How long does osgood-schlatter last

Osgood-Schlatter disease is a condition that causes pain and tenderness in the front lower part of the knee. The condition affects active children/adolescents aged 8-15 years old and results from the tendon in the front of the knee placing too much stress on the bone where it attaches at the top of the shin.

The reason that this only occurs in children/adolescents is that when we grow, our bones and cartilage tend to grow much faster than our muscles and tendons. The slower lengthening of the muscles leads to increased stretch force at their attachment point which the immature growing bone cannot cope with, leading to inflammation and pain.

In the late stages of the condition, the irritation of the bone can lead to increased bone growth resulting in a permanent bony lump in the front of the knee.

Causes, Signs, and Symptoms

Irritation of the bone growth plate causes Osgood-Schlatter disease. Bones do not grow in the middle of the bone, but rather at the joint, in the growth plate area. These growth zones are comprised of cartilage rather than bone when a child is still growing. Because cartilage is never as strong as bone, significant levels of stress can cause the growth plate to bulge and hurt, causing the growth plate to hurt and swell.

Running, jumping, and other sports-related activities are frequently associated with painful symptoms. In certain circumstances, both knees show signs and symptoms, however one knee may be more severe than the other in some cases.

  • A painful, tender area at the top of your shin
  • Pain with activities that load the quadriceps such as running, jumping, squatting, and hopping
  • Firm bony lump under the area of tenderness
  • Pain reduces with rest
  • Often occurs after a growth spurt

Osgood-Schlatter Treatment

Osgood-Schlatter disease is a self-limiting condition which means that it will resolve by itself once the child has stopped growing and the growth plate at the top of the shin fuses, however, this can take anywhere from 12-24 months to occur.

During this time it is safe to continue to exercise and for this reason, treatment focuses on managing the symptoms and minimising the load on the knee to reduce pain and allow the child to continue to participate in sport and exercise.

With appropriate treatment, the symptoms/pain can be resolved within a matter of weeks to months and then managed until the child has finished growing. Your physiotherapist will work with you to design a load management strategy based on your priorities and goals so that you can continue to perform and compete at your best with minimal discomfort.

Treatments can include:

  • Rest / Activity modification / Reduced activity
  • Ice
  • Taping/bracing
  • Stretching
  • Massage
  • Foam rolling
  • Correcting biomechanical issues
  • Quadriceps strengthening

Doctor’s Examination

Your child’s doctor will discuss your child’s symptoms and overall health throughout the session. To discover the source of the pain, they will examine the knee thoroughly. For a child with Osgood-Schlatter disease, this will include putting pressure on the tibial tubercle, which should be uncomfortable or painful. To evaluate if your child’s movements are causing uncomfortable symptoms, the doctor may urge him or her to walk, run, jump, or kneel.

An X-ray image of your child’s knee may also be ordered by your child’s doctor to confirm the diagnosis or rule out any other issues.

If you need help with pain or immobility to get you moving again, or need a tailored exercise program, book in for your treatment now with one of our exercise, physio, or pain specialists via 1300 012 273 or head to our website and book a session at your nearest clinic.

What is Osgood-Schlatter disease?

Osgood-Schlatter disease is a common cause of knee pain in growing children and young teenagers. It’s characterized by inflammation in the area just below the knee. This area is where the tendon from the kneecap attaches to the shinbone (tibia). The condition most often develops during growth spurts.

During the growth spurts of adolescence, certain muscles and tendons grow quickly and not always at the same rate. With physical activity, differences in the size and strength of the quadriceps muscle can put more stress on the growth plate near the top of the shinbone. The growth plate is weaker and more prone to injury than other parts of the bone. As a result, it can become irritated during physical stress and overuse. The irritation can result in a painful lump below the kneecap. This is the main sign of Osgood-Schlatter disease.

Osgood-Schlatter disease is typically diagnosed in adolescents during the beginning of their growth spurts. Growth spurts usually start between ages 8 and 13 for girls, and between ages 10 and 15 for boys. Teenage athletes who play sports that involve jumping and running are more likely to develop the disease.

In most cases, Osgood-Schlatter disease can be treated successfully with simple measures, such as rest and over-the-counter medication.

Common symptoms of Osgood-Schlatter disease include:

  • knee or leg pain
  • swelling, tenderness, or increased warmth under the knee and over the shinbone
  • pain that gets worse with exercise or high-impact activities, such as running
  • limping after physical activity

The severity of these symptoms often varies from person to person. Some individuals experience only mild pain during certain activities. Others experience constant, debilitating pain that makes it difficult to do any physical activity. The discomfort can last from a few weeks to several years. The symptoms typically go away once the growth spurt of adolescence is finished.

Osgood-Schlatter disease most commonly occurs in children who participate in sports that involve running, jumping, or twisting. These include:

  • basketball
  • volleyball
  • soccer
  • long-distance running
  • gymnastics
  • figure skating

Osgood-Schlatter disease tends to affect boys more often than girls. The age at which the condition occurs can vary by sex, because girls experience puberty earlier than boys. It usually develops in girls between ages 11 and 12 and in boys between ages 13 and 14.

A doctor will perform a physical exam and check your child’s knee for swelling, pain, and redness. This will usually provide the doctor with enough information to make an Osgood-Schlatter disease diagnosis. In some cases, the doctor may want to perform a bone X-ray to rule out other potential causes of knee pain.

