Osgood Schlatters Disease

Author: Chloe Wilson - BSc(Hons) Physiotherapy

Osgood Schlatters Disease is a common cause of knee pain, particularly in adolescents. It is caused by inflammation at the top of the shin bone just below the kneecap and often follows a growth spurt.

It is usually aggravated by tightness and weakness in the knee muscles. With the right treatment, it can settle in a few weeks.  Without correct treatment, the problem can last a number of months.

Tight quads muscles (found at the front of the thigh) are a common feature of Osgood Schlatters Disease. The condition usually develops after a sudden growth spurt, where the quads muscles can’t keep up with the growth of the knee bones. The quads end up being very tight causing a lot of tension where they attach just under the kneecap resulting in Osgood Schlatters.

Complete rest from any aggravating factors for approximately one week is essential with Osgood Schlatters disease.  After that, you need to start doing strengthening and stretching exercises to help reduce pain and further damage and allow the bone to heal.  For simple tests to see if stretches would help relieve your pain, visit the knee stretches section.

Osgood Schlatters Disease Stretches

Carrying out a combination of simple stretching and strengthening exercises can drastically reduce symptoms and improve healing time.  Here, we will start here by looking at stretching exercises, and then go on to strengthening exercises. To find out more about the causes, symptoms and other treatment options available, visit the Osgood Schlatters overview.

There are a number of different ways of stretching the Quads Muscles. Here are my two favourites, those that I find give the best results and that are the easiest perform. Use the one that works best for you – you don’t need to do both, just one will do!!

1) Standing Quads Stretch

Stretches are a vital part of Osgood-Sclatter disease treatment.  Approved use by www.hep2go.com

Starting Position: Stand on one foot, holding the back of a chair to balance. With your free hand, hold the ankle of the stretching leg behind you

Action: Pull your heel towards your bottom until you feel a strong stretch in the front of your thigh. Hold for 30 secs.

Repetition: Repeat 3 times, 2x daily, or before and after exercise

Note: Keep your upper body up straight – don’t lean forwards or it reduces the stretch

Progression: To stretch further, carry out the exercise as described but also push the pelvis forwards and take the knee backwards

2) Quads Stretch Lying

Starting Position: Lie flat down on your tummy

Stretching the quads lying down.  Approved use by www.hep2go.com

Action: Bring your heel towards your bottom pulling at the ankle until you feel a stretch in the front of your thigh. Hold for 30 secs.

Repetition: Repeat 3 times, 2x daily, or before and after exercise

Progression: 1) Prop yourself up on your elbows and carry out the exercise as described above 2) Place a pillow/rolled up towel under your knee and carryout the exercise as described above. Can combine with progression 1 to stretch further

3) Quads Stretch Kneeling

Kneeling quads stretch for Osgood Schlatters Disease

Starting Position: Half kneeling, leg to be stretched underneath

Action: Clench your glutes to tuck your pelvis underneath and lunge forwards slightly onto your front leg until you feel a stretch across the front of the hip and thigh on the bottom leg.  Hold for 30 seconds

Repetition: Repeat 3 times, 2x daily, or before and after exercise

Notes: The backwards tilt on the pelvis is what really puts the stretch on so maintain it throughout

Getting the Best Results

To get the best results from these stretches for osgood schlatters disease, remember this. Stretching effectively should be uncomfortable when you do it, but only in the muscle being stretched and the pain should stop as soon as you stop stretching. Stretching should never aggravate your Osgood Schlatters Disease.

With each exercise, you want to feel the stretch in the middle of the thigh, not at the knee.

For more tips on the best ways to stretch, including the latest research on how to get the best results with the minimum input, see the knee stretches guide.

What Else Will Help?

The next step is to work on strengthening the knee muscles. Go to the strengthening exercises for Osgood Schlatters disease section to find out how to strengthen the right knee muscles to make a full and quick recovery.

Something else that can really help is to wear a knee strap.  It is a specially designed simple knee brace that places pressure through the patellar tendon reducing the friction and tension on it.  Visit the knee straps section to find out more - people really do say they make the world of difference.

If you want to know more about Osgood Schlatters Disease including more information on its causes, presentation and other treatment options, go to the overview page.

Go to Knee Exercise Guide or Knee Pain Guide

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