Tag Archives: Sports Injuries

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Baker’s Cyst

October 10,2017 Sharon Tierney Leave a comment

Baker's cyst

A Baker’s Cyst, also known as a popliteal cyst, is a fluid-filled swelling that causes a lump at the back of the knee. This leads to tightness and restricted movement. The Baker’s Cyst can be painful when you bend or straighten your knee.

? Causes of a Baker’s Cyst

Synovial fluid is a clear liquid that normally circulates through the spaces in your knee joint. Sometimes the knee produces too much of this fluid. The increasing pressure forces the fluid to the back of the knee via a one-way valve. This creates a bulge. This swelling of the knee causes a Baker’s Cyst to form.

The most common causes of a Baker’s Cyst are:

damage to the knee’s cartilage (meniscus)
arthritis of the knee
rheumatoid arthritis
other knee conditions that cause joint inflammation

? Symptoms of a Baker’s Cyst

Some patients may have no pain and may not even notice the cyst is there. However, the signs and symptoms of a Baker’s cyst can include:

Swelling or lump behind the knee (the main sign) – this is more evident when standing and comparing one knee to the other. It may feel like a water-filled balloon.
Knee pain.
Calf pain.
Accumulation of fluid around the knee.
The knee joint may click or buckle.
The knee joint may lock.

? Diagnosis of a Baker’s Cyst

Your doctor will examine your knee and feel the swelling. If the cyst is small, they may compare the affected knee to the healthy one and check your range of motion.
Your doctor may recommend non-invasive imaging tests if the cyst rapidly increases in size or causes severe pain or fever. These tests include an MRI or ultrasound. An MRI will enable your doctor to see the cyst clearly and to determine if you have any damage to the cartilage.
These tests will determine if some other form of growth, such as a tumor, is causing the swelling.
Although the cyst won’t show up on an X-ray, your doctor may use one to check for other problems, such as inflammation or arthritis.

Web MD has additional info on this condition.

? Treatment

A Baker’s Cyst doesn’t need treatment. It will go away on its own. However, if the swelling becomes large and causes severe pain, your doctor may recommend one of the following treatments.

Fluid draining
Your doctor will insert a needle into the knee joint and may use an ultrasound to help guide the needle to the correct place. They’ll then draw the fluid from the joint.
Medication
Your doctor may recommend a corticosteroid medication, such as cortisone. Your doctor will inject this drug into the joint, and the medication will flow back into the cyst. Though it may help relieve the pain, it doesn’t always prevent a Baker’s Cyst from recurring.
Physiotherapy
Regular, gentle exercises may help increase your range of motion and strengthen the muscles around your knee.

If you think you or someone you know may have a Baker’s Cyst, please call PhysioNow today! We would be happy to help! We have highly trained Registered Physiotherapists ready to see you Now!

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Acupuncture: Neck pain

October 10,2017 Sharon Tierney Leave a comment

Acupuncture: Neck pain

Acupuncture: Neck pain

Almost everyone will experience some sort of neck pain or stiffness during their lifetime. However, certain occupations appear to be predisposed to neck symptoms. Acupuncture: Neck pain may be able to help.

Manual laborers, for instance, have more symptoms than office workers. The type of work seems to affect the risk. A person’s age and a history of twisting and bending during work can also contribute.

Studies have shown acupuncture: Neck Pain to be effective in relieving certain types of neck pain. This is especially true for neck pain caused by whiplash. Some studies suggest acupuncture can treat degenerative neck disorders such as ankylosing spondylosis and cervical spondylosis. In many cases, acupuncture: Neck pain has worked for patients whose conditions could not be solved using conventional approaches.

