WAG Osgood schlatters (sp?)

[BarCoach]

One of my girls, aged 9, is complaining of knee pain just below her knee cap. She has a doctors appointment Monday but we have practice today and tomorrow. Assuming it is osgood schlatters, can I have her practice as normal based on her pain? Don't want to make it worse.

 

[LizzieLac]

O-S is more of a condition than an injury, based on growth spurts. My DD suffered with it badly for a 2 year period where she grew nearly 8 inches. She continued going to practice every day, but needed to modify what she did to avoid being in excruciating pain. Leg conditioning was tough as was heavy tumbling and vault. Beam and bars was where she spent more of her time. If her squad was doing vault for a rotation of practice, she would do 3-4 vaults, drills for popping off her hands, and then go work on beam...

It can be done.

 

[gymmomof1]

Depends what is causing the knee pain. There is the other condition called sinding-larsen-johansson syndrome. It's when the petellar tendon connected to the knee cap is irritated or is pulling away. My dd had this and it was pulling off the knee cap by the time we got her to the Dr. We didn't know what it was until it was really bad. Another time petellar wasn't tracking right. So from our experience I'd suggest to wait to see what Dr says and have her not aggravate it.

 

[BarCoach]

Ok thanks. We'll do mostly bars and beam and some dance throughs. We'll base tumbling and vaulting on her pain and hope for an OS diagnosis on Monday.

 

[SignHere]

Ok thanks. We'll do mostly bars and beam and some dance throughs. We'll base tumbling and vaulting on her pain and hope for an OS diagnosis on Monday.

 

[SignHere]

You didn't say what type of doctor appointment. After 2 daughters in team gymnastics for 5 years, and experience with ER docs, pediatricians, orthopedists, and finally sports medicine specialists seeing my daughters - I'd urge you to recommend to the gymnasts' parent to bypass everyone and take her to the sports medicine doctor. The pediatricians just don't have the experience with dealing with the kind of work outs gymnasts do - and you can get CRAZY recommendations from ER docs. Sports medicine specialists seem to be more willing to accomodate gymnasts continuing to condition, write prescriptions for physical therapy (which will make her feel better faster), and seem to be less likely to say they need to quit altogether (orthopedist!).

 

[bandgeek802]

This is coming from a sufferer of Osgood-Schlatter's AND Sever's Disease-

I'd recommend taking her to a sports medicine specialist. Is there a tender bump below her knee? Does it hurt when pressed? When squatting? If so, then probably yes.

 

[BarCoach]

I'm not sure on the type of doctor but I'll mention the sports medicine specialist tomorrow.
Thanks for those specific questions bandgeek. I'll ask her tomorrow.
She vaulted pretty well tonight though I could tell it was bothering her a little.

 

[Deleted member D3987]

One of my girls, aged 9, is complaining of knee pain just below her knee cap. She has a doctors appointment Monday but we have practice today and tomorrow. Assuming it is osgood schlatters, can I have her practice as normal based on her pain? Don't want to make it worse.

get chopats or mcdavid knee cap straps.

 

[iwannacoach]

This is only in the case of Osgood Schlatters that one of my team kids was diagnosed with. Her treatment plan per the sports Dr, and approved by her Dr/ pediatrician/ dad was ice after icing and before icing, and any time in between. Seriously, she was told either vault or floor during a workout, and wrap a small ice pack on it at the first hint of pain..... like mid way through warming up vault with running drills. She continued to work with the ice pack on, and put on a fresh ice pack about the time the previous one had become "just a pack."

Her vault workout ended whenever the pain caused any modification in any part of her vault work.... same on floor. She'd then put on her fourth ice pack and go to bars or beam. She continued that course for close to a year, and never had another Osgood type symptom. Started when she was a few months past her 11th birthday.

 

[Gymnastics5252]

I went to the doctors today and found out I had this. My doctor said it should be fine, but be careful. It can last up to years if not treated carefully. On the way to practice put some kind of heat pack on it to warm it up, and Ice after because it's probably inflamed. You can buy a special brace type thing too. I reccomend using it to ease the pain. Hope it goes away soon!

