Osgood-Schlatter disease is probably the most frequent cause of knee pain in children. The condition occurs most commonly in children between the ages of 9 and 16 years but it can occur in younger children. Both boys and girls are equally vulnerable to its debilitating effects. Osgood-Schlatter disease is always characterized by activity-related pain that occurs a few inches below the knee-cap, or patella, on the front of the knee. The child will have swelling in the area, and tenderness to touch. Sports requiring lots of running, jumping, kneeling, and squatting are particularly associated. Many children first signal the start of the problem by rubbing the top of their "shinbones" with their hands, or even ice cubes, at practice sessions. The three main factors that contribute to Osgood-Schlatter are:
Until now the only approved treatment for Osgood-Schlatter Disease was abbreviated as "RICE". This stands for Rest, Ice, Compression and Elevation. Often non-steroidal anti-inflammatory drugs (NSAIDS) are also recommended. Unfortunately, many times these treatments may prove to be inadequate. The condition, osteochondrosis at the tendon's attachment point on the tibial tubercle, may include microscopic bone chipping, inflammation and tears, and only in the most extreme cases, separation of both cartilage and bone from the tibia.