Tibial Tubercle Pain (Osgood-Schlatter Disease)
What To Know About Osgood-Schlatter Disease
Osgood-Schlatter syndrome is a condition in which the insertion of a patellar tendon into the tibial joint burns. It is a condition known in late childhood characterized by pain over the tibial joint as well as the popularity of the bones. Usually, it is determined in the final stages of bone growth. Boys are affected more often than girls, and the age of love is usually in the second decade of life “10 to 15 years for boys and eight to twelve years for girls.” Typically, less than 25% of patients complain of pain over tibial disease.
In the early stages of OSD, patients experience pain in tuberculosis after physical activity, but over time, the pain becomes permanent and consistent regardless of activity. In x-rays, normal ossification is indicated on tibial disease. Treatment includes conservative and surgical options. Conservative treatments include adjusting the body’s activities, using ice packs, anti-inflammatory drugs, brushes and pads. Symptoms usually resolve after physical closure without any treatment, but symptoms may remain in some cases. In about 10% of patients, bone fragments are not involved, and these patients complain of pain in the front of the knee, even after a little physical exercise but especially after kneeling. These pains are usually associated with mobile and unused bone fragments, which may require surgical excision.
What is Osgood-Schlatter Disease
Osgood-Schlatter syndrome is an inflammation of the area just below the knee where the tendon from the kneecap connects to the bone. Osgood-Schlatter syndrome often occurs during growth spurts, when bones, muscles, tendons, and other structures change rapidly. Because physical exertion puts extra stress on the bones and muscles, children who engage in athletic activities, such as running and jumping, are at greater risk for this condition. However, inactive teens may also find this problem difficult.
During activities that include multiple jumping and bending hockey, hockey, volleyball, football, skating, gymnastics, or ballet the quadriceps muscles pull hard against the kneecap and kneecap anchor, tendon patellar. The patellar tendon fibers are attached to the shinbone. By constantly pulling against this fiber connection, the tendon may burn out near or near its bone attachment. The result is pain and swelling in the tibial tubes, which is an elevated area above the bone. The tibial tubes are the place where the patellar tendon attaches to the bone.
Symptoms of Osgood-Schlatter Disease
Symptoms of pain are often brought on by running, jumping, and other sports-related activities. In some cases, both knees are symptomatic, although one knee may be worse than the other.
- Pain, tenderness and swelling at the popularity of the bones located on the upper rock, just below the knee
- Knee pain that is detrimental to activity – especially running, climbing and jumping stairs – and slows and relaxes
- Tightness of the muscles surrounding the lump, especially the thigh or quadriceps muscles
The degree of pain may vary depending on the individual. Some people may experience minor pain and activity such as running and jumping. Some may experience constant pain that can worsen. The condition often affects one knee but both knees can be targeted as well. The discomfort can last from weeks to months. In Osgood-Schlatter ulcer, tibial tuberculosis is often exacerbated and painful. It hurts when you are beaten. It also hurts when pressure is placed on it, such as when you are on your knees. Activities such as running, jumping, climbing, and kicking can be harmful because of the tension of the patellar tendon that pulls over the tibial tubing.
Symptoms generally go away slowly over a period of one to two years and can be managed at that time with physical therapy. The condition, however, can leave early, without pain below the knee and the area can become soft when pressure is applied to it. Many adults who had a sore as a child still have pain when kneeling. Problems can arise if the area between the pieces of bone fills the carrot instead of the bone. Typically, bone growth plates join together with a solid bone in the middle. If cartilage fills the space, the condition is called unity.
Causes of Tibial Tubercle Pain (Osgood-Schlatter Disease)
One or more of the following factors may contribute to Osgood-Schlatter syndrome:
- OSD is often caused by inflammation of the patellar tendon where it holds the tibia or shin bone, just below the knee. There may also be inflammation of the tibia bone or cartilage.
- Growing bones are different from mature bones. They have growth plates in which bones grow longer and separate areas of bone, called apophyses, where tendons adhere. Apophyses are exposed areas in the bone and are (weak joints) that make these areas prone to injury.
