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Osgood Schlatters Disease (Tibial Tuberosity Apophysitis)
Osgood Schlatters disease can normally be treated with activity modification and rest.
The treatment is generally non-operative and most children are completely asymptomatic in adulthood. Occasionally there may be pain with prolonged kneeling. It normally takes 12-18months for the condition to fully resolve.
During this time treatment consists of
- Sports activity modification within tolerance of pain and severity of symptoms.
- Maintenance of knee motion with hamstring and quadriceps flexibility exercises during the child’s rapid growth phase is helpful.
- Anti-inflammatory medications
- If symptoms progress to the point of being disabling during routine daily activity, a brief period (7-10 days) of immobilization usually resolves the discomfort
Occasionally surgery to remove part of the underlying bone may be indicated in severe cases.