For many young athletes, especially those involved in running and jumping sports, knee pain can be a common part of growing up. But when that pain becomes persistent and centered just below the kneecap, it may be more than simple soreness - it could be Osgood-Schlatter disease (OSD), a growth-related overuse injury that affects active adolescents.
While the name sounds intimidating, this condition is manageable - and physical therapy can play a key role in reducing pain and keeping athletes active.
What Is Osgood-Schlatter Disease?
Osgood-Schlatter disease is an inflammation of the growth plate at the tibial tuberosity, where the patellar tendon attaches to the shinbone. It typically develops during growth spurts when bones, muscles, and tendons are changing rapidly.
Who’s Most at Risk:
- Adolescents ages 9 - 15, especially boys (though girls are affected too)
- Young athletes in sports involving running, jumping, and quick changes of direction (soccer, basketball, volleyball, track)
- Those experiencing rapid growth spurts
Common Symptoms
- Pain and tenderness just below the kneecap
- Swelling or a noticeable bump at the top of the shinbone
- Pain that worsens with running, jumping, or kneeling
- Stiffness in the quadriceps or hamstrings
- Relief of pain with rest
Why Early Treatment Matters
While Osgood-Schlatter often resolves as growth plates close, ignoring the pain can:
- Prolong recovery
- Cause worsening inflammation
- Lead to compensatory movement patterns that stress other joints
Early physical therapy intervention helps reduce pain while allowing athletes to stay active safely.
How Physical Therapy Helps
A physical therapist will create a tailored plan to relieve pain, correct movement issues, and prevent recurrence. This may include:
- Activity Modification - Temporarily reducing high-impact sports or intense training
- Stretching Exercises - Improving flexibility of the quadriceps, hamstrings, and calves
- Strengthening Programs - Building hip and core stability to offload stress from the knees
- Patellar Tendon Support - Using taping or bracing techniques to reduce strain
- Education - Teaching athletes and parents how to manage symptoms and gradually return to full activity
Prevention Tips for Young Athletes
- Warm up thoroughly before practices and games
- Incorporate flexibility training for the legs
- Strengthen the hips and core to support lower body mechanics
- Avoid sudden increases in training volume or intensity
- Listen to pain - take breaks when symptoms appear
Final Takeaway
Osgood-Schlatter disease is common and highly treatable. With proper physical therapy, young athletes can stay active, manage pain, and safely return to their sport without long-term consequences.
If your child is experiencing persistent knee pain below the kneecap, consult a physical therapist for a personalized plan to protect their growing body.
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