¬ Mechanism of action of Acupuncture: Neck pain

Release of opioid peptides.Opioids are naturally occurring chemicals in the brain that have apain killing effect. The release of these opioids plays a large role in the reduction of pain. There has been lots of evidence to show that acupuncture stimulates the central nervous system. This causes the release of these pain killing chemicals.
Alteration in the secretion of neurotransmitters and neurohormones.Acupuncture is said to activate the hypothalamus and pituitary glands. This changes the release of these chemicals. These particular chemicals play a direct role in the feeling of pain. It also affects the activity of an organ . Evidence has shown that acupuncture alters this secretion in a manner that reduces pain.
Stimulation of electromagnetic points on the body. The 2,000 points of the body that acupuncture focuses on are thought to be special conductors of electromagnetic signals. Stimulation of these areas is believed to start the flow of endorphins—the body’s natural painkillers.¬ Indications for Acupuncture: Neck pain
- Sudden Force/Automobile Accident
- Degenerative Disc Disease
- Overuse/Improper Use
- Osteoporosis
- Neck Strain
- Degenerative Arthritis
- Whiplash
- Muscle Tension or Spasm
- Bone Spur
- Herniated or Protruding Disk
- Pinched Nerve
- Ligament/Muscle Tears
- Cervical Spondylosis
- Ankylosing Spondylosis
¬ Contraindications of Acupuncture: Neck pain

There are very few situations where acupuncture is not advised:
- When someone has a hemophilic condition
- When a patient is pregnant – certain acupuncture points and needle manipulations should not be used during pregnancy
- If a patient has a severe psychotic condition or is under the influence of drugs or alcohol
Check out this link for a bit more information about the use of Acupuncture: Neck pain.

¬ Types of application of Acupuncture: Neck pain
- Basic needlingNeedles are inserted to a depth of 4–25 mm and left in place for a period of time (from a few seconds to many minutes). There are often 6–12 needles (and sometimes more) inserted at different acupoints at the same time. The sensation is often described as a tingling or dull ache at the entry point. Many people say they feel very relaxed or sleepy, and some report increased energy levels afterwards.
- Electro acupuncture (EA)A tiny focused electric current is applied to the skin at the acupoints or can be applied to the needle itself.
If you would like to meet with a Registered Physiotherapist that is trained to do Acupuncture: Neck Pain, please call PhysioNow today! Our experienced physiotherapists would be happy to help !

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Peroneal tendinopathy

September 12,2017 Sharon Tierney Leave a comment

Peroneal tendinopathy

Peroneal tendinopathy or peroneal tendonitis is characterized by an aching pain and swelling in the perineal tendons. These are located in the lower, outside portion of the ankle. A tendon is soft-tissue that attaches a muscle to a bone. The muscles involved in this condition are the 2 peroneal muscles in the lower leg, called the peroneus longus and the peroneus brevis.

Anatomy

?There are two peroneal tendons that run along the back of the fibula. The first is called the peroneus brevis. The term “brevis” implies short. It is called this because it has a shorter muscle and starts lower in the leg. It then runs down around the back of the bone called the fibula on the outside of the leg and connects to the side of the foot. The peroneus longus takes its name because it has a longer course. It starts higher on the leg and runs all the way underneath the foot to connect on the other side of the foot. Both tendons, however, share the major job of turning the ankle to the outside. The tendons are held in a groove behind the back of the fibula bone.

Causes of Peroneal Tendonitis

A sudden increase in weight bearing activities, particularly walking, running or jumping
Inadequate or unsupportive footwear
Muscle imbalances of the lower limb
Poor lower limb biomechanics
Incomplete rehabilitation following an acute ankle injury, such as an ankle sprain

Symptoms of Peroneal Tendinopathy

Gradual worsening pain over the outside of the ankle
Pain during and/or after weight bearing activities
Pain with turning the foot in and/or out
Instability around the ankle when weight bearing

Diagnosis

A full examination from a physiotherapist can be all thats needed to diagnose peroneal tendonitis
Patients with this condition usually experience pain behind the outside ankle during activities putting stress on the perineal tendons. Pain can also be noticed following these activities or following a rest period. This may be noticed especially upon waking in the morning. There may be swelling when the injury first happens. There will also be pain when testing resisted foot movements. Stretches into various positions of the foot inversion, and resisted movements can cause pain behind the outside ankle.
Diagnosis may be confirmed with an MRI scan or ultrasound investigation
a diagnostic Ultrasound may be used for detecting all types of peroneal injuries.

