Author Topic: Osgood-Schlatter's disease  (Read 5849 times)

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KokoyPinoy

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Osgood-Schlatter's disease
« on: May 20, 2012, 01:58:00 am »
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This disease in my left knee haven't been bothering me for about 3 years now, but it resurface after I did some atg squats, with strict form and weightlifting shoes (risto sports)). The pain is on the spot on the knee where I have the disease. :( Does anybody has any advice on how I'll strengthen my left knee, prehab or rehab? My right knee is fine when doing this kind of squat. I also notice that my left femur bone is shorter than my right and my left sheen bone is longer than my right. Hay. I hate my anatomy.

BTW, the pain disappears after a day or two.
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seifullaah73

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Re: Osgood-Schlatter's disease
« Reply #1 on: May 20, 2012, 05:47:11 am »
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What is Osgood Schlatters disease?

It was named after two physicians in 1903, Dr. Robert Osgood and Dr. Carl Schlatter. These Doctors defined the disease.

Osgood Schlatters disease is a very common cause of knee pain in children and young athletes usually between the ages of 10 and 15. It occurs due to a period of rapid growth, combined with a high level of sporting activity.

These changes result in a pulling force from the patella tendon, on to the tibial tuberosity (bony protrusion at the top of the shin). This area then becomes inflamed, painful and swollen. This is frequent in younger people due to the remaining softness in their bones (from childhood).

Treatment of Osgood Schlatters disease 

What can the athlete do?

    Rest.
    This injury needs rest if it is to heal properly.
    Only do as much exercise as it will allow without causing pain.
    Weight bearing exercise will make it worse. Keep your sessions few and high quality rather than train every day. 
    Apply ice or cold therapy to the knee regularly throughout the day to reduce pain and inflammation and particularly following activity or sport. Ice should be applied at least three times a day for 10 to 15 minutes. Ice massage with an ice cube is a convenient way to apply cold therapy to a specific area such as the patella tendon.
    Gently stretch the quad muscles if comfortable to do so.
    Use a knee support or knee strap to help reduce the tension on the knee.
    See a sports injury professional

Source: http://www.sportsinjuryclinic.net/sport-injuries/knee-pain/osgood-schlatters-disease

Hope that helps.
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D4

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Re: Osgood-Schlatter's disease
« Reply #2 on: May 20, 2012, 10:09:31 am »
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I had chronic OSD pain for years.  The knee braces that strap around right between your OSD bump and kneecap help a lot.  Also, some light knee extensions with high reps help. 

However, my OSD just went away for good as I started squatting for the first time and just got stronger lol. 
Goal is to dunk.

Vertical needed to dunk: 40"

Current vertical : 38.5"

KokoyPinoy

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Re: Osgood-Schlatter's disease
« Reply #3 on: May 22, 2012, 03:20:47 am »
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Owel, there so many issues, i think, why my OSD came back. One, is that my knees are not tracking my toes properly because, I think, I shifted my foot stance. I had no arc in my feet due to my body weight concentrated to the inner side of my feet. Then I trained myself to put the weight on the outer side changing the force distribution in my legs. My OSD was "used to" having that feet with no arc and was used to tracking the toes of that feet. Now, the I push my knees out during my squats, the patella is not helping properly, IMO
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LBSS

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Re: Osgood-Schlatter's disease
« Reply #4 on: May 22, 2012, 10:13:03 am »
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push knees out good. weight on insides of feet bad.

if you can't squat properly without pain, don't squat. do something else.
Muscles are nonsensical they have nothing to do with this bullshit.

