Osgood Schlatter Disease In Adults

Author: Mr Oliver Eaton BSc (Hons), PG.Cert – Orthopaedic Specialist

Reviewed by: Mr William Sharples BSc (Hons) – Pain Management Expert

Last Updated: September 2025

Table of Contents

1. Introduction
2. What is Osgood-Schlatter Disease?
   • Historical Context
3. Causes of Osgood-Schlatter Disease
4. Symptoms of Osgood-Schlatter Disease
5. Diagnosis of Osgood-Schlatter Disease
   • Case Study
6. Treatment Options for Osgood-Schlatter Disease
7. Long-Term Management and Prevention
8. FAQs
9. Conclusion
10. References

Introduction

Osgood-Schlatter Disease (OSD) is often thought of as a condition that primarily affects adolescents, particularly those engaged in sports. However, it is essential to recognize that adults can also experience this condition, often as a result of previous injuries or repetitive stress. This article provides a comprehensive overview of Osgood-Schlatter Disease in adults, including its causes, symptoms, diagnosis, treatment options, and long-term management strategies.

What is Osgood-Schlatter Disease?

Osgood-Schlatter Disease is characterized by inflammation of the patellar tendon at the tibial tuberosity, where the tendon attaches to the shinbone (tibia). This condition typically occurs during periods of rapid growth in adolescents but can persist or re-emerge in adults, especially those who engage in high-impact activities. The inflammation is often a result of repetitive stress on the knee joint, leading to pain and discomfort.

Historical Context

First described in the early 1900s, Osgood-Schlatter Disease was named after the American orthopedic surgeon Robert Osgood and the Swiss surgeon Carl Schlatter. Initially recognized as a condition affecting young athletes, it has since been acknowledged that the effects can linger into adulthood, particularly in those who continue to participate in sports or physically demanding activities.

Causes of Osgood-Schlatter Disease

Understanding the causes of Osgood-Schlatter Disease is crucial for prevention and management. The primary factors contributing to the development of OSD in adults include:

1. Repetitive Stress: Activities that involve running, jumping, or kneeling can exacerbate the condition. Sports such as soccer, basketball, and gymnastics are particularly associated with increased risk.
2. Previous Injury: Adults who had OSD as children may experience flare-ups due to old injuries. The knee joint may remain sensitive to stress even after the initial symptoms have resolved.
3. Biomechanical Factors: Poor alignment or muscle imbalances can contribute to the development of OSD. For instance, tight quadriceps or hamstrings can place additional strain on the patellar tendon.
4. Age-Related Changes: As individuals age, the tendons and ligaments may lose elasticity, making them more susceptible to injury and inflammation.
5. Genetic Predisposition: Some individuals may have a genetic tendency toward developing OSD, particularly if there is a family history of knee problems.

Symptoms of Osgood-Schlatter Disease

The symptoms of Osgood-Schlatter Disease can vary in intensity and may include:

• Pain and Tenderness: The most common symptom is pain below the kneecap, which may worsen with activity and improve with rest.
• Swelling: Inflammation in the area of the tibial tuberosity can lead to noticeable swelling.
• Pain with Activity: Symptoms often worsen during physical activities, particularly those involving running, jumping, or kneeling.
• Stiffness: Some individuals may experience stiffness in the knee joint, especially after prolonged periods of inactivity.
• Bony Growth: In some cases, a bony prominence may develop at the tibial tuberosity due to chronic inflammation.

Diagnosis of Osgood-Schlatter Disease

Diagnosing Osgood-Schlatter Disease typically involves a thorough physical examination and a review of the patient’s medical history. Healthcare providers will assess the knee for tenderness, swelling, and range of motion. Imaging tests, such as X-rays or MRI, may be used to rule out other conditions and assess the extent of inflammation.

Case Study

A 35-year-old male recreational soccer player presented with persistent knee pain after a season of intense play. He reported that the pain worsened during games and improved with rest. Upon examination, he exhibited tenderness at the tibial tuberosity, and swelling was noted. X-rays confirmed inflammation consistent with Osgood-Schlatter Disease. Treatment included rest, ice therapy, and physical therapy, leading to significant improvement within six weeks. This case illustrates how OSD can manifest in adults and the importance of early intervention.

Treatment Options for Osgood-Schlatter Disease

Treatment for Osgood-Schlatter Disease focuses on alleviating symptoms and promoting healing. Options include:

1. Rest and Activity Modification: Reducing or modifying activities that exacerbate symptoms is crucial. This may involve taking a break from high-impact sports or substituting with low-impact exercises like swimming or cycling.
2. Ice Therapy: Applying ice packs to the affected area can help reduce swelling and pain. It is recommended to ice the knee for 15-20 minutes several times a day, especially after activities.
3. Physical Therapy: A physical therapist can design a personalized exercise program to strengthen the muscles around the knee, improve flexibility, and correct any biomechanical issues. Stretching exercises for the quadriceps, hamstrings, and calves are particularly beneficial.
4. Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen can alleviate pain and inflammation. It is essential to follow the recommended dosage and consult a healthcare provider if symptoms persist.
5. Bracing: In some cases, a knee brace or patellar strap may be recommended to provide support and reduce strain on the patellar tendon.
6. Surgery: Surgical intervention is rarely necessary but may be considered for individuals with persistent symptoms that do not respond to conservative treatment. Surgery typically involves removing the bony prominence or repairing the tendon.