What else could it be?:

Symptoms of peroneal tendinopathy mimic various other conditions of the ankle joint. So, before diagnosing peroneal tendinopathy we should rule out other possible injuries by doing the following tests:
Ankle Sprain: ligament testing by the Physiotherapist
Ankle fractures: special tests by the Physiotherapist
Os trigonum syndrome: MRI, physiotherapy testing
Chronical lateral ankle pain with other cause: MRI
Longitudinal peroneal tendon tear: MRI
Peroneal subluxation: ultrasonography, CT, MRI or peroneal tenography
Flexor Hallucis longus tendon injury

Physiotherapy rehabilitation

Treatment for peroneal tendonitis includes a program of stretching, strengthening, mobilisation and manipulation. It also includes proprioceptive exercises, icing, ankle bracing or k-taping during contact sports. If symptoms are severe, a cast or ROM boot immobilization may be worn for 10-20 days. After symptoms resolve, you will begin a progressive rehabilitation programme along with a gradual increase to full activity.

The use of a biomechanical ankle platform (BAPS), deep tissue friction massage, ultrasound electric stimulation can also be included in the physiotherapy
Also, shock wave therapy (ESWT), acupuncture is used to treat tendinopathy. But there is only limited evidence from studies for these treatments.
There is evidence for using manual therapy, specifically the lateral calcaneal glide.

If you have any further queries please call PhysioNow. Our experienced physiotherapists would be happy to help you. Call Today to get started 289-724-0448.!

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De Quervain’s Disease

August 12,2017 Sharon Tierney Leave a comment

De Quervain’s Disease/ Texting thumb.

De Quervain’s Disease

De Quervain’s Disease or nowadays known as texting thumb is a painful inflammation of tendons in the thumb that extend to the wrist. The rubbing of the inflamed tendon against the canal it passes through causes pain at the base of the thumb and into the lower arm. It is commonly seen in females over 40 years of age.

Causes of De Quervain’s Disease

1. Simple strain injury to the tendon.
2. Repetitive motion injury. Workers who perform rapid repetitive activities involving pinching, grasping, pulling or pushing are at increased risk. Specific activities including intensive mousing, trackball use, and typing. Other activities including bowling, golf, fly-fishing, piano-playing, sewing, and knitting can also cause De Quervain’s Disease.
3. Frequent causes of De Quervain’s Disease include stresses such as lifting young children into car seats, lifting heavy grocery bags by the loops, and lifting gardening pots .
4. De Quervain’s Disease often occurs during and after pregnancy. Factors may include hormonal changes, fluid retention and more lifting.
5. Rheumatoid arthritis.

De Quervain’s Disease/ Texting Thumb

Onset and Symptoms of De Quervain’s Disease

Onset can be gradual or sudden. Pain is felt along the back of the thumb. There can be Pain directly over the thumb tendons, and pain may travel into the thumb or up the forearm. The bottom of the thumb or the side of the wrist might also be sore or swollen.
It may be hard and painful. Symptoms may get worse when the thumb is moved, particularly when pinching or grasping things. Some people also have swelling and pain on the side of the wrist at the base of the thumb. The back of the thumb and index finger may also feel numb. People might experience a funny sound like a squeak, crackle, snap, or creak when they move the wrist or thumb.
If the condition is not well addressed, the pain can spread up your forearm or down into your thumb.

How is De Quervain’s Disease diagnosed?

De Quervain’s Disease is diagnosed based on history and physical examination. X-rays, or ultrasound may be used to rule out other causes of pain.The Physiotherapist may use special tests to help diagnose De Quervain’s. More information can be found here.

Physiotherapy Treatment

Your Physiotherapist will likely recommend that you wear a specific wrist splint with a thumb spica for 4 to 6 weeks . PhysioNow carries these wrist splints in stock. You’ll also need to stop doing activities that worsen the condition.

