Anterior knee pain: Osgood Schlatter (OS) disease; Sinding-Larsen-Johannsen (SLJ); Patellar tendonitis; Patellar tendinosis
OS and SLJ are common in young athletes. OS presents as pain at the tibial tuberosity and SLJ pain at the inferior pole of the patella. Patellar tendonitis (jumper’s knee) is pain at the inferior pole of the patella and occurs typically during sport or when an athlete exaggerates his/her training programme.
Your recovery will depend on your adherence to treatment, rehabilitation and adjustment of sporting activities.
Treatment consists of a course of anti-inflammatory drugs, ice and physiotherapy.
The physiotherapist will focus on stretching of the quadriceps, hamstrings and Achilles tendon. Quadriceps strengthening is done within pain limits and without increasing the stresses across the infrapatellar tendon inplantation. Do not do any exercise on your own without consulting the physiotherapist first.
When can you return to sport?
You can only return to sport once your symptoms have improved. Returning to your sport too soon may increase recovery time. There is no specific time span as everybody responds differently to treatment. You can consider changing your sport to something else such as cycling that has no resistance or swimming.
Ask yourself the following:
If you answer yes to all the questions you are most likely ready to return to your sport. Please follow the stretching and strengthening programme for the rest of your life. If you have any pain you are not ready to return to sport.
Suggested home physiotherapy programme: