Address: 7917 N May Ave, Oklahoma City, OK 73120, USA
What is Osgood Shlatter’s Disease?

 What is Osgood Shlatter’s Disease?

Osgood-Schlatter disease is a condition which usually occurs in teenagers that causes pain and swelling below the knee joint. It's an imbalance of muscles and overuse injury caused by an abnormal physical stress that is put on his or her legs more frequent in sports athletes or running. The pain may is exacerbated when walking or running, knees bent or while prolonged standing. Some outgrow the problem after several years, but in some cases it can be worse and have long term effects .

What is the cause for Osgood Schlatter’s?

Osgood-Schlatter disease is caused when the growth plates of the bone in particular the tibia, rub and the patellar tendon “pulls the bone from the growth plate”.. Bones do not grow in the middle, but at the ends near the joint, in an area called the growth plate. As a child grows, these areas of growth are made of cartilage instead of bone as in other areas of the body as a child grows. Because cartilage is never as strong as the bone, high levels of stress  such as running can cause the growth plate to hurt and swell.

The patellar tendon goes over the knee cap and attaches down to the growth plate in the front of the leg bone (tibia). The quadricep (thigh muscle) attach to the patella, and when stressed, puts tension on the patellar tendon. As the patellar tendon pulls on the tibia, in the area of the growth plate, repeated movements cause tenderness at the point where the patellar tendon attaches to the top of the tibia which then pulls the growth plate. Walking, running, stair climbing and even kneeling can be painful as well as touching the area.

How is Osgood-Schlatter disease treated by Dr. Philipose?

Sports activities that require running, jumping or other deep knee-bending should be limited until the tenderness and swelling subside. There are braces that can be worn to alleviate pressure and pain. Dr. Philipose uses prolotherapy, dry needling, electrical stimulation, and chiropractic with results seen in as little as 2- 3 weeks.

Dr. Philipose may also recommend stretching exercises to increase flexibility in the front and back of the thigh (quadriceps and hamstring muscles) as well as strengthing.

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 steroids ever needed for Osgood-Schlatter disease?

In almost every case, steroids and surgery is not needed and in fact may make it worse. The fact that cartilage is still converting to bone, any disruption of that process may make the problem worse. 

Call Dr. Philipose at 405-848-7246 to see if Prolotherapy may be right for your child’s condition.

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