De Quervain’s Disease

The physiotherapist after a thorough assessment could choose different therapy approaches to help with the swelling, pain, and function.
These treatments may include Ultrasound, K-taping, acupuncture, and manual therapy. Other Physiotherapy treatments may include specific exercises focusing on range of motion, strength, and flexibility. These would be given for a safe and effective return back to function.

Recovery times vary depending on your age, general health, and how long you’ve had the symptoms.
If your disease has developed gradually, it’s often tougher to treat. So, it may take you longer to get relief. Your doctor may give you anti-inflammatory medication, or may inject the area with steroids to curb pain and swelling.

In our experience at PhysioNow, more than 99% of people with De Quervain’s Disease get better with Physiotherapy treatment provided. If however, you are one of the outliers, your doctor may recommend surgery. The operation would release the tendon’s tight covering so that the tendon could move smoothly. It’s an outpatient procedure, which means you go home afterward. Your doctor will recommend physiotherapy after surgery which includes an exercise program to strengthen your thumb and wrist.

If you or someone you know suffers from De Quervain’s Disease, please call us today. Our skilled Physiotherapists can Help!

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Trochantric bursitis

July 25,2017 Sharon Tierney Leave a comment

Trochanteric bursitis

The Trochanteric Bursa is a fluid filled sac near the hip joint. It cushions between the bones and the muscle and acts as a shock absorber. Trochanteric bursitis is the inflammation of the bursa which is at the outside of the hip.

When this bursa is irritated it causes pain on the outside of the hip and thigh. Sometimes you may feel the pain down to the knee on the same side. Another symptom is pain which will stop you from lying on your painful side. It will be painful when you press on a specific spot on the outside of the hip. The pain gets worse when climbing stairs, getting up from a low chair getting out of a car. Sitting with crossed legs hurts. Both walking and running may also cause increased pain.

Causes of Trochanteric Bursitis

Any direct Injury to the outside of the hip like falling, or bumping into an object.
Incorrect posture due to muscle imbalance
Leg length difference.
Stress of soft tissues surrounding the hip due to hip Osteoarthritis
Friction of the ITB (Ilio Tibial Band: a muscle along the side of the hip)
Overuse injuries like standing for long periods of time
Other diseases which affect the hip like Rheumatoid Arthritis
Previous surgeries around the hip
Very rarely infection of the bursa

Registered Physiotherapy Treatment

Your Registered Physiotherapist can help you to reduce the pain and inflammation. They will use electrotherapy modalities, taping, or acupuncture. They will give you advice on activity limitations in the early stages.

Later the treatment is focussed towards increasing the flexibility and strength in the muscles. Your Physiotherapist will increase the hip joint range of movement and correct your hip joint mechanics.

Trochanteric bursitis

Finally the focus is towards preventing it from happening again.

General Advice on prevention

Your Registered Physiotherapist will look at your posture, hip stability, and core strength. They will look to see if you need Orthotics to address any problems with your legs or feet.

Tips for prevention of Trochanteric Bursitis:

Whenever you start a new activity, try to take it slow and build up your activity level gradually.
Start with less force or resistance, less repetitions and progress gradually.
Avoid or modify repetitive activities if it is putting any stress on the hip joint
Your footwear should be comfortable
Maintain flexibility and strength in your lower extremity muscles
Improve your core muscle strength

If you or someone you know may have Trochanteric bursitis, call PhysioNow Today! We would be happy to get you started on your treatment and back to enjoying all the things you love to do!

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Vertigo

July 25,2017 Sharon Tierney Leave a comment

Benign paroxysmal positional vertigo(BPPV)

Vertigo

Vestibular Systems
• Comprises five sensory organs that provide your brain with information about head position and movements including head rotation, linear movements and static positions of the head relative to gravity
• Five sensory organs including 3 semicircular canals and 2 otoliths

BPPV is a mechanical problem in the inner ear. It occurs when some of the crystals that are normally embaded in gel in the ear become dislodged. They then can move into one or more of the 3-fluid filled semicircular canals.

