From the Research
Osgood-Schlatter Disease is a common cause of knee pain in growing adolescents, particularly those who are physically active, and the most effective treatment approach is conservative management, including rest, ice, and stretching exercises, as supported by the most recent study 1. The condition occurs when the patellar tendon pulls on the growth plate at the top of the tibia (shinbone), causing inflammation and pain. Some key points to consider in the management of Osgood-Schlatter Disease include:
- Rest from activities that worsen symptoms
- Ice application for 15-20 minutes several times daily
- Over-the-counter pain medications like ibuprofen (200-400mg every 6-8 hours with food) or acetaminophen (500-1000mg every 6 hours) to manage pain and inflammation
- Stretching exercises for the quadriceps and hamstrings to help reduce tension on the affected area
- Limiting high-impact activities like running and jumping for 2-8 weeks depending on symptom severity The condition is self-limiting and typically resolves when growth stops, usually within 12-24 months, as noted in 2. Surgery is rarely needed, but may be considered in cases where disabling symptoms and pain persist after physeal closure, as mentioned in 3. Patients can gradually return to activities when pain subsides, and using a knee pad or patellar tendon strap during sports may provide additional protection, as suggested in 4. It's also important to note that prevention strategies, such as quadriceps and hamstring stretching, should be implemented in everyday practice routines for children who partake in regular sports activities, as recommended in 2.