Diseases, Conditions & Concerns / Question
Published: September 9, 2003
Dear TeenHealthFX,
I have Osgood-Schlatter's; anyway it causes severe pain in the knee. My right knee is retaining a lot of water and has been for quite some time. Whenever I go to my doctor and ask him if there is anything they can do to help me with the pain, like surgery or something he says no. And the most he has done is send me to physical therapy and prescribe some moderate painkillers. These didn't help extremely well other than the ultra sounds I received during physical therapy. Well I've started to wonder if maybe some of that fluid is causing some of the pain and if I should get it drained or not. If yes I'd still have to ask my doctor. It's hard for me to bend my knee (examples: sit in a chair with legs at a 90 degree angle, or squat down). The slightest touch makes me squirm around like a baby. Anyway I was hoping I could get some insight or some more info on what's going on with my knee. Thank you.
Signed: Osgood-Schlatter Disease and Knee Pain
Dear Osgood-Schlatter Disease and Knee Pain,
Osgood Schlatter's Disease is an orthopedic problem where the top of the shinbone becomes inflamed causing a swelling usually below the knee. The pain associated with Osgood-Schlatter's usually increases with exercise. it typically does not cause fluid in or around the knee. You should seek an opinion from another orthopedist to confirm the diagnosis.
As you have mentioned swelling of the knee can occur to varying degrees and can at times cause great pain. There is no specific medical treatment for Osgood Schlatter's - rest, ice and limited activity is recommended to relieve the pain. There are no surgeries or more invasive techniques recommended to treat Osgood Schlatter's.
Yet, you do not have to live in pain. If the pain is preventing you from performing daily activities, speak to your doctor again. He or she will be able to fully discuss all your options. Again, you may want to seek another opinion if you are not happy with your current doctor's recommendations.
With time most boys grow out of this disease and lead pain free lives. Until then you will be told to rest your knee and follow the same course of treatment that you have been following. Unfortunately, it takes time for physical therapy to take effect and limiting physical activity is the best course of action.
Signed: TeenHealthFX
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