- Avishek

sunday: long very easy run 80+ mins @ 5:40+ (14+ km)
monday: strength/cross training
tuesday: extensive tempo (7 km) OR fartlek (mostly easy pace with mix of strides, hills, long tempo) 45 mins (8+ km)
wednesday: easy run 60+ mins @ 5:20-5:30 (11+ km)
thursday: easy run 60+ mins @ 5:20-5:30 (11+ km), strength/cross-training
friday: rest
saturday: short tempo 6-8x500 @ sub-4:00 (7 km)

strength would be:
- hops 2x10
- box jumps or ME SVJ 2x5
- squats 3x6-8 or weighted BSS/lunges 3x10/leg
- RDL/hypers 2x10-12 or SLRDL 2x10-12/leg
- upper push myo-reps or sets to technical failure
- upper pull myo-reps or sets to technical failure
- leg raises, holds, pallof presses

KokoyPinoy

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Re: Osgood-Schlatter's disease
« Reply #5 on: May 26, 2012, 09:23:40 am »
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The pain disappeared when I foam rolled my abductor muscles and the insides of my quads. :)
Lont term:
175klsx2
Jump Snatch 75kls x 1

Short term before Peaking.
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Dreyth

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Re: Osgood-Schlatter's disease
« Reply #6 on: May 26, 2012, 05:13:02 pm »
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The pain disappeared when I foam rolled my abductor muscles and the insides of my quads. :)

interesting. i've had some patellar maltracking it seems for over 6 months. nothing helped relieve the pain more than foam rolling the IT bands/abductors.

Chances are the pain will disappear if you do some VMO activation as well.
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KokoyPinoy

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Re: Osgood-Schlatter's disease
« Reply #7 on: June 01, 2012, 09:49:18 am »
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The pain disappeared when I foam rolled my abductor muscles and the insides of my quads. :)

interesting. i've had some patellar maltracking it seems for over 6 months. nothing helped relieve the pain more than foam rolling the IT bands/abductors.

Chances are the pain will disappear if you do some VMO activation as well.

What's the best VMO activator? And you are right i need to activate it cuase i feel that my Left VMO is always sleeping. It does not get sore. :(
Lont term:
175klsx2
Jump Snatch 75kls x 1

Short term before Peaking.
130kls x5

Dreyth

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Re: Osgood-Schlatter's disease
« Reply #8 on: June 02, 2012, 02:09:19 pm »
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Best thing I've found is this:

Eccentric Single Leg Knee Extensions (with toes pointed out).
I would recommend a bilateral version but I wouldn't know how to do them eccentrically with heavy weight.

Get on the machine. Set it to an easy weight, ilke 50lbs. Set the machine so you're only doing the final half of range of motion (some machines don't allow you to control the ROM so if this part confuses you; ignore it).

Start the lift with both feet and hold the lockout for half a second. Then, drop one of the legs while keeping the bad up with the other, and slowly lower it to the starting position.

LONG STORY SHORT: Get on the knee extension. Point your toes out. At the top of the ROM, do the "down portion" with one leg only.

Side note: I like to use a weight that's very hard for me to do the ENTIRE lift with one leg, but easy enough so that I can get 10 negative reps with a single leg.

Do about 10 reps of these negatives and your leg will have no choice but to really use the VMO! In addition, I have read online that it is much easier to change motor recruitment patters by using eccentric (negative) movements instead of concentric. You want to get the VMO to fire on quad movements so this should help.
« Last Edit: June 02, 2012, 02:11:48 pm by Dreyth »
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Raptor

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Re: Osgood-Schlatter's disease
« Reply #9 on: June 02, 2012, 02:46:14 pm »
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Actually, I did stuff like this ^^^ and I almost got a cramp through the lateral side of the vastus lateralis (basically where the ITB goes through the leg) ... pretty weird. Like my body was like "hey I want to use the vastus lateralis... don't force me to use the VMO"

KokoyPinoy

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Re: Osgood-Schlatter's disease
« Reply #10 on: June 08, 2012, 11:31:00 am »
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Best thing I've found is this:

Eccentric Single Leg Knee Extensions (with toes pointed out).
I would recommend a bilateral version but I wouldn't know how to do them eccentrically with heavy weight.

Get on the machine. Set it to an easy weight, ilke 50lbs. Set the machine so you're only doing the final half of range of motion (some machines don't allow you to control the ROM so if this part confuses you; ignore it).

