Osgood Schlatter Disease Information

Osgood Schlatter Disease Information

Osgood–Schlatter disease, also known as Osgood-Schlatter syndrome, osteochondrosis, or tibial tubercle apophyseal traction injury, is when the growth plate ruptures at the tibial tuberosity (the upper margin of the tibia). It’s one of the most common causes of adolescent knee pain. It affects more boys than girls and most often occurs between the ages of nine and sixteen. Some statistics show that as many as one in five adolescent athletes will have an Osgood-Schlatter injury.

 

Anatomy As It Relates To Osgood-Schlatter Disease

The tibial tuberosity is a large oblong elevation on the tibia (inner bone of the inner leg). It’s where the patellar ligament attaches from the quadriceps muscle and it’s part of overall structure that provides the lever action necessary to extend the knee joint. The tibial tuberosity is an area of the knee where a growth plate is located. This growth plate is made of cartilage that will eventually change into bone, thereby allowing bones to get longer and wider as children age.

Of course, cartilage isn’t as strong as bone, thereby leaving growth plates more susceptible to injury.
The fact that tendons have a propensity to grow slower than the bones that they connect to also contributes to the ease and frequency of growth plate-related injuries during childhood. This is especially true during periods of growth, also called growth spurts, where the tendons become relatively too short for the bone their attached to. In the knee, the contraction of the quadriceps will pull the quadriceps tendon and the patellar tendon. If the tendons are too short, the majority of the tension is directed at the tibial tuberosity.

What Is Osgood-Schlatter Disease?

Osgood-Schlatter occurs when there is too much tension on the tibial tuberosity, thereby causing the growth plates to separate. As this separation occurs, it creates a tender and painful bump where the growth plates continue to grow and fill with bone or cartilage.

Also note that Osgood–Schlatter disease is distinguished from Sinding-Larsen-Johansson syndrome in that Sinding-Larsen-Johansson occurs at the growth plate located at the bottom of the patella.

What Causes Osgood-Schlatter Disease?

The anatomical issues described above are often combined with overuse of the legs and knees during sports activities and/or abnormal knee alignments that create added tension on the tibial tuberosity. Children with flat feet and knock knees are more apt to develop the condition. Sports and exercise activities that involve the child frequently jumping, running, or quickly changing direction are high risk factors. A direct trauma to the area of the knee near the tibial tuberosity may also cause Osgood-Schlatter disease

What Are The Symptoms Of Osgood Schlatter Disease?

* the tibial tuberosity (just below the kneecap) will be tender to touch
* a tender and painful bump usually forms just below the kneecap
* activities such as kneeling, squatting, running, jumping, kicking, and climbing usually cause pain
* prolonged sitting usually causes pain
* rest helps alleviate pain
* the degree of pain ranges from mild and only upon exertion to severe and near debilitating
* there may be localized swelling over the tibial tuberosity
* the quadriceps may also feel tight, especially upon physical exertion
* symptoms usually persist twelve to twenty-four months, but may continue until the child reaches skeletal maturity

 

Strengthening Exercises

These Osgood-Schlatter Disease Exercises are ideal to build strength and flexibility.

Massage Treatment

These Osgood-Schlatter Disease Massage Techniques are of great value in pain relief; circulation stimulation; dispersing blood and fluid accumulations; swelling reduction; and relaxing muscle spasms, especially when used alongside the Sinew Therapeutics liniments and soaks.

 

ACUTE STAGE SYMPTOMS AND TREATMENT

 

This stage is characterized by swelling, redness, pain, and possibly a local sensation of heat, indicating inflammation. If coolness makes your pain feel better, then the Acute Stage Treatment is recommended.

 

ACUTE STAGE SYMPTOMS:

 

The acute stage starts the moment an injury occurs and lasts until the swelling and inflammation are gone. The swelling is the result of the blockage of blood, tissue fluids and circulation in the knee because their normal movement has been disrupted by the force of the injury. Just like cars back up behind a traffic jam, causing congestion, exhaust and overheating; blood and fluids back up behind the injured knee, causing pain, inflammation, lumps and swelling.

The sensation of heat is due to the warming action of the blood and fluids overheating in the injured knee as they back up and accumulate. Stiffness and decreased mobility are due to spasms in tendons and ligaments that have contracted reflexively beyond their normal range from the impact of the injury.

As ligaments and tendons stretch and tear, blood from ruptured blood vessels becomes trapped in the local tissues. As the trapped blood clots up, it sticks the tissues together creating adhesions. Adhesions cause pain, inflammation and restricted movement because the layers of tissue that used to slide smoothly across one another now adhere and snap which interferes with normal functioning. It is essential to break up clotted blood as quickly as possible to prevent adhesions and scar tissue from forming.