Osgood-Schlatter disease usually resolves on its own once a growth spurt ends. Until then, treatment is focused on relieving symptoms, such as knee pain and swelling. Treatment typically involves:

  • icing the affected area two to four times a day, or after doing physical activity
  • taking over-the-counter pain relievers, such as ibuprofen or acetaminophen
  • resting the knee or reducing physical activity
  • wrapping the knee or wearing a knee brace
  • stretching
  • physical therapy

Some children may be able to participate in low-impact activities, such as swimming or biking, as they recover. Others may need to stop participating in certain sports for several months so their bodies have time to heal properly. Talk to your child’s doctor about what activities are appropriate and when a break from sports is necessary.

Osgood-Schlatter disease usually doesn’t cause any long-term complications. In rare cases, children with the disease may experience chronic pain or ongoing swelling. However, taking over-the-counter pain relievers and applying ice to the area can usually ease this discomfort. Some children might also need surgery if the bone and tendons in their knee don’t heal correctly.

Though Osgood-Schlatter disease is usually a minor condition, getting a proper diagnosis and treatment can help prevent complications. If your child is experiencing symptoms of the condition, you should:

  • Schedule an appointment with your child’s doctor.
  • Make sure you child sticks to their treatment plan if they’re diagnosed with Osgood-Schlatter disease.
  • Attend all follow-up appointments and notify your child’s doctor if symptoms persist.

  • Osgood-Schlatter disease is a common cause of knee pain in young children and adolescents who are still growing.
  • Most children will develop Osgood-Schlatter disease in one knee only, but some will develop it in both.
  • Athletic young people are most commonly affected by Osgood-Schlatter disease—particularly boys between the ages of 10 and 15 who play games or sports that include frequent running and jumping.
  • Treatment for Osgood-Schlatter disease includes reducing the activity that makes it worse, icing the painful area, using kneepads or a patellar tendon strap, and anti-inflammatory medication.
  • Surgery is rarely used to treat Osgood-Schlatter disease.

Osgood-Schlatter disease is a condition that causes pain and swelling below the knee joint, where the patellar tendon attaches to the top of the shinbone (tibia), a spot called the tibial tuberosity. There may also be inflammation of the patellar tendon, which stretches over the kneecap.

Osgood-Schlatter disease is most commonly found in young athletes who play sports that require a lot of jumping and/or running.

What causes Osgood-Schlatter disease?

Osgood-Schlatter disease is caused by irritation of the bone growth plate. Bones do not grow in the middle, but at the ends near the joint, in an area called the growth plate. While a child is still growing, these areas of growth are made of cartilage instead of bone. The cartilage is never as strong as the bone, so high levels of stress can cause the growth plate to begin to hurt and swell.

The tendon from the kneecap (patella) attaches down to the growth plate in the front of the leg bone (tibia). The thigh muscles (quadriceps) attach to the patella, and when they pull on the patella, this puts tension on the patellar tendon. The patellar tendon then pulls on the tibia, in the area of the growth plate. Any movements that cause repeated extension of the leg can lead to tenderness at the point where the patellar tendon attaches to the top of the tibia. Activities that put stress on the knee—especially squatting, bending or running uphill (or stadium steps)—cause the tissue around the growth plate to hurt and swell. It also hurts to hit or bump the tender area. Kneeling can be very painful.

How is Osgood-Schlatter disease treated?

Osgood-Schlatter disease usually goes away with time and rest. Sports activities that require running, jumping or other deep knee-bending should be limited until the tenderness and swelling subside. Kneepads can be used by athletes who participate in sports where the knee might make contact with the playing surface or other players. Some athletes find wearing a patellar tendon strap below the kneecap can help decrease the pull on the tibial tubercle. Ice packs after activity are helpful, and ice can be applied two to three times a day, 20 to 30 minutes at a time, if necessary. The appropriate time to return to sports will be based on the athlete’s pain tolerance. An athlete will not be “damaging” his or her knee by playing with some pain.

Your doctor may also recommend stretching exercises to increase flexibility in the front and back of the thigh (quadriceps and hamstring muscles). This can be achieved either through home exercises or formal physical therapy.

Medicine, such as acetaminophen (Tylenol) or nonsteroidal anti-inflammatory drugs (NSAIDs)—like ibuprofen (Aleve and Advil)—can be used to help control pain. If your child needs multiple doses of medication daily and the pain affects their daily activities, there should be a discussion on resting from the sport.

Is surgery ever needed for Osgood-Schlatter disease?

In almost every case, surgery is not needed. This is because the cartilage growth plate eventually stops its growth and fills in with bone when the child stops growing. The bone is stronger than cartilage and less prone to irritation. The pain and swelling go away because there is no new growth plate to be injured. Pain linked to Osgood-Schlatter disease almost always ends when an adolescent stops growing.

In rare cases, the pain persists after the bones have stopped growing. Surgery is recommended only if there are bone fragments that did not heal. Surgery is never done on a growing athlete, since the growth plate can be damaged.

If pain and swelling persist despite treatment, the athlete should be re-examined by a doctor regularly. If the swelling continues to increase, the patient should be re-evaluated.