Osgood Schlatter Disease | Symptoms, Diagnosis, Treatment, Taping

Tuesday, February 19, 2019

Osgood Schlatter disease is a common condition causing knee pain, which usually strikes adolescents who are active during their growth spurts, that 2-year period where kids grow rapidly. It is not unheard of to see Osgood Schlatter in adults, especially if left untreated when younger. It has a similar pathology to Sever's disease. Activities involving repetitive movements such as jumping and running are the main culprits. But we want to keep our kids active, so here we explain how our physiotherapists can diagnose and treat Osgood Schlatters, including effective taping techniques.

Osgood Schlatter disease symptoms

Local pain, swelling and tenderness over the tibial tuberosity (in front of the knee under the knee cap)
Pain is experienced during exercise or with direct contact, such as kneeling
Can happen to both knees (20-30% of cases)
Growth of a tender lump at the front of the knee over time

How do you know if you have Osgood Schlatter disease?

Based on the history and symptoms of the injury presented, a “frontline” physiotherapist will perform several tests to confirm the diagnosis; you don't need a referral to come to see us! Sometime other imaging such as X-ray, MRI and bone scan can help with diagnosis, which your Engadine Physio can refer for you if needed.

Osgood Schlatter treatment

Treatment is based on eliminating pain and restoring normal foot and leg biomechanics.

Pain relief & control
- Rest (24-72 hrs)
- ICE (20 minutes on and off)
- Compression (bandage)
- Elevation (above heart)
Series of exercises to mobilize the hip, knee and ankle
Strengthen lower leg muscles, which stabilize the hip and knee
Load management when playing sports
Application of athletic taping to support the knee
Can be prescribed custom fitted arch support (orthotics) to help distribute pressure to your feet more evenly
Coaching for lifestyle remedies:
- Choosing supportive shoes
- Eliminating worn-out athletic shoes or cleats