 

[Deleted member D3987]

This is only in the case of Osgood Schlatters that one of my team kids was diagnosed with. Her treatment plan per the sports Dr, and approved by her Dr/ pediatrician/ dad was ice after icing and before icing, and any time in between. Seriously, she was told either vault or floor during a workout, and wrap a small ice pack on it at the first hint of pain..... like mid way through warming up vault with running drills. She continued to work with the ice pack on, and put on a fresh ice pack about the time the previous one had become "just a pack."

Her vault workout ended whenever the pain caused any modification in any part of her vault work.... same on floor. She'd then put on her fourth ice pack and go to bars or beam. She continued that course for close to a year, and never had another Osgood type symptom. Started when she was a few months past her 11th birthday.

probably a good time to bring this up. modalities have changed a bit since the old days. it is no longer recommended that you ice and then 'get right to it'. heat must be used to 'thaw' the affected are.

example: you know you're going to tumbling. and you want to ice. it's better to ice when the tumbling session is over. or, you ice then put your feet in a bucket of hot water first and bring them to 'thaw' before you move to the next event.

 

[supergymie101]

I have OS myself (A gymnast)
My doctor said that the best thing to do is to ice it whenever it hurts. As it is inflamated and ice helps with that. If your daughter likes to practice at home a lot then try and reduce that. Try to let it rest at home . Your daughter should be able to practice normally, just let it rest at home. If it starts hurting bad at practice have her tell her coach. Ice it until it stops hurting and then return to practicing. Ice again after practice for at least 15 minutes. That's what I do and it's already getting better
Hope that helps

 

[iwannacoach]

probably a good time to bring this up. modalities have changed a bit since the old days. it is no longer recommended that you ice and then 'get right to it'. heat must be used to 'thaw' the affected are.

example: you know you're going to tumbling. and you want to ice. it's better to ice when the tumbling session is over. or, you ice then put your feet in a bucket of hot water first and bring them to 'thaw' before you move to the next event.

Thanks for the update as I do seem a bit stuck in the 80's. Oh well. Is it also bad/wrong/whoopsie to vault then ice while doing something gentle like beam turns and handstands, or do they need to be immobile until they warm back up.

 

[bandgeek802]

I've had bad experiences with the Chopat Strap. Something I recommend getting is a Tommy Copper knee sleeve. It's a real help, but it doesn't look like it. You can get it online for about $25.00.

 

[teksquad]

get chopats or mcdavid knee cap straps.

My daughter has patellar tendonitis (probably from the big growth spurt she just had) and the chopats work the best of all the knee straps she has tried. The tubing inside is stiffer than many knee straps, and gives her the most relief. It doesn't make the pain go away entirely, but helps a lot.

 

[bandgeek802]

My daughter has patellar tendonitis (probably from the big growth spurt she just had) and the chopats work the best of all the knee straps she has tried. The tubing inside is stiffer than many knee straps, and gives her the most relief. It doesn't make the pain go away entirely, but helps a lot.

The chopat strap, for me, rubbed against my knee until I could barely stand because of pain- don't forget blisters.

 

[BarCoach]

The doctor (an orthopedist) did not give a diagnosis of OS. He didn't say what it was exactly, other than overuse. They look X-rays and are worried about the tendon pulling away from the bone (or something like thatt). She's off it completely for two weeks and then they go back.

 

[BarCoach]

Official diagnosis is Sinding Larsen Johansen. She's spent the past two weeks doing not much. With two weeks to go until States she is now allowed to build slowly back to it this week and then, assuming it doesn't gurt, start everything again next week. I thought I had seen this mentioned before but my searches didn't turn anything up.

 

[gymmomof1]

Official diagnosis is Sinding Larsen Johansen. She's spent the past two weeks doing not much. With two weeks to go until States she is now allowed to build slowly back to it this week and then, assuming it doesn't gurt, start everything again next week. I thought I had seen this mentioned before but my searches didn't turn anything up.

Yes my dd had this the end of her (old) level 5 season. Cho pat helped after a month of not doing any tumbling and then building up slowly. She also did physical therapy which helps ALOT. Is she going to physical therapy? Timing of this stinks since states is coming up but if the tendon is pulling off the knee cap it needs to heal.