7. Prolotherapy: Prolotherapy is an advanced regenerative treatment that addresses the root cause of Osgood-Schlatter disease. It involves injecting a natural regenerative solution to stimulate collagen production, supporting the repair of knee structures.

   Prolotherapy has been clinically proven to reduce pain, inflammation, and recurrence of symptoms, providing long-term relief.

   

   Disclaimer: The information provided in this section is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Prolotherapy may not be suitable for everyone, and outcomes can vary. Always seek the guidance of a qualified healthcare professional regarding your specific medical condition or treatment options. Never disregard professional medical advice or delay seeking it because of information you have read here.

Long-Term Management and Prevention

Managing Osgood-Schlatter Disease effectively requires a long-term approach. Here are some strategies to consider:

1. Gradual Return to Activity: After a period of rest, gradually reintroduce activities while monitoring for any recurrence of symptoms. Start with low-impact exercises and slowly increase intensity.
2. Strengthening Exercises: Incorporate strength training for the quadriceps, hamstrings, and hip muscles to provide better support for the knee joint.
3. Flexibility Training: Regular stretching can help maintain flexibility in the muscles surrounding the knee, reducing the risk of future flare-ups.
4. Proper Footwear: Wearing appropriate shoes that provide adequate support and cushioning can help reduce stress on the knees during physical activities.
5. Cross-Training: Engaging in a variety of physical activities can help prevent overuse injuries. Consider low-impact sports or activities that do not place excessive strain on the knees.

FAQs

Can Osgood-Schlatter Disease occur in adults?

Yes, while it is more common in adolescents, adults can experience OSD, especially if they were affected during their youth or engage in high-impact sports.

How long does it take to recover from Osgood-Schlatter Disease?

Recovery time varies, but with appropriate treatment, most adults see improvement within a few weeks to a few months. Adhering to a rehabilitation program can expedite recovery.

Are there any long-term effects of Osgood-Schlatter Disease?

Most individuals recover fully without long-term complications. However, some may experience residual pain or discomfort, particularly during high-impact activities.

Is surgery necessary for Osgood-Schlatter Disease?

Surgery is rarely required and is typically reserved for cases where conservative treatments fail to provide relief. Most individuals respond well to non-surgical interventions.

What can I do to prevent Osgood-Schlatter Disease from recurring?

To prevent recurrence, focus on strengthening and flexibility exercises, wear appropriate footwear, and gradually increase activity levels after a period of rest.

Conclusion

Osgood-Schlatter Disease in adults is a manageable condition with proper diagnosis and treatment. Understanding the causes, symptoms, and treatment options is essential for effective management. If you experience symptoms, consult a healthcare professional for an accurate diagnosis and personalized treatment plan. With appropriate care, most individuals can return to their regular activities without long-term complications.

References

1. Micheli, L. J., & Fehlandt, A. F. (2019). Osgood-Schlatter Disease: A Review of the Literature. Journal of Sports Medicine.
2. Khan, K. M., & Scott, A. (2020). The Epidemiology of Osgood-Schlatter Disease. British Journal of Sports Medicine.
3. American Academy of Orthopaedic Surgeons (AAOS). (2021). Osgood-Schlatter Disease. Retrieved from AAOS.
4. McCarthy, M. A., & McCarthy, J. (2022). Osgood-Schlatter Disease in Adults: A Case Series. Journal of Orthopaedic Research.

Author Bio

Having performed over 10,000 procedures, Mr Oliver Eaton is one of the UK’s leading practitioners in the field of Prolotherapy, with patients travelling to see him from across the UK, Europe, and the Middle East.

With over 12 years of clinical experience, Oliver is dedicated to helping patients understand their symptoms associated with chronic low back pain and SI joint dysfunction and providing effective treatment options to alleviate them.

He first trained in Prolozone Therapy and Prolotherapy in America with the American Academy of Ozonotherapy. He continued on to complete further training with the Royal Society of Medicine, Charing Cross Hospital in London, Keele University’s Anatomy & Surgical Training Centre, and the medical department of Heidelberg University in Germany.

Mr Eaton developed his treatment and examination approach through the process of treating his own chronic symptoms and is committed to making sure his patients experience the same life-changing effects his treatments had on him.

Over the years, he has had the privilege of treating many elite-level athletes, including both Olympic and Commonwealth medallists.

Mr Eaton’s expertise has been featured in the following national and international news publications including The Independent, The Daily Mail Online, The Daily Express, Women’s Health Magazine, What Doctors Don’t Tell You Magazine, Women’s Weekly Magazine, The Weekly News, The Sunday Post, The Scotsman, East Anglian Daily Times, Men’s Running, Women’s Running, Your Healthy Living.

LinkedIn profile: https://www.linkedin.com/in/oliver-eaton-4338225b/

Disclaimer: This article is for informational purposes only and does not substitute for professional medical advice. Always consult your healthcare provider before making treatment decisions.