Osgood-Schlatter disease is a prevalent condition seen in growing adolescents, usually between the ages of 10 and 15, especially in those involved in sports. It presents as pain and swelling just below the knee, at the site where the patellar tendon connects to the tibia (shinbone), known as the tibial tubercle or tibial tuberosity.
Causes of Osgood-Schlatter Disease
Osgood-Schlatter disease is caused by repeated stress and strain on the knee, specifically at the tibial tuberosity where the patellar tendon connects to the shinbone. This stress typically comes from activities like running, jumping, or kneeling, leading to inflammation and irritation of the growth plate in that region. Adolescents are particularly vulnerable during rapid growth phases due to the continuous development of their bones and tendons.
Risk Factors of Osgood-Schlatter Disease
The risk factors for Osgood-Schlatter disease include:
Age: It is most common in adolescents between 10 and 15 years old, particularly during growth spurts.
Sex: While it occurs more frequently in boys, active girls can also be affected.
Physical Activity: Engaging in sports that involve running, jumping, or frequent kneeling raises the risk.
Growth Spurts: Rapid periods of growth can lead to the onset of the condition.
Tight Muscles: Tight quadriceps or hamstring muscles can add extra strain on the knee joint.
Biomechanical Issues: Improper alignment or movement patterns can also play a role in developing the condition.
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Signs and Symptoms of Osgood-Schlatter Disease
Knee Pain: Sharp or dull ache below the knee during activities like running or jumping.
Swelling: Possible swelling at the tibial tuberosity just below the knee.
Tenderness: Sensitivity in the affected area.
Pain During Activity: Discomfort that worsens with knee movements, especially extension, and improves with rest.
Stiffness: Increased stiffness after prolonged sitting or in the morning.
Lump: A noticeable bump at the tibial tuberosity that may become more prominent during growth spurts.
Treatment and Management of Osgood-Schlatter Disease
Strengthening and Stretching Exercises: Enhance flexibility and support for the affected structures.
Activity Modification: Adopt lower-impact forms of exercise temporarily to minimize repetitive stress and impact on the knee.
Proper Footwear: Recommend supportive and well-cushioned shoes to distribute pressure more evenly and reduce impact on the knee.
Custom Foot Orthotics: Orthotics can address biomechanical or alignment issues and provide additional pressure redistribution to alleviate stress on the knee.
Shockwave Therapy: To promote tissue healing and provide symptomatic relief.