Osgood-Schlatter’s Disease

What is Osgood-Schlatter’s?

Osgood-Schlatter’s disease is an overuse condition in growing adolescents where the patellar tendon pulls on the tibial tubercle, causing pain and swelling. It’s common in young athletes involved in running and jumping sports.

Common Symptoms

• Pain and swelling just below the kneecap

• Tenderness at the tibial tubercle (shin bump)

• Pain worsened by running, jumping, or kneeling

• Sometimes a visible bump at the shin

Physical Therapist Diagnosis

A PT confirms the diagnosis through history (adolescent athlete, repetitive loading), tenderness at the tibial tubercle, and pain with resisted extension or activity.

Why it Happens

Rapid growth, combined with high activity levels, stresses the patellar tendon attachment. Sports like basketball, soccer, and volleyball are common culprits.

Why it Doesn’t Always Heal on Its Own

Symptoms may improve with growth, but without load management and strengthening, pain can persist and limit participation.

Ideal Physical Therapy Treatment

Rehab focuses on load modification, pain management, and strength development.

Key strategies include:

• Activity modification to reduce jumping/running volume

• Manual therapy and stretching for quads and hip flexors

• Dry needling (when appropriate) for quadriceps tightness

• Strengthening of quads, glutes, and core

• Education for parents and athletes on safe progression

Expected Outcomes

Most young athletes improve significantly with therapy and can continue participation with modified loads. Symptoms typically resolve with skeletal maturity.