kneeling, squatting, or walking up and down stairs.

After a proper diagnosis of Osgood-Schlatter, physical therapists can help people return to levels of previous activity without pain by developing an individualized treatment program that would address:

  • Range of Motion: Physical therapists will assess the motion of your knee and the structures surrounding it and gentle exercises will be given to decrease stiffness and swelling to return the knee to a normal range of motion.
  • Strength Training: Physical therapists will instruct you to perform exercises that will strengthen the muscles around the knee so the knee joint is protected properly.
  • Manual Therapy: Physical therapists are trained in manual (hands-on) therapy. In necessary cases, your therapist will gently mobilize your kneecap or patellar tendon and surrounding muscles to improve their motion, flexibility, and strength. On your own and without proper training, these areas may be difficult to treat on your own.
  • Pain Management: Your physical therapist may recommend the use of therapeutic modalities, such as ice and heat, or a brace to aid in managing your pain.
  • Functional Training: Physical therapists are highly capable in training athletes for peak function. Your therapist will assess your movements and teach techniques and adjustments to relieve any additional irritation and stress on the front of your knee.
  • Education: Physical therapists will explain why rest and specific treatment interventions are important for your complete rehabilitation and return to your normal activities.
Where: Main St., Middletown, DE Description: Middletown Olde-Tyme Peach Festival
When: 9AM to 4PM
This Saturday, August 16, ALL Therapy will be at the Middletown Peach Festival in Middletown, Delaware. During the parade and activities that will be taking place throughout the afternoon, we will have a booth located in the heart of the fun. Please stop by to meet our staff and receive ALL Therapy goodies. We look forward to seeing you this weekend!!