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Osgood Schlatter's (Knee) treatment guide


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Guide Overview

A brief summary of what you'll find inside our treatment guide.


Osgood Schlatter’s is a chronic condition, which means that it often develops over a long period. It’s one of the most common knee problems in active children and adolescents.

Causes (Aetiology)

As teenagers grow, the long femur bones in the upper leg lengthen and place the quadriceps muscles under excessive tension. This causes the point where the muscles insert onto the lower leg below the knee cap to become irritated, painful and sore.

Signs and symptoms

Repeated contraction of the quadriceps muscles during sports and exercise irritates the bone below the knee cap causing inflammation and pain. Osgood Schlatter’s often feels better with rest and a little pain relief but without effective rehabilitation, it always comes back when returning to normal activity, sport or exercise.

Symptoms include:

  • Acute pain below and around the knee cap

  • Tenderness when the affected area is touched or pressed

  • Pain which is worse during or immediately after exercise

  • There may be difficulty standing, weight-bearing and walking

Acute phase management

Most people fail in their treatment of Osgood Schlatter’s because they are unable to identify the cause of their pain. Once the source has been identified, effective steps can be taken to manage the symptoms.

Our treatment guide will help you to identify what’s causing your pain and create the right conditions to begin effective rehabilitation.

Post-acute phase management

Post-acute phase rehabilitation involves the staged introduction of isometric, concentric and eccentric muscle stretches, scar tissue removal, and proprioceptive exercises to lengthen the quadriceps and strengthen the tendons.

Condition-specific exercises will help you achieve a full, pain-free range of movement to stop the symptoms coming back.


Osgood Schlatter’s responds well to self-treatment and conservative care; although recovery times are dependent on the severity of the condition and how diligent you are with your rehabilitation.

Our treatment guide provides comprehensive tips and advice to achieve a full recovery in the shortest possible time.


If you follow the treatment guide correctly and are diligent with the rehabilitation programme complications are unlikely. Without correct rehabilitation, symptoms tend not to resolve and result in ongoing pain after exercise or walking.

Eventually repeated inflammation causes a boney lump to form under the knee cap which is painful to kneel on and may necessitate the need for debridement surgery.

Periodic stretching and mobilisation to keep the muscles lengthened and reduce inflammation under the knee cap are just some of the techniques contained in our clinically proven treatment guide to help prevent reoccurrence.

Start today and fast track your recovery!

Our guides contain all the latest clinical advice for musculoskeletal healthcare.

You can save hundreds of pounds or dollars on expensive physical therapy by treating the condition simply and effectively at home.

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Osgood Schlatter's (Knee) treatment guide

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