Benign paroxysmal positional vertigo(BPPV) is one of the most common causes of vertigo. It creates a false sensation of spinning.
• Benign: it is not life threatening
• Paroxysmal: it comes in sudden, brief spells
• Positional: it gets triggered by certain head positions or movements
• Vertigo: a false sensation of rotational movement

Symptoms
a)      Dizziness
b)      Vertigo (sensation of spinning)
c)       Nausea
d)      Sense of imbalance or unsteadiness
e)      Poor gaze stability
f)       Vision disturbance

Visual Coordination screening

Diagnosis

• The relationship between the inner ears and the eye muscles are what normally allows us to stay focused on our environment while the head is moving. The dislodged crystals make the brain think you are moving when you are not. This mistakenly causes the eyes to move, which makes it look like the room is spinning. This is called Nystagmus.

• The Nystagmus will have different characteristics that allow the practitioner to identify which ear the displaced crystals are in and which canal is involved.
• The most common tests are DIX hall pike and Roll test.
• There are two types of BBPV. One type, where the loose crystals can move freely in the fluid of the canal(canalithiasis). The more rare type is one where the crystals are thought to be hung up on the bundle of nerves that sense the fluid movement(cupulolithiasis).

Physiotherapy Treatment
• One maneuver that is used for the most common location and type of BPPV is called the Epley maneuver. However , that will not work for all people . Often people have tried the Epley maneuver themselves or had it performed on them without success.
• In the vast majority cases, BPPV can be corrected mechanically by a Registered Physiotherapist. Once your provider knows which canal is involved and what type it is , we can take you through the appropriate treatment maneuver.

Check out this video for an example of the Epley Maneuver. Please do not attempt this yourself until you have been properly assessed and screened by one of our Registered Physiotherapists to see if this maneuver will be appropriate for your condition!

If you have any further questions, please call PhysioNow today! Our experienced Vestibular Physiotherapists would be happy to help you.

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Baseline Testing Concussions

July 16,2017 Sharon Tierney Leave a comment

Baseline Testing

Why is baseline testing Concussions important?

There are no special tests to diagnose and gauge the severity of concussions. Athletes are recommended to undergo baseline testing before the beginning of the sports season. Baseline test results are helpful for most healthcare professionals involved in an athlete’s concussion care. This includes Physiotherapists, Physicians, Concussion Specialists, and Vision Therapists. Baseline tests let the Physiotherapist compare the before injury function to the results of post concussion baseline testing. It’s a great tool to measure the severity of concussions. It helps therapists to make treatment goals. Safe return to sports following concussions can be determined with this tool.

Components of Baseline testing Concussions

Impact Test, This is the gold standard test. It looks at different functions of your brain before and after concussion. It is a computer based test. It usually takes about 30 minutes. The test assesses your ability to process information, and remember things. It also tests how quickly you can follow instructions/tasks. It’s the most scientifically validated test and recently got approved by the FDA.

Visual Coordination screening

Following concussion, functioning of the visual system is greatly affected. This involves the eyes and part of the brain that processes visual information. Correct vision and clarity of vision is not affected. However, the ability of your eyes to move together is affected. This usually leads to symptoms like dizziness, difficulty focussing, and headaches. Testing the visual system before the sports season provides valuable information about the function of the visual system. It allows for treatment of any problems.

Balance and Postural stability– With Post-concussive injury, both static and dynamic balance is affected. You can feel dizzy with standing, change in position or with certain movements. Most sports require an intact balance system to improve performance.

Registered Physiotherapists at PhysioNow are trained to conduct baseline testing before the beginning of the sports season and following concussive injury. Registered Physiotherapists at Mississauga are skilled to assess any deficits in your baseline testing and treat them. Visual coordination exercises will be done to help you return to sports faster .

Please call today to get your baseline testing done or to treat your concussion.

