Definition: Though it's one of the most common causes of knee pain in adolescents, it's not really a disease but rather an overuse injury. Although it can be quite painful, it will usually resolve within 12 to 24 months. Osgood-Schlatter disease (OSD) is an inflammation of the bone, cartilage, and/or tendon at the top of the shinbone (tibia), where the tendon from the kneecap (patella) attaches. Most often only one knee is affected.

Function: The function of the bony protuberance of the shin bone (below the knee) is to provide a place for the attachment of the patella tendon (which comes from the thigh muscles and knee cap).
Mechanism of Injury

OSD is an overuse of the patella tendon causing stress to the attachment site. This leads to a 'bump' on the shin just below the knee.

Signs & Symptoms

  • Swelling and or tenderness on the shin bone just below the knee
  • Pain that worsens with exercise
  • Limping after exercise
  • Tightness of the muscles surrounding the knee

Causes

Teens increase their risk for OSD if they play sports involving running, twisting, and jumping, such as basketball, football, volleyball, soccer, tennis, figure skating, and gymnastics. Doctors disagree about the mechanics that cause the injury but agree that adolecent growth spurts, overuse and physical stress are involved.

Pedorthic Treatments

Custom made Orthotics can be an effective method to reduce your knee discomfort as they are designed to redistribute and load the foot in a different way in order to decrease stress on the knee structures. Pedorthists use interventions such as supporting your medial/inside arch to reduce internal rotation of the tibia/shin bone. Proper footwear is also pivotal to your recovery. Footwear that is properly fitted to encourage proper function of the shin bone may be helpful. Talk to a Foot by Foot Pedorthist about proper footwear choices for you.

Other Treatment

  • Resting, or avoiding activity
  • Physiotherapy for stretching of tight structures
  • Braces to disperse load at the patella and/or tendon
  • Knee pads

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600 Princess St #102, Woodstock, ON N4S 4H4, Canada

(519) 539-1344

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Michelle Carlisle

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posted 3 months ago

Darlene is amazing!!!!!! So professional! She cares and it shows! My orthotics changed my life, I've been pain free for 6 years thanks to foot by...

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Unreal place. They fixed my aching feet. I could barely walk anymore till I made the appointment. I would recommend this place to everyone. Give them...

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Darlene was very professional and friendly. She was gentle with my feet and spent some time explaining what I needed and how to help my feet feel...

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posted a year ago

Darlene was very thorough and professional. She explained our options and listened to our needs. Delivery and follow up was also fantastic! We will...

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Gillian Planta
Gillian Planta

5 out of 5 stars

posted 3 years ago

Janine Dietrich
Janine Dietrich

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posted 3 years ago

Jane is very professional, friendly, knowledgeable, and makes great orthotics!

Jenna-Leigh Caetano
Jenna-Leigh Caetano

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posted 2 years ago

Absolutely love my orthotics, my problem knee is finally comfortable! Great customer service and to top it off, I had them match my favourite football...

Joe Hehn
Joe Hehn

5 out of 5 stars

posted 2 years ago

Thanks Michelle. Always a great job. See you next year!

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