Osgood-Schlatter Disease
Diagnosis Explanation:
Osgood-Schlatter disease is an overuse injury that causes pain and swelling at the tibial tuberosity (the bony bump below the kneecap). It occurs when the patellar tendon pulls on the growing bone, leading to irritation and sometimes a visible lump. This condition is common in adolescents who participate in running, jumping, or sports requiring frequent knee bending. Symptoms include pain with activity, tenderness below the kneecap, swelling, and discomfort when kneeling.
Specific Work Modifications:
- If your job requires standing or walking: Take frequent seated breaks, and use cushioned shoes or insoles for shock absorption.
- If your job involves lifting: Avoid deep squatting and excessive knee bending. Lift with proper posture to reduce knee strain.
- If your job is desk-based: Keep the knee elevated when sitting to reduce swelling, and stretch periodically.
- Avoid: Kneeling, deep squats, prolonged standing, and repetitive jumping movements.
Specific Activity Modifications:
- If you run or play sports: Reduce intensity, avoid hard surfaces, and incorporate low-impact activities like cycling or swimming.
- If you hike: Use trekking poles, avoid steep inclines, and wear shock-absorbing footwear.
- If you do weightlifting: Avoid deep squats, lunges, and leg presses. Focus on controlled movements and core stability.
- Avoid: Jumping, sprinting, kneeling, repetitive stress on the knee, and high-impact activities until symptoms improve.
Recommended Supplements:
- Collagen Peptides – 10g daily for tendon and cartilage support.
- Vitamin C – 500mg daily to aid collagen production and tissue repair.
- Calcium & Vitamin D – 1000mg/800 IU daily for bone strength.
- Magnesium – 300-400mg daily to support muscle relaxation and prevent cramps.
- Omega-3 Fatty Acids – 1000mg daily to reduce inflammation.
Recommended Nutrition and Hydration:
- Increase Lean Protein (chicken, fish, tofu, eggs) to support bone and tendon repair.
- Eat Anti-Inflammatory Foods (berries, leafy greens, turmeric, nuts) to reduce swelling.
- Consume Hydrating Foods (cucumber, watermelon, citrus) to maintain joint lubrication.
- Limit Processed Foods & Sugars to prevent inflammation.
- Hydration: Drink 8-10 cups of water daily to support joint function and muscle recovery.
Home Exercise Prescription:
Early Phase (Reducing Pain & Swelling):
- RICE Protocol – Rest, Ice (15-20 min, 3x/day), Compression (brace or patellar strap), Elevation.
- Quadriceps Stretch – Stand and pull the foot toward the glutes, hold 20 seconds, 3x/day.
- Hamstring Stretch – Sit with one leg extended, reach for toes, hold 20 seconds, 3x/day.
- Ankle Pumps – Move ankle up and down to improve circulation, 10 reps, 3x/day.
Strengthening Phase (Improving Knee Stability):
- Straight Leg Raises – Keep knee straight, lift leg, hold for 5 seconds, repeat 10 reps, 2x/day.
- Glute Bridges – Lie on back, lift hips while keeping knees bent, 10 reps, 2x/day.
- Mini Squats (No Deep Bending) – Slight knee bends while keeping weight on heels, 10 reps, 2x/day.
Advanced Phase (Returning to Activity & Preventing Recurrence):
- Step-Ups – Step onto a low platform, push through the heel, repeat 10 reps, 2x/day.
- Stationary Cycling – Low resistance for 10-15 minutes/day.
- Balance Exercises – Stand on injured leg for 10-20 seconds, increase as tolerated.
Helpful Books:
- The Knee Injury Bible: Everything You Need to Know About Knee Pain, Prevention, and Treatment – Kevin R. Stone, MD.
- Peak: The New Science of Athletic Performance That Is Revolutionizing Sports – Marc Bubbs, ND.
Contact the Key West orthopedic clinic or reach out to Dr. Jason Pirozzolo.