- Repetitive pressure on the thigh muscles during physical activity draws to the patellar tendon, which pulls the attachment to the tibial tubercle apophysis. This causes inflammation and pain.
- Young people who participate in sports that include running, spinning, and jumping – such as basketball, soccer, volleyball, soccer, tennis, skating, or gymnastics – are at greater risk for OSD.
OSD is most often seen in adolescents working near the onset of growth and can occur in both boys and girls.
Risk factors for Osgood-Schlatter syndrome
- Age; Osgood-Schlatter syndrome occurs during puberty. Age rates vary by gender because girls reach puberty earlier than boys. Osgood-Schlatter syndrome is most common in boys aged 12 to 14 and girls aged 10 to 13.
- Gender; Osgood-Schlatter syndrome is common in boys, but the gender gap narrows when more girls engage in sports. Games. The same situation often happens with sports that involve running, jumping and rapid changes in direction.
- Flexibility; Tightness in the quadriceps muscles can increase the pull of the kneecap tendon on the growth plate above the shinbone.
Complications of Osgood-Schlatter syndrome
Complications of Osgood-Schlatter syndrome are not uncommon. If they do occur, they may include chronic pain or local swelling. Even after the symptoms are resolved, the bump bump may remain on the shinbone just below the kneecap. This bump may persist at some point in your baby’s life, but it usually does not interfere with knee function. In rare cases, Osgood-Schlatter’s disease can cause the growth plate to be pulled away from the bone.
Treatments of Tibial Tubercle Pain (Osgood-Schlatter Disease)
If the pain is unbearable, painkillers may help. Acetaminophen and ibuprofen may help reduce symptoms, such as naproxen. Physical therapy can sometimes help with pain, too. Some exercises can help stretch the quadriceps and muscle muscles in the thighs. This can reduce tension where the tendon and bone are connected. Other exercises that strengthen the quadriceps can help, too, as they can relax the knees.
- Rest; Running, jumping, bending, and kneeling can trigger OSD, so taking time from activities that involve such movements can help prevent further complications.
- Ice; Cold applied to the area can help reduce pain and swelling.
- Cross training; If your child has to take a vacation from an activity or sport of choice, trying something different that has little effect, such as swimming or cycling, can be a good alternative.
- Stretching; Exercising specific quadriceps stretching exercises can help reduce tension and pain.
- Protection; If your child continues to play sports, wearing a protective pad over the wound may keep it safe from further damage.
- Stability and rope; Using a special cord called a patellar tendon cord can put the tendon in place during the operation. It fits around the foot below the knee and can help distribute some of the energy that is in the shinbone.
How can you care for your child at home?
When your child has Osgood-Schlatter syndrome, he may have difficulty doing certain activities or sports. But there are steps that your child can take to feel better. Having your child:
- Spend a little time doing the activity that causes pain, or make him work a little harder. Or get your child to rest from activities that cause knee pain, such as squatting, kneeling, running, and jumping. Ask your child to change activities that do not stress the knee. Swimming and cycling are good activities to do because they put a little stress on the knees.
- Put ice or cold pack on the knee for 10 to 20 minutes at a time. Place a thin cloth between the ice and your baby’s skin.
- Announce a sore knee in the pillow when your child discovers it or whenever sitting or sleeping. Keep your knee above your baby’s heart rate. This will help reduce swelling.
- Wear a brace if the doctor recommends it. Follow the instructions for its use. A knee brace can reduce or prevent swelling.
- Wear knee pads or patellar straps to protect the knee during sports or other impact activities.
- Ask your doctor if your child can take over the counter medications such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) to reduce pain. Be safe with medication. Read and follow all instructions on the label.
As the knee pain begins to subside, your doctor may suggest that your child begin a series of exercises that help to stretch and strengthen the leg muscles that support the knee. Your doctor or physiotherapist will tell you when your baby can start this exercise and which ones will work best for your baby. Make sure your child does each exercise slowly and reduces exercise if he or she starts to have pain.