Osgood-Schlatter’s is a very noticeable disease that occurs at the front of the knee of adolescence. It is a common condition in girls around the ages of 10-12 and boys around the ages of 13-15. Typically it occurs during growth spurt when the apophysis (head) of the tibia tuberosity is relatively soft and vulnerable to the constant pull of the patella ligament. The patella ligament is the attachment point from the kneecap to the shin. This takes all of the force from the quadriceps muscles so every time you use your quads to extend your knee be it: Kicking, running, jumping then the force is transmitted into your shin.
Contributing factors to Osgood-Schaltter’s disease include:
- A recent growth spurt.
- A recent change in training techniques or intensity.
- Poor footwear.
- Poor lower limb biomechanics.
- Poor proprioception.
- Muscle tightness or weakness.
- Stiff joints.
Signs and symptoms of Osgood-Schlatters syndrome include:
- A large bony growth at the front of the knee.
- Pain with or after: running, jumping, going up or down stairs or kicking a football.
- Pain on palpation on the top of your shin.
- Pain is relieved with rest.
Physiotherapy treatments for Osgood-Schlatters syndrome may include:
- Improving biomechanics to help remove stress of the knee.
- Strengthening exercises to improve biomechanics.
- Mobilising to stiff joints.
- Compression bandages.
- Careful icing, too much may actually limit your recovery.
- Taping or bracing.
- Proprioceptive retraining.
- Training schedule reviewed.
- A gradual return to exercise program.