WAG Osgood schlatters (sp?)

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BarCoach

Coach
Dec 7, 2009
580
New England
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

Proud Parent
May 4, 2010
1,872
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

Proud Parent
Oct 23, 2009
883
NJ Region 7
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.
 

SignHere

Proud Parent
Jul 11, 2011
518
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

New Member
Feb 17, 2014
22
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.
 
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BarCoach

Coach
Dec 7, 2009
580
New England
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.
 
D

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.
 
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iwannacoach

Coach
Proud Parent
Gymnast
Mar 25, 2012
2,877
region II
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

Gymnast
Mar 3, 2014
5
23
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!
 
D

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

New Member
Oct 4, 2013
15
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

Coach
Proud Parent
Gymnast
Mar 25, 2012
2,877
region II
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

New Member
Feb 17, 2014
22
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

Proud Parent
Dec 13, 2012
238
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

New Member
Feb 17, 2014
22
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

Coach
Dec 7, 2009
580
New England
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

Coach
Dec 7, 2009
580
New England
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

Proud Parent
Oct 23, 2009
883
NJ Region 7
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.
 
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