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- Rapid growth spurts
- Activities that stress the patellar tendon, such as jogging, jumping, and sudden turning
- Being overweight
- Pain, swelling, and/or tenderness just below the knee that usually worsens during physical activity
- A swollen, painful bump just below the knee
- Activities that place stress on the patellar tendon will need to be avoided until the swelling and pain go away.
- A strap, brace, or elastic bandage may need to be used to stabilize and support the area as it heals.
- You may be referred to a physical therapist to strengthen the affected muscles.
- Ice compresses during a flare-up or after exercise
- An over-the-counter pain reliever, such as ibuprofen
- A local injection of cortisone in severe cases
- Encourage overweight children to lose weight.
- Encourage children to get moderate exercise.
- Ask your child's doctor for stretching and strengthening exercises for the shinbone/patellar tendon.
Family Doctor— American Academy of Family Physicians http://familydoctor.org
Ortho Info—American Academy of Orthopaedic Surgeons http://orthoinfo.org
Canadian Orthopaedic Association http://www.coa-aco.org
Canadian Orthopaedic Foundation http://www.canorth.org
Atanda A, Shah S, O'Brien K. Osteochondrosis: common causes of pain in growing bones. Am Fam Physician. 2011 Feb 1;83(3):285-91.
Aronen JG and Garrick JG. Sports-induced inflammation in the lower extremities. Hosp Pract. 1999;34:51.
Ducher G, Cook J, Lammers G, Coombs P, Ptazsnik R, Black J, Bass SL. The ultrasound appearance of the patellar tendon attachment to the tibia in young athletes is conditional on gender and pubertal stage. J Sci Med Sport. 2010;13(1):20-23.
Osgood-Schlatter disease. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated March 3, 2015. Accessed June 29, 2015.
Overuse injuries in children. American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00613. Updated December 2012. Accessed June 29, 2015.
Pihlajamäki HK, Visuri TI. Long-term outcome after surgical treatment of unresolved Osgood-Schlatter disease in young men: surgical technique. J Bone Joint Surg A . 2010;92: Suppl 1 Pt 2:258-264.
- Reviewer: Teresa Briedwell, DPT, OCS
- Review Date: 06/2015 -
- Update Date: 05/23/2014 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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