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Osgood-Schlatter Disease

Posted on 12/6/22 at 10:57 am
Posted by bamaguy17
Member since Jul 2022
1282 posts
Posted on 12/6/22 at 10:57 am
My 12 year old has a bony, not fleshy, lump below his kneecap. A quick search points to Osgood-Schlatter. What's not clear is what to do to solve it. Do I eliminate his lower body workouts? Eliminate squats only?

It doesn't cause him pain and he's had it before starting lifting because I asked a coach who's in the medical field about it.

He does stretch it, and does some beginner yoga, I just don't want to make it worse since it looks like this problem will solve itself with time. I just know he's going to be bummed out if he has to stop lifting, because he's enjoying the muscles he's starting to get
Posted by jose
Member since Feb 2009
29727 posts
Posted on 12/6/22 at 11:22 am to
The pain will resolve own its own once he stops growing. Treatment is conservative. Main thing will be quad stretching and modify activities that cause pain.

Here's a link to read more about it:
Osgood Schlatter Disease

These are some good braces if you want to go this route:
Braces
Posted by lsu777
Lake Charles
Member since Jan 2004
38031 posts
Posted on 12/6/22 at 11:55 am to
quote:

My 12 year old has a bony, not fleshy, lump below his kneecap. A quick search points to Osgood-Schlatter. What's not clear is what to do to solve it. Do I eliminate his lower body workouts? Eliminate squats only?

It doesn't cause him pain and he's had it before starting lifting because I asked a coach who's in the medical field about it.

He does stretch it, and does some beginner yoga, I just don't want to make it worse since it looks like this problem will solve itself with time. I just know he's going to be bummed out if he has to stop lifting, because he's enjoying the muscles he's starting to get



main thing is stretching it and then strengthening the muscles around it.

i suggest really getting after teh tib raises, backwards sled drags and then also poliquin steps ups, maybe some reverse lunges too. then really focus on the post. chain with ghr/nordics, sled, lots of glute bridges

if it doesnt hurt to squat, then go ahead. I dont think you can cause anymore damage from the research i have read. I know Rip has said that and i know KOT/ATG suggest doing what i said above.

if it is causing pain, stop that exercise

may times the lump will not go away ever
Posted by bamaguy17
Member since Jul 2022
1282 posts
Posted on 12/6/22 at 1:28 pm to
Thanks for the help guys. Not sure why LSU got a down vote, looks like good info
Posted by lsu777
Lake Charles
Member since Jan 2004
38031 posts
Posted on 12/6/22 at 1:41 pm to
quote:

LSU got a down vote, looks like good info


i have someone that loves to DV me, i dont really care.

Jose is the doc so listen to him more than me
Posted by el Gaucho
He/They
Member since Dec 2010
59172 posts
Posted on 12/6/22 at 2:21 pm to
Probably needs to get the kid on hgh before it’s too late
Posted by Yewkindewit
Near Birmingham, Alabama
Member since Apr 2012
21855 posts
Posted on 12/6/22 at 3:01 pm to
One of my sons had large lumps below both knees and OS was the description. Doc indicated to let it heal on his own. He played baseball so there was really no contact as in football. It healed on its own as he physically matured.
Posted by Honest Tune
Louisiana
Member since Dec 2011
19285 posts
Posted on 12/6/22 at 9:17 pm to
I remember reading an article where Shaq said he had that condition as a youth.
Posted by Zappas Stache
Utility Muffin Research Kitchen
Member since Apr 2009
43134 posts
Posted on 12/6/22 at 9:42 pm to
I had a bad case of OS when I was young. It never caused me pain except when I got hit on the bump which when playing Jr High football, was all the time. I still have the bumps on my knee but even hitting them doesn't bother me now. I eventually ran track for LSU so its not a serious impairment.
Posted by LSUfan20005
Member since Sep 2012
9224 posts
Posted on 12/7/22 at 7:41 am to
I've actually considered posting as a PSA to all the dads.

My 14yr old son has had OSD and occasional pain for about a month. He had a huge growth spurt over the summer and is a ranked athlete in his sport - so resolution is a big deal.

The pain MIGHT resolve as growth ends, but most athletes would hate that solution. Some people struggle for years, some people get genuine bone issues from it.

We actually diagnosed OSD on him while doing his ATG routine (which he's done for a year as injury prevention). Running doesn't hurt him, but I couldn't figure out why the Patrick Step and Poliquin Step hurt him. Eventually realized that, as his knee goes out over his toe, the kneecap action results in the patellar tendon pulling on the tibial tuberosity more, thereby aggravating the OSD. So while he's still doing ATG stuff, we are avoiding that movement pattern until we get more healing.

What We've Been Doing:

I did a remote consult with a physical therapist who I heard on a few podcasts claiming a high success rate. He took my son through a ton of movements and built a program to address his issues. His theory is that many OSD sufferers have imbalances and the quad/knee is doing way too much work. Our primary focus is: Building posterior strength, developing better hamstring flexibility, releasing the quads, recruiting supporting muscles more. Plenty of hip/glute work as well.

I bought a Nordic Bench, and it's been very helpful.

Basically our Routine (omitting upper body):
-Sled Work (drag backwards, push back into place)
-ATG stuff x movements that create pain (mentioned above)
-Nordic Bench
-Bulg Split Squats
-Glute Bridges
-Reverse Hypers
-Lots of quad foam rolling
-Quad stretches from PT
-Glute stretches from PT
-Hip stretches from PT
-Hip Hinge Work (for hamstrings)

Who I Used
Posted by lsu777
Lake Charles
Member since Jan 2004
38031 posts
Posted on 12/7/22 at 9:12 am to
quote:

I've actually considered posting as a PSA to all the dads.

