From the Research
Osgood-Schlatter disease is a self-limiting condition that can be effectively managed with conservative treatment, and most cases resolve on their own within 12-18 months as the growth plate closes 1.
Overview of Osgood-Schlatter Disease
Osgood-Schlatter disease is a common cause of knee pain in growing adolescents, particularly those who are physically active. It occurs when the patellar tendon pulls on the growth plate at the top of the tibia (shinbone), causing inflammation and pain.
Treatment and Management
Treatment primarily involves:
- 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)
- Specific stretching and strengthening exercises for the quadriceps and hamstrings During painful flares, reducing high-impact activities like running and jumping is recommended, though complete rest is rarely necessary. Physical therapy can be beneficial for learning proper exercises and activity modification.
Prevention Strategies
Prevention strategies include quadriceps and hamstring stretching and should be implemented in everyday practice routines for children who partake in regular sports activities 1.
Prognosis and Outcome
The condition occurs during growth spurts because the bones grow faster than muscles and tendons, creating tension at attachment points. While painful, Osgood-Schlatter rarely causes long-term problems, and most people can return to full activities once symptoms resolve.
Recent Studies and Recommendations
A recent systematic review on conservative treatment options for Osgood-Schlatter disease found that certain therapeutic approaches, such as stretching, have apparent efficacy, but more studies are needed to clarify which type of treatment is the most appropriate 2. Conservative management remains successful in over 90% of patients, and operative treatment may be necessary only if disabling symptoms and pain persist after physeal closure 1.