Dear Robert
The plaster of Paris is an extreme measure, I agree, and what you say about
exercise being limited by pain is important. Nevertheless there is a small
group of individuals who are so focussed on their sport AND reckon that if
they work at it even harder they will 'work through' the pain. It is this
small group for which extreme measures may occasionally be necessary.
Robert
----- Original Message -----
From: "Robert Stålebring" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, January 22, 2001 09:13
Subject: SV: Osgood-Schlatter Disease
About Osgood-Schlatter disease.
I see many adolescent soccer (football) players in my practice. In my
experience many of them , especially the more talented ones, have one thing
in common: overuse. In Osgood-Schlatter disease I must agree whith Mr
Treharne-Jones that "treatment" generally is not nessesary or beneficial. We
are dealing whith growing individuels here and the main concern besides pain
is (as allways) the patients, parents and coaches anxiety. Information about
the good (exellent) prognosis of the condition, and coaching in finding
appropriate level of activity is in my opinion essential. "Rest" is, as I
see it, most often an unnessesary advice, since even vigorous activities
whith pain will do no harm but "just" give pain. Activities will not
increase the risk of future sequele. In this context I really cant see the
rationale for plaster. My patients seem to be happy whith these advise and
funny enough the piece of information itself seem to decrease pain.
Robert Stalebring PT
Sweden
|