Osgood-Schlatter Protocol
What is it? What are the Symptoms?
Osgood-Schlatter disease, also known as Osgood-Schlatter syndrome, is a condition that primarily affects adolescents who are going through growth spurts. It is characterized by pain, tenderness, and swelling just below the knee, specifically at the tibial tuberosity, which is the bony prominence at the top of the shinbone (tibia).
Osgood-Schlatter disease occurs when there is repetitive stress or tension on the growth plate of the tibia, where the patellar tendon attaches to the bone. This stress can result in inflammation, microfractures, and the formation of a bony bump or prominence. It is more common in physically active adolescents involved in activities that involve running, jumping, or frequent knee bending, such as sports like soccer, basketball, and gymnastics.
The main symptom of Osgood-Schlatter disease is knee pain, which typically worsens with activities that involve the quadriceps muscle contracting and pulling on the patellar tendon. The pain is usually localized to the tibial tuberosity and may be accompanied by swelling and tenderness. The condition usually resolves on its own once the growth plates close, typically by the end of adolescence.
Pre-hab exercises:
Phase 1:
Activities
Duration/Frequency
Complete rest from aggravating activities (running, jumping, etc.)
As needed
Ice application to the affected area
15-20 minutes, 3-4 times a day
Gentle quadriceps and hamstring stretching exercises
2-3 times a day, pain-free
Phase 2:
Activities
Duration/Frequency
Low-impact activities (swimming, cycling)
3-4 times a week, 20-30 minutes
Quadriceps and hamstring strengthening exercises
2-3 times a week, light resistance
Balance and proprioception exercises
3-4 times a week, 10-15 minutes
Core strengthening exercises
2-3 times a week, 15-20 minutes
Phase 3: Return to Sport
Activities
Duration/Freq.
Gradual reintroduction of sport-specific activities (running, jumping, cutting movements)
Based on pain levels
Progressive training program for agility, change of direction, and sport-specific conditioning
2-3 times a week
Monitor and manage pain levels during and after training sessions
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Balance training and rest for proper recovery and nutrition
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