Tom was a 14 year old boy who came to the clinic with his father complaining of right sided knee pain. He first noticed pain and swelling below his patella (knee cap) two weeks before. Initially he was only aware of pain when playing football but over time he began to experience pain at rest. Both Tom and his father were concerned about the timing of his symptoms as he was at a critical stage of the football season and academy scouts were attending games. After taking a history and conducting an examination we were able to confirm that Tom was experiencing Osgood Schlatter’s disease.
We explained that Osgood Schlatter’s disease commonly occurs in teenage boys (typically 12-14 years old), who are generally involved with sports that involve running and/or jumping (football, basketball, gymnastics and volleyball).
We took Tom through the mechanism of injury and explained that the quadricep muscles (on the front of the thigh) pulls on the tendon that connects the kneecap to the shinbone (tibia). The bones are still growing and are still quite soft so this repeated stress can cause the tendon to pull away from the tibia, resulting in the pain and swelling.
We explained that most patients who are experiencing Osgood Schlatter’s Disease respond to a combination of complete rest from the aggravating activity, gentle osteopathic treatment and application of cold packs. The majority of individuals are then able to return to the original activity after several weeks, although on occasions it may persist for longer.
Osgood Schlatter’s – Case Study 4.