Treatment of Osgood-Schlatter disease

General

Osgood-Schlatter's disease is one irritation the patellar tendon (also known as the patella tendon) at its attachment to the shinbone. In addition to irritation, it can also cause a Torn out individual pieces of bone come on the shin.

The patellar tendon connects one of the strongest muscles on the body with the shin - the Quadriceps femoris muscle. The function of this better than "Thigh muscleThe easiest way to explain the known muscle is using a soccer player: If a soccer player wants to shoot the ball, he first strikes back with his whole leg, and then lets his lower leg whip forward - here it comes Quadriceps femoris muscle into play by the massive contraction of its 4 muscle heads the Pulls the patellar tendon upwards, and the Stretches the lower leg. At too heavy load and at the same time incompletely formed bone tissue in the shin, part of the tendon can tear off. So it often happens in the puberty.

Symptomatic therapy

There are several options for treating Osgood-Schlatter's disease. Initial you can after PECH scheme Action: Pause, E.is, C.compression, Hochlager. So the foot must be cooled and elevated. The Cooling prevents swelling, the Elevation preventedthat it becomes a bruise comes. A break is useful anyway if you are in pain.

Too much pain are usually also given an NSAID, i.e. a Pain medication treated like ibuprofen or paracetamol. In addition to pain killers, I will be happy to have one Heat therapy with hot envelopes or a massage prescribed. This may seem contradictory, but it can be explained logically: To prevent an initial swelling, the affected area is chilledso that the vessels and tissue contract. So can less fluid penetrate the tissue, the swelling is not so "thick". Once this initial phase has been overcome (usually after 1-3 days), is one Heat therapy useful to the Blood circulation at the point too promote, and the Removal those in the tissue liquid to promote. By the way loosens Warm the Musculaturewhich is also the goal of the massage treatment.

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The knee joint is one of the joints with the greatest stress.

Therefore, the treatment of the knee joint (e.g. meniscus tear, cartilage damage, cruciate ligament damage, runner's knee, etc.) requires a lot of experience.
I treat a wide variety of knee diseases in a conservative way.
The aim of any treatment is treatment without surgery.

Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

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Causal therapy

While cooling and pain treatment are symptomatic, the concentration is concentrated causal therapy Osgood-Schlatter's disease to the Cause of the disease. As mentioned earlier, one of the problems here is one not fully trained, or bone tissue undergoing remodeling on the shin bone. As a result, the extreme forces that act at this point cannot be withstood.

The therapy is initially carried out through Protection and Avoidance of the sportwhere the injury occurred. Sports like To go biking or swim can, for example, replace football games, at least for a short time, as they put less stress on joints and muscles. As soon as the Decrease pain and an X-ray check has been carried out, the original sport can be restarted. It is also important to strengthen the thigh muscles, which is achieved through physiotherapy.

At overweight children Osgood-Schlatter disease is also created by creating one Nutrition plan treated - after all, every superfluous kilo of body weight demands muscles and bones.

In severe and recurrent cases, a Plaster splint or Plaster tutor be used. This is placed in a ring around the shin, and stabilizes the torn area: With every leg movement, the tendons and muscles are under tension and pressure and the tutor reduces the force.

Operative treatment

In Extreme cases Conservative therapy for Osgood-Schlatter is not enough, and one surgery is indexed. This can be useful, for example, when Pieces of bone from the Shin bone (lat., Medical: Tibia) to solve, and hang on the muscle tendon. When moving, these may drag along the rest of the shin and cause strong pain, as well as one Abrasion on the bone. These bone parts can also grow again in "wrong" places, and so the Permanently damage muscle function.

In Osgood-Schlatter's disease the detached bone particles (also ossicle) away, and the Muscle tendon again with the stable bone connected. As after every operation, one closes afterwards Several weeks of rest period on.

An operation should, however only at the end of the growth phase (after puberty), otherwise the risk is too great, the bone in his Longitude and latitude growth to affect.

More about the Operation for Osgood-Schlatter's disease they find out here.

Extracorporeal shock wave therapy

A newer therapeutic approach is the so-called ESWT, the extracorporeal shock wave therapy, which has so far mainly been used to destroy kidney stones. But also tendon calcifications or bone inclusions and ossicles can be treated with ESWT.

While in the early days of ESWT the patient still had to lie in a kind of full bathtub in which shock pulses were emitted, the treatment device has now shrunk to the size of a hand. The device is simply placed on the skin and can precisely destroy the underlying bone pieces. After resounding success in the destruction of kidney stones, this method is now also increasingly used to treat Osgood-Schlatter's disease. A treatment takes about 10 minutes, but several treatment cycles are necessary (usually 3-5 pieces). In order to avoid any pain, a local anesthetic, i.e. a local anesthetic, is applied to the area to be treated before the treatment.

As this is a relatively new procedure, as of 2015 experts were still divided on the effectiveness of this therapy.
Long-term studies may have to be awaited here, but some doctors speak of treatment success between 70 and 80%. In any case, ESWT (occasionally also RSWT, for "radial shock wave therapy") can be an alternative to surgery in the treatment of Osgood-Schlatter's disease.

Further information is also available at: Extracorporeal shock wave therapy