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Foot Pain Treatment Mississauga

May 28,2017 Sharon Tierney Leave a comment

strong>Foot Pain Treatment Mississauga
Trending Now: Blue Jays’ Jose Batista on 15 day disabled list

Foot Pain Treatment Mississauga

Blue Jays’ Jose Batista hurt his big toe during a June 16 game against Philadelphia. After running into the outfield wall, Bautista had to leave the game early because of pain. An MRI showed that he had suffered a sprain of his left big toe. He had to be in a walking boot for the time being. It may seem like it’s an excessive treatment plan for just a simple sprain. In reality sprains can sometimes be more complicated than a fracture.

What is a Ligament?

A ligament is a soft tissue structure that connects two bones together. Ligaments do not receive a good blood supply like muscles or tendons and as a result, they cannot heal as well.

Types of Sprains

A sprain is defined as a stretch or tear of a ligament.
Furthermore, sprains can be classified into three groups based on the severity of injury. A grade I sprain means that there is mild damage to the ligament and the joint is stable. A grade II sprain means that there is a partial tear in the ligament and the joint is overall less stable or loose. The most severe type of sprain is classified as grade III and it means that the ligament has completely torn or ruptured and the joint has lost stability.

How can a Registered Physiotherapist help with Foot Pain treatment Mississauga?

A Registered Physiotherapist helps with all three types of sprains. The treatment for sprains starts with rest and reducing inflammation. Depending on the type of sprain, it may be necessary for immobilization in order for this to occur. For example a grade II sprain you can get a removable walking boot. A grade III sprain you can get a cast. Once inflammation is reduced and pain is better, treatment seeks to improve range of motion and strength and a return to activity or sport.

Since Jose Batista has been wearing a walking boot, it seems that his injury is at least a grade II. Considering the poor blood supply of ligaments and the severity of his particular sprain it is definitely best for him to be out of the game for at least 2 weeks. Proper foot pain treatment Mississauga in the early phase of injury is very important so that the ligament is well protected and given the best chance for healing. Once the walking boot comes off, his injury will be re-evaluated and the Blue Jays’ medical team will decide on his further treatment plan and eventual return to play.

Jose Bautista’s toe injury improving

If you have been injured, call PhysioNow today! They can help with Foot Pain treatment Mississauga!

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Massage Therapy Services Mississauga

May 8,2017 Sharon Tierney Leave a comment

Massage Therapy Services Mississauga

Massage therapy involves skilled manipulation of the soft tissues (skin, muscle, fascia, tendons, ligaments) and joints in your body. A variety of techniques can be used in Massage therapy services Mississauga to help reduce tension in stiff muscles. It can help to promote lymph and blood flow and speed up the healing of injured tissues. Massage therapy has a therapeutic effect on the body and helps you to recover from injuries to muscles, circulatory and the nervous system.

Massage Therapy Services Mississauga: Types

1) Relaxation/Swedish Massage– primarily used to enhance wellbeing and is generally offered in spas, resorts

2) Rehabilitative/Deep tissue/ Therapeutic Massage- Primarily aids in promoting healing of injured tissues. This facilitates early recovery. Registered Massage therapists who are skilled and trained in performing these maneuvers perform Rehabilitative Massage Therapy. This service is offered in medical clinics .

Massage Therapy Services Mississauga

Benefits of Massage Therapy Services Mississauga:

1) To alleviate pain
2) To decrease muscle spasms
3) To decrease stiffness in joints
4) To decrease tightness in muscles
5) To promote relaxation
6) To decrease inflammation
7) To enhance circulation
8) To decrease stress
9) To decrease anxiety
10) To improve posture
11) To correct muscular imbalances

Conditions treated by Registered Massage Therapists:

1) Rotator cuff tear
2) Frozen shoulder
3) Tennis elbow
4) Golfers elbow
5) Carpal tunnel syndrome
6) Sciatica
7) Disc herniation
8) Arthritis- Hip/Knee
9) Stiff/sore low back
10) Hip bursitis
11) Knee Meniscal Injury
12) Ankle sprain
13) ACL injury to the Knee
14) Post surgical-Total Hip Replacement/ Total Knee Replacement
15) During pregnancy
16) Neck strain
17) Postural stress

Check out this website for more information.

