Osgood-Schlatter: A Common Bone Condition in Adolescent Athletes
Osgood Schlatter disease (OSD) is a common knee ailment that primarily affects adolescents, particularly those active in sports. This condition arises due to the quadriceps muscle exerting excessive tension on the patellar tendon during growth spurts, leading to inflammation and pain just below the kneecap [1].
The long-term effects of OSD on knee health and physical activity in adolescents can include persistent knee pain during activities that stress the knee, development of a permanent palpable bump below the kneecap (tibial tubercle), and possibly increased knee weakness and imbalance leading to a higher risk of other knee injuries [1]. If untreated or inadequately managed, these issues may limit athletic potential and participation.
There is emerging concern about a possible link between OSD and later development of knee osteoarthritis. The repeated stress and inflammation associated with OSD can cause small injuries at the tibial tubercle and tissue thickening, which might alter knee mechanics and increase wear on joint cartilage over time. While not conclusively established, this potential connection suggests that early and thorough treatment of OSD may help protect knee health and delay or prevent osteoarthritis in the future [2].
Physical therapy is regarded as a beneficial approach for managing OSD, helping adolescents maintain activity with targeted stretching, strengthening, and avoiding excessive reliance on rest or pain medications alone. However, some athletes experience persistent symptoms into adulthood that affect their performance and comfort [3].
In addition to physical therapy, treating OSD involves conservative measures such as rest, ice therapy, compression, elevation, and medications. Surgery is typically considered only in severe or persistent cases. It's important to maintain a balanced diet rich in anti-inflammatory foods to support recovery, and wearing appropriate footwear is crucial for preventing knee issues [4].
Prevention is key, and proper warm-up and cool down are essential before engaging in sports or physical activities to prevent the onset or recurrence of the condition. Regular check-ups with a healthcare provider can help monitor growth and any potential issues in young athletes. Regular follow-ups with a healthcare provider can help monitor progress and adjust treatment plans as necessary [5].
Signs of discomfort or pain in the knees should never be ignored. Paying attention to any signs of discomfort or pain in the knees and consulting a healthcare professional if persistent pain is experienced can help prevent more severe issues [6]. OSD can be diagnosed through physical examinations and patient history, with imaging tests such as X-rays used in some cases to rule out other conditions or visualize the growth plate in the knee [7].
Many adolescents with the Osgood Schlatter condition find relief as they finish growing. A bony bump may develop at the tibial tubercle over time due to the ongoing irritation and inflammation. Gentle stretching and strengthening exercises can help manage the pain and inflammation associated with the condition [1].
In summary, OSD is a common knee condition affecting active adolescents. Early diagnosis and treatment are crucial to minimise long-term knee issues and maintain physical activity levels. While more comprehensive and long-term studies are needed to fully understand the scope of lasting knee health impacts, maintaining a balanced diet, wearing appropriate footwear, proper warm-up and cool down, and regular check-ups with a healthcare provider can help prevent and manage OSD effectively.
CBD, a compound found in cannabis plants, has shown potential in reducing inflammation and managing pain, making it a promising supplement for managing chronic diseases and medical conditions like OSD.
Combining traditional treatments like physical therapy, rest, and proper nutrition with CBD may help better manage the symptoms and discomfort associated with Osgood Schlatter disease, potentially improving the overall health and wellness of young athletes.
