Bodyworks: Osgood-Schlatter's Disease
How to recognise it, how to overcome it
Posted: 5 June 2000
by Patrick Milroy
Osteochondritis is an inflammation of developing bone in children, in which an area becomes softened and deformed in the lower limbs or back. Osgood-Schlatters disease is a form of this which occurs at the upper front of the tibia (shin bone), where the patellar tendon from the knee joins it.
Symptoms
You are probably aged between 10 and 14, play a variety of sports, and have developed a painful bony swelling below the knee. It will hurt with strenuous activity, particularly when you kick a ball or contract the quadriceps muscle, to which it is connected through the kneecap.
Signs
Its easy to confirm the swelling of the tibial tubercle, and your doctor will ensure that the joint is not involved.
Medical investigations
Many experienced doctors do not now bother to x-ray the area, as the disorder is easy to identify and ultimately heals itself.
What else could it be?
Infections and tumours affecting the same spot are so rare that they can be discounted. Nothing else will produce a similar swelling at this site.
Self-treatment
Rest from painful activity, accompanied by ice packs and ibuprofen after exercise, should provide you with relief. You shouldnt take medication prior to exercise, though, as it could mask a worsening situation.
Medical treatment
If you get no relief, your doctor may very occasionally inject steroid, or even immobilise the leg in plaster. Physiotherapy to ease the pain should not be used as a cover to increase training.
Can you run through it?/ Recovery time
Although full recovery can take years, this is unusual, and time away from sport is more usually measured in months. Many youngsters will surreptitiously continue to exercise through the pain, and while this isnt to be applauded, you cant blame them, as they inevitably make a full recovery
Discuss this article
I really suggest you have a look at the PattStrap for OSD.
Posted: 29/06/2005 at 23:32
My case of OSD and what the doctors say is quite odd. I got it when I was 11 years old, knocking on peoples doors and running away from very pissed off people. One day, I was running and stopped myself from falling by sticking my right leg out. As a result, I sprained my knee, and after that I was diagnosed with OSD by some kind of bone specialist (ortheropaedian or something). I was told that I could continue running, since I used to and still do a lot of long distance running, but if there is any pain, I should stop. I was also told that the same thing could happen to my left leg. I had to live with the pain at first, intense pain whilst playing football, kneeling on hard surfaces and so on, but about a year ago (now I'm 16), all this pain somehow went away. I know this is bad, but I even smash my knee against walls in my house and it feels quite fine, but I still have the humoungous lump and random pains. 3 years after I was diagnosed, I went back to my GP to ask for another X-ray. He went along with the plan, and when I returned HE SAID IT WAS DIAGNOSED AS A SLIGHT FRAGMENTATION!!! Then I went back 6 months later and he did not seem to have a clue so went along with the original OSD diagnosis. Also, I seem to have this problem where my lower leg is a bit more outwards than my upper leg, so it seems as though my legs are bent. I was never like this until I was about 10ish. Can someone tell me what's wrong with my leg??? And one more thing. I speak on behalf of all us kids who enjoyed annoying the hell out of people by knocking on their doors and running off, sorry. I think I've been punished by god for this.
Posted: 26/10/2007 at 00:26
Ab, it's called "Knock down Ginger", gingers revenge then! Good news peeps, 46.5 years old, knees intact, the right is beginning to niggle and discomfort creeping in. Lumps still there. Kneeling is big pain and brings tears to my eyes. Running has helped enormously, before I started 3-4 years ago, I was just about beginning to limp a bit. The muscles have now strengthened to compensate. Providing I keep going, no pain. 3 weeks off (when I had salmonella) and I walk like Dr House. takes a month to get back to normal. So don't worry too much!
Posted: 26/10/2007 at 00:41
Hello, I am from Bulgaria, and i want to share my osgood schlatters disease problem with you friends. Now i am 33 years old, and i still have this problem since i was 14. I was a football player and after my knee injury i just stopped. I readed that after a couples of months or even a year my condition should be get better, but unfortunately i have no any progress with that. I usin ice on my bones all the time, in the past i was taken a pills- OSSOPAN. After my graduation i was in the ARMY, and there the paine was too much for me, because of the runnings and so on. But i survived with a lot of paine allmost 2 years. And now i have no improvment with my knees - for a 10 years i do not practice any kind of sports. If someone nows any solvation on my problem please let me know ( even a surgery). Regards,
Posted: 30/11/2007 at 10:12
dude i have no cure for it but i have it as well and iv had it for about atleast a year maby more and i would like to get rid of it, but the problem is i do free running or if you like parkour so hay, i normally just ignore it im quite tolrant to pain but some times can get very pissed off at the never ending pain! if u want to email me back because i dont ever go on this site so justr email me @william.ogilvy@hotmail.co.uk
Posted: 08/12/2009 at 21:50
hi i have had osd for about 3 years now and i am 14 years old. i have recently developed severe ocification[calcium deposit] in the joint. most of the doctores my parents have consulted feel that this is what is causing the pain. one of the doctors says removing the ocicle with surgery will mostly cure my pain whereas others are reluctant to operate due to the risk of damging the growth plate, meaning the front of my knee will stopr grwing. do you think we should go ahead for the operation/?
Posted: 28/12/2009 at 12:33
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