At PhysioNow Mississauga, we have a number of highly skilled Registered Massage Therapists available at each of our offices to help you. We often find that the combination of Registered Physiotherapy and Registered Massage Therapy is quite powerful. Once a Physiotherapist has assessed your condition, they can help to guide the Registered Massage Therapist so that you get the maximal benefit from all of your treatments. We have Registered Massage Therapists available 6 days per week from Monday to Saturday. Please call 289-724-0448 today!

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Osgood-Schlatter disease

March 11,2017 Sharon Tierney Leave a comment

Osgood-Schlatter disease

Osgood-Schlatter disease can cause a painful lump below the kneecap in children and adolescents experiencing growth spurts during puberty.
Osgood-Schlatter disease occurs most often in children who participate in sports that involve running, jumping and swift changes of direction — such as soccer, basketball, figure skating and ballet.
Age ranges differ by sex because girls experience puberty earlier than do boys. Osgood-Schlatter disease typically occurs in boys ages 13 to 14 and girls ages 11 to 12. The condition usually resolves on its own, once the child’s bones stop growing.

Osgood-Schlatter Disease

SYMPTOMS
Most parents call the doctor after their child complains of intermittent pain over several months. The pain may be anywhere from mild and felt only during activity to severe and constant.
Other symptoms may include:
• pain that worsens with exercise
• relief from pain with rest
• swelling or tenderness under the knee and over the shinbone
• limping after exercise
• tightness of the muscles surrounding the knee (the hamstring and quadriceps muscles)

Osgood-Schlatter Disease

Causes
• During activities that involve a lot of running, jumping and bending — such as soccer, basketball, volleyball and ballet —child’s thigh muscles (quadriceps) pull on the tendon that connects the kneecap to the shinbone.
• This repeated stress can cause the tendon to pull away from the shinbone a bit, resulting in the pain and swelling associated with Osgood-Schlatter disease. In some cases, your child’s body may try to close that gap with new bone growth, which can result in a bony lump at that spot.

DIAGNOSIS
• A doctor will perform a physical exam and check your child’s knee for swelling, pain, and redness. This will usually provide the doctor with enough information to make an Osgood-Schlatter disease diagnosis.
• In some cases, the doctor may want to perform a bone X-ray to rule out other potential causes of knee pain.

TREATMENT
Treatment typically involves:
• icing the affected area two to four times a day, or after doing physical activity
• taking over-the-counter pain relievers, such as ibuprofen or acetaminophen
• resting the knee or reducing physical activity
• wrapping the knee or wearing a knee brace
• stretching
• physiotherapy

FREQUENTLY ASKED QUESTIONS

1.What about playing sports and other activities?

Sport or physical activity is not likely to cause any permanent damage, but may make the pain worse. However, it is often sporty teenagers who develop Osgood-Schlatter disease. If the pain is affecting your ability to do your sport, difficult decisions may have to be made about training schedules and sporting commitments.

2.Is it possible to prevent Osgood-Schlatter disease?

Yes, it’s possible to prevent Osgood-Schlatter disease by limiting stress activities involving the knees. Such sports would include basketball, volleyball, ballet, gymnastics, and high jump. All of these sports require sudden explosive activation of the quadriceps muscles. A proper stretching routine involving the quadriceps and hamstring muscle groups may be helpful to arrest the onset of Osgood-Schlatter disease.

3.Is this disease permanent?

Osgood-Schlatter disease usually resolves on its own once a growth spurt ends. Until then, treatment is focused on relieving symptoms, such as knee pain and swelling.

• Overall Osgood-Schlatter disease could be a debilitating condition if it remains untreated. PhysioNow Mississauga has excellent Registered Physiotherapists who can help your child and get him or her back to their sports career. Call Today 289-724-0448.