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
|