Osgood-Schlatter without pain?

[VNV]

Son is 17 y.o., 5' 6", 165 lbs. NLP for about 2.5 mos., since mid-November. Squatting 315x5x3. Deadlift is a little higher.

We notice a bump about the size of a small olive on the tibial tuberosity, just below the insertion of the pateller tendon. It has been present over the past three weeks, and has grown to its current size.

Though it is painless and seems benign, it does have him wondering each session whether it's safe to squat *this time*.

If there is no pain, can this be an instance of Osgood-Schlatter disease?

I do plan on taking him to an orthopedic practice for a diagnosis.

Vince

[Mark Rippetoe]

Others will comment, but we have seen OSD fixed with barbell training many times, and never caused by it.

[Will Morris]

It is almost certainly tibial apophysitis / OSD. Virtually all active teenage boys will have it. The symptomology ranges from non-existent to severe. With no symptoms, you'd probably be better off burning your money in your fireplace than going to an orthopaedic surgeon for this. A "diagnosis" is virtually worthless, because you already know what it is.

If.....your son started developing constitutional symptoms, malaise, night pain in the knee, non-mechanical pain of the knee...especially boaring, gnawing pain...a radiograph will need to be taken ASAP.

[VNV]

Others will comment, but we have seen OSD fixed with barbell training many times, and never caused by it.

Thank you Rip.

It is almost certainly tibial apophysitis / OSD. Virtually all active teenage boys will have it. The symptomology ranges from non-existent to severe. With no symptoms, you'd probably be better off burning your money in your fireplace than going to an orthopaedic surgeon for this. A "diagnosis" is virtually worthless, because you already know what it is.

If.....your son started developing constitutional symptoms, malaise, night pain in the knee, non-mechanical pain of the knee...especially boaring, gnawing pain...a radiograph will need to be taken ASAP.

ACTIVE	Check
NO PAIN SYMPTOMS	Check
OTHER OPPORTUNITIES TO BURN MONEY	Check

Both of your experience is much appreciated.

Vince

[Will Morris]

Thank you Rip.

ACTIVE	Check
NO PAIN SYMPTOMS	Check
OTHER OPPORTUNITIES TO BURN MONEY	Check

Both of your experience is much appreciated.

Vince

He is more than likely going to develop symptoms at some point in the future. Management of OSD is relatively easy, and the information for proper management is not something you must schedule a physician appointment for most of the time.

Squatting is generally palliative to OSD, except in the cases where someone demonstrates a lot of anterior knee slide at the bottom. I'd watch carefully to see if he drops into his knees at the bottom.

[Bluefan75]

Others will comment, but we have seen OSD fixed with barbell training many times, and never caused by it.

In teenagers or in older adults as well? SOrry if it's a silly question but if my north of 40 knees have hope....

[Mark Rippetoe]

OSD is a condition of youth, so you do not have it.

[VNV]

He is more than likely going to develop symptoms at some point in the future. Management of OSD is relatively easy, and the information for proper management is not something you must schedule a physician appointment for most of the time.

Squatting is generally palliative to OSD, except in the cases where someone demonstrates a lot of anterior knee slide at the bottom. I'd watch carefully to see if he drops into his knees at the bottom.

OK. I'll pay attention. (Knee slide isn't something I've ever noticed with him...we'll see.)

[Bluefan75]

OSD is a condition of youth, so you do not have it.

Ok, I see what I did. I have the fallout from it in that the tops of my tibias have protrusions that make it quite painful to kneel down. I misunderstood the doc when he said I had it when I pointed them out. I had PSD as a kid, and since it wasn't fixed, I'm left with these.

[Will Morris]

Ok, I see what I did. I have the fallout from it in that the tops of my tibias have protrusions that make it quite painful to kneel down. I misunderstood the doc when he said I had it when I pointed them out. I had PSD as a kid, and since it wasn't fixed, I'm left with these.

There is no "fix" for OSD outside of skeletal maturity. The residual deformity is of no clinical importance.