Start the lift with both feet and hold the lockout for half a second. Then, drop one of the legs while keeping the bad up with the other, and slowly lower it to the starting position.

LONG STORY SHORT: Get on the knee extension. Point your toes out. At the top of the ROM, do the "down portion" with one leg only.

Side note: I like to use a weight that's very hard for me to do the ENTIRE lift with one leg, but easy enough so that I can get 10 negative reps with a single leg.

Do about 10 reps of these negatives and your leg will have no choice but to really use the VMO! In addition, I have read online that it is much easier to change motor recruitment patters by using eccentric (negative) movements instead of concentric. You want to get the VMO to fire on quad movements so this should help.

WOW! Thanks! I'll definitely do that! I was only focusing in the concentric portion of the lift and it does not work that good.

Actually, I did stuff like this ^^^ and I almost got a cramp through the lateral side of the vastus lateralis (basically where the ITB goes through the leg) ... pretty weird. Like my body was like "hey I want to use the vastus lateralis... don't force me to use the VMO"

 :P  :P  :P
Lont term:
175klsx2
Jump Snatch 75kls x 1

Short term before Peaking.
130kls x5

KokoyPinoy

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Re: Osgood-Schlatter's disease
« Reply #11 on: June 11, 2012, 11:34:33 am »
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Best thing I've found is this:

Eccentric Single Leg Knee Extensions (with toes pointed out).
I would recommend a bilateral version but I wouldn't know how to do them eccentrically with heavy weight.

Get on the machine. Set it to an easy weight, ilke 50lbs. Set the machine so you're only doing the final half of range of motion (some machines don't allow you to control the ROM so if this part confuses you; ignore it).

Start the lift with both feet and hold the lockout for half a second. Then, drop one of the legs while keeping the bad up with the other, and slowly lower it to the starting position.

LONG STORY SHORT: Get on the knee extension. Point your toes out. At the top of the ROM, do the "down portion" with one leg only.

Side note: I like to use a weight that's very hard for me to do the ENTIRE lift with one leg, but easy enough so that I can get 10 negative reps with a single leg.

Do about 10 reps of these negatives and your leg will have no choice but to really use the VMO! In addition, I have read online that it is much easier to change motor recruitment patters by using eccentric (negative) movements instead of concentric. You want to get the VMO to fire on quad movements so this should help.

It really works!!! I just tried it this afternoon and damn, I really felt my VMO! Thanks Dreyth!
Lont term:
175klsx2
Jump Snatch 75kls x 1

Short term before Peaking.
130kls x5

Dreyth

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Re: Osgood-Schlatter's disease
« Reply #12 on: June 11, 2012, 11:50:26 am »
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It really works!!! I just tried it this afternoon and damn, I really felt my VMO! Thanks Dreyth!

No problem. It's the best VMO activation I've done yet.

My recommendation is that before you play basketball or practice jumps, foam roll your IT bands and do a moderate set of like 5-8 knee extensions (single-leg negatives) to activate it. When I really want to be careful, I foam roll and activate every half hour if I'll be playing intensely.
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Raptor

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Re: Osgood-Schlatter's disease
« Reply #13 on: June 11, 2012, 01:38:51 pm »
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You could also do isometric knee extension holds on an edge of a bed or something. Although I don't really like to do isometrics before dynamic movements. Maybe half an hour before or something.

KokoyPinoy

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Re: Osgood-Schlatter's disease
« Reply #14 on: June 14, 2012, 09:39:04 am »
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Thanks for your advice! Uhm, i feel my IT band also contributes to my knee pain and foam rolling it does help. I'll do as you say Dreyth! Thank you so much!

Uhm, I'll try it too raptor, but I think, isometrics an hour before my work out will have little or no effect to my VMO. But I'll try.
Lont term:
175klsx2
Jump Snatch 75kls x 1

Short term before Peaking.
130kls x5