My 14yr old son has had OSD and occasional pain for about a month. He had a huge growth spurt over the summer and is a ranked athlete in his sport - so resolution is a big deal.

The pain MIGHT resolve as growth ends, but most athletes would hate that solution. Some people struggle for years, some people get genuine bone issues from it.

We actually diagnosed OSD on him while doing his ATG routine (which he's done for a year as injury prevention). Running doesn't hurt him, but I couldn't figure out why the Patrick Step and Poliquin Step hurt him. Eventually realized that, as his knee goes out over his toe, the kneecap action results in the patellar tendon pulling on the tibial tuberosity more, thereby aggravating the OSD. So while he's still doing ATG stuff, we are avoiding that movement pattern until we get more healing.

What We've Been Doing:

I did a remote consult with a physical therapist who I heard on a few podcasts claiming a high success rate. He took my son through a ton of movements and built a program to address his issues. His theory is that many OSD sufferers have imbalances and the quad/knee is doing way too much work. Our primary focus is: Building posterior strength, developing better hamstring flexibility, releasing the quads, recruiting supporting muscles more. Plenty of hip/glute work as well.

I bought a Nordic Bench, and it's been very helpful.

Basically our Routine (omitting upper body):
-Sled Work (drag backwards, push back into place)
-ATG stuff x movements that create pain (mentioned above)
-Nordic Bench
-Bulg Split Squats
-Glute Bridges
-Reverse Hypers
-Lots of quad foam rolling
-Quad stretches from PT
-Glute stretches from PT
-Hip stretches from PT
-Hip Hinge Work (for hamstrings)



:bow:

looks awesome man and really shows you know what you are doing.

i would make 1 suggest, if he starts having more pain from ATG SS the i would replace with reverse lunges and a crosack squat where you really focus on getting into the glutes and hamstrings.

i agree with your pt on his theory and beleive in heavy Tib volume along with everything else you put.

:bow: :bow:
Posted by LSUfan20005
Member since Sep 2012
9224 posts
Posted on 12/7/22 at 10:40 am to
Appreciate it!

quote:

crosack squat


Thanks for bringing this up, it'll be a great addition and comes with minimal risk.
Posted by el Gaucho
He/They
Member since Dec 2010
59172 posts
Posted on 12/7/22 at 1:57 pm to
Back in my day they treated “diseases” like this with a belt
Posted by SquirrelBones
Baton Rouge
Member since Sep 2014
456 posts
Posted on 12/7/22 at 3:13 pm to
I was diagnosed with OS in junior high. bumps were big and caused serious pain al throughout high school.
pain gradually went away as I aged, but bumps never went away.
here I am, 36 years old with these rather large bumps below both knees, no pain now though.
Posted by bamaguy17
Member since Jul 2022
1282 posts
Posted on 12/7/22 at 5:53 pm to
We still squatted tonight, still no pain. The poliquin step ups hurt him pretty bad. We did a bunch of sled drags, tib raises, and quad stretching and he’s pretty limber in the quads.

What’s bugging me is that he is all posterior chain strength, his quads are lacking. Seems like that should be reversed from all I’ve read.

I cut out all the jumps and sprints (good idea?). I’m just being cautious because I don’t want him to have knee issues because he’s looking like he’s going to be pretty tall.
Posted by La Place Mike
West Florida Republic
Member since Jan 2004
31399 posts
Posted on 12/7/22 at 6:40 pm to
I had that when I was 10. Doctor said no exercising and absolutely no running I think for 6 weeks. Which wasn't too hard to to abide by since I almost cut my big toe off a week after my diagnosis in a freak bicycle accident. That was in 1970. Treatment protocols are probably different now
Posted by Odysseus32
Member since Dec 2009
10042 posts
Posted on 12/7/22 at 6:47 pm to
I have this.

I remember it hurting a frickton during puberty. Very sensitive. Then one day it stopped.

There's just a big lump there now, no pain.

My wife marvels at it. It really is a gigantic bump lol. I've got a much smaller bump on my left knee, but it's the same thing.
This post was edited on 12/7/22 at 6:48 pm
Posted by LSUfan20005
Member since Sep 2012
9224 posts
Posted on 12/7/22 at 8:36 pm to
quote:

The poliquin step ups hurt him pretty bad


Yep, same with mine when he started.

quote:

he’s pretty limber in the quads


Make sure he’s tucking his pelvis when doing the quad stretches. That was a game changer.

quote:

cut out all the jumps and sprints


Our PT has him jump with his knees a few inches from a couch. If knees hit the couch, that’s a fault.

We changed to hill sprints

Posted by lsu777
Lake Charles
Member since Jan 2004
38031 posts
Posted on 12/7/22 at 8:42 pm to
Yep for sprints, do hill sprints or heavy arse sled pushes

For jumps, do band resisted where he can’t really get off the ground but is learning to produce that force

I will warn you though, both of y’all, when y’all can get them back to normal y’all need to work the shite out of deceleration movements like depth drops before moving to any over acceleration
Posted by tigerpimpbot
Chairman of the Pool Board
Member since Nov 2011
69085 posts
Posted on 12/8/22 at 2:10 pm to
I had it when I was a 13-14. It was uncomfortable and the Dr at the time told me to take Motrin to take the edge off the pain. I took Motrin maybe once or twice a week for a month or two and then it resolved.

My army colonel dad told me to rub dirt on it. True story
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