During the acute stage it is very important to restore normal circulation to the knee, break up clotted blood and stagnant fluids, reduce swelling, and reduce the redness and heat associated with inflammation. By restoring the flow of blood, fluids, and circulation in the knee, then pain is relieved, damaged tissues can regenerate with healthy functional tissue, and the knee can strengthen and regain it's mobility.

 

ACUTE STAGE TREATMENT:

 

1. Apply the Sinew Herbal Ice on your knee to reduce redness, swelling, and inflammation while dispersing accumulated blood and fluids to help restore normal circulation to the knee. This first-aid treatment is used in place of ice to significantly speed up the healing process. It reduces the swelling and inflammation more effectively than ice, allowing you to more quickly regain range of motion. Acute Sinew Liniment can be used in-between applications.

Ice is not recommended because it does not help repair damaged tissues and keeps everything in the injured area frozen, causing the stagnation of blood and fluids and the contraction of muscles, tendons and ligaments. In Chinese sports medicine ice is not used and is considered a culprit in injuries that donít heal well.

2. Massage your knee with Acute Sinew Liniment to relieve pain, reduce swelling and inflammation, break up clotted blood and stagnant fluids, and stimulate circulation of blood and fluids to help cells quickly repair damaged tissues. Sinew Herbal Ice can be used in-between applications.

3. The Sinew Sports Massage Oil is recommended for use before and after exercise, sports and strenuous activity. It warms and stimulates your muscles, increases circulation and relieves tightness, hence improving your performance and helping to prevent injury.

 

 

CHRONIC STAGE SYMPTOMS AND TREATMENT

 

This stage begins once the swelling and inflammation are gone, but you still feel pain, stiffness, weakness, and/or sensitivity in cold and damp weather. If heat makes your pain feel better, then the Chronic Stage Treatment is recommended.


CHRONIC STAGE SYMPTOMS:

 

The chronic stage begins once the swelling and inflammation are gone, but you still feel aching pain and stiffness. This is because there are still accumulations of stagnant blood and fluids in the knee that are blocking circulation and blood supply to damaged tissues, creating residual pain, stiffness and weakness. You may actually feel hard nodules like sand in the tissue, indicating accumulation, calcification, and adhesions, which all cause pain, stiffness, and joint instability.

Your knee may feel more sensitive to the cold and ache in cold and damp weather due to impaired circulation. When you move your knee you may hear a clicking or popping sound from the tendons and ligaments slipping very slightly in and out of their natural alignment indicating weakness and joint instability, causing chronic pain and a cycle of reinjury. These symptoms are often the result of failure to treat the injury properly from the outset and overicing.

Increasing circulation and blood supply to the damaged tissues is very important in treating chronic injuries because tendons and ligaments do not have an extensive direct supply of blood. That is why chronic injuries can be slow to heal. Increasing local circulation also prevents cold and dampness from penetrating the injured area, preventing pain and stiffness.

During the chronic stage it is very important to break up remaining accumulations of blood and fluids, and increase circulation and blood supply to the damaged tissues. By increasing circulation and blood flow in the knee, then pain and stiffness is relieved, and the tendons and ligaments can strengthen to restore stability.


CHRONIC STAGE TREATMENT:

 

1. Massage your knee with Chronic Sinew Liniment to relieve pain and stiffness, strongly stimulate circulation and blood flow to damaged tissues, and promote the healing of overstretched tendons and ligaments. Sinew Injury Poultice and/or the Sinew Warming Soak can be used in-between applications.

2. Apply the Sinew Injury Poultice on your knee to relieve residual pain and stiffness, significantly stimulate circulation and blood flow to damaged tissues, and further promote the healing of overstretched tendons and ligaments. The Sinew Injury Poultice is particularly useful if your knee is more painful in cold and damp weather. Chronic Sinew Liniment and/or the Sinew Warming Soak can be used in-between applications.

3. Soak your knee with the Sinew Warming Soak to ease joint pain, increase range of motion, and strongly increase local circulation to drive coldness and dampness out of damaged tissues. The Sinew Warming Soak is particularly useful if your knee is more painful and sensitive to cold or hurts more in cold weather. The soak can be used by saturating a towel in the liquid and applying it to your knee. Chronic Sinew Liniment and/or the Sinew Injury Poultice can be used in-between applications.

4. The Sinew Sports Massage Oil is recommended for use before and after exercise, sports and strenuous activity. It warms and stimulates your muscles, increases circulation and relieves tightness, hence improving your performance and helping to prevent injury.