Osgood-Schlatter disease can cause a painful, bony bump on the shinbone just below the knee. It usually occurs in children and adolescents experiencing growth spurts during puberty.
Symptoms
Painful palpation of the tibial tuberosity.Pain at the tibial tuberosity that worsens with physical activity or sport.Increased pain at the tibial tuberosity with sports activity.In some cases increased bony protuberance at the tibial tuberosity.Secondary to pain, Ely’s test- there is tightness of Quadriceps.Resisted isometrics of the Quadricep muscle is painful.
This is usually caused by the femur, growing faster then the quadricep muscles. By carefully massaging and stretching the quads, it’s possible to reduce tension on the tibia (shin bone) and thus decrease the symptoms.
Stretching
otgopefic TTest.
Ely’s Test. The patient lies prone in a relaxed state. The therapist is standing next to the patient, at the side of the leg that will be tested. One hand should be on the lower back, the other holding the leg at the heel. Passively flex the knee in a rapid fashion. The heel should touch the buttocks. Test both sides for comparison. The test is positive when the heel cannot touch the buttocks, the hip of the tested side rises up from the table, the patient feels pain or tingling in the back or legs.
Bryson Ingram R.M.T. 