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Thursday, March 14, 2019

Osgood-Schlatter disease


Osgood-Schlatter disease

The disease of Schlater or Ozgod Schlatter is a disease that causes painful skeletal swelling in the lower leg of the knee, usually in children and adolescents, who experience growth mutations during puberty.

Schlatter's disease often involves children involved in sports, including running and jumping, and changing trends such as football, ballet and skiing.

Schlatter's disease was common in male children, but as time developed and the gender gap narrowed, girls were also vulnerable to sports.

Children are between 12 and 14 years old and girls are between 10 and 13 years old, and the difference occurs because girls enter adulthood earlier than boys.
The problem usually disappears on its own once the bones stop growing.

Symptoms of Schlatter's Disease
The pain of the knee and the swelling of the knee head are the main symptoms of the disease, and the pain is usually worse during some activities such as running, bending on the knees, jumping and reducing these symptoms with rest.

The condition usually occurs in only one knee, but can affect both knees. The discomfort can last several weeks for several months, and it can happen again until your baby stops growing.
Osgood-Schlatter disease

When should I see a doctor?
Contact your pediatrician if knee pain interferes with your child's daily activities. You should seek medical intervention in the case of knee swelling and redness, if knee pain is accompanied by fever, or if knee pain causes knee joint instability.

Complications of the Schlatter disease
Complications due to the disease are uncommon, but in case of complications, they may result in chronic pain or localized tumor. Bone prolapse may persist even after the symptoms have disappeared. This may cause problems in the child during childhood, but does not affect the ability of the knee to perform its function.
In rare cases, the disease can pull the growth plate away from the leg bone.

Causes of Schlatter's Disease
In sports such as running, jumping and bending, as in football, basketball, volleyball or ballet, the muscles in the child's thigh will tighten the tendon, which connects the patella (knee bone) to the growth plates at the top of the leg bone.

This repeated pressure can cause a tug of the growth plate, the place where the tendon enters the leg bone, and thus the child feels pain and swelling associated with the disease. Some children's bodies can try to close the gap by growing new bone, and may lead to osteoporosis in that area.
Osgood-Schlatter disease

Risk Factors of Schlatter's Disease
One of the risk factors that increase the chances of getting schizophrenia:
Age, Schlatter's disease occurs during growth spikes, and age varies because of the sex of the patient, as girls enter the growth stage earlier than boys.
Sex, children are more vulnerable to infection, but currently girls can become infected because of their desire to exercise.
Sports, where the disease occurs because of sports that include running, jumping, and changing direction.
Flexibility, quadriceps muscle contraction can increase the pull of the hamstring at the top of the leg bone.

Diagnosis of Schlatter's disease

During the physical examination, the doctor will examine the child's knee for swelling, pain or redness. An x-ray examination may be performed to see the bones of the knee and leg to examine the area of ​​the knee joint and the leg bones together.

pharmaceutical
The use of some over-the-counter pain relievers, such as paracetamol (acetaminophen), ibuprofen, and naproxen sodium may help relieve pain.

the physical treatment
The physiotherapist can teach your child to do some special stretching exercises with quadriceps muscles, which can reduce the tension caused by the point of contact of the hamstring. The belt around the tendon can relieve tension and tension, and exercise can help maintain balance within the joint.

Surgery is rare. If the pain is difficult to tolerate and does not disappear with the growth mutation, surgery should be performed to remove the osteoporosis.

Lifestyle and some home remedies
Doing so may help ease the pain your child feels:
Joint rest, you should reduce the time spent by your child during activities that stimulate the situation, such as bending on the knee, jumping, and running.
Placing ice on the affected area may help relieve pain and swelling.
Stretching the muscles of the leg, stretching the muscles in the thigh, is important.
Knee protection. When a child is exercising, he or she should wear a visor on the affected knee, especially in the area that may be irritated.
Wear a belt. A belt that fits the leg, attached to the back of the hamstring, can help stabilize the hamstring while exercising and helps to distribute the force of the leg bone.
Changing exercises The child can change activities that require jumping, running, biking, and swimming until symptoms disappear.

Prepare for a doctor appointment

Because of the symptoms your child may feel, you may ask a doctor to treat knee injuries or sports injuries.

What you can do
Write down your child's symptoms in detail.
Write a list of some medical information, which includes the problems suffered in the past.
Write down the diseases and health problems in your family.
Write a list of drugs covered by your baby even if it is a set of supplements or vitamins.
Write down the questions you will need to ask your doctor about.

Because your time with your doctor is limited, a list of questions can help you get the most out of your appointment, and start with the most important questions you need to know.

Questions you will ask the doctor

Will my child be able to exercise now?
Will my child need to change his activities like playing in a different place or training using different exercises?
If so, how long will it last?
What are the symptoms and signs that may indicate my child's need to stop exercising for a while?
 What other methods of care will my child need to follow?

If you have any questions, do not hesitate to ask a doctor about him, especially if you can not understand some of the information that the doctor told you.

What to expect from a doctor
The doctor will ask you a range of questions including:

The doctor will ask you a range of questions including:

How severe is the pain?
Does the pain occur before, after, while doing something, or was the pain continuing?
I noticed a swelling near the knee bone. Are there problems with mobility and stability?
What is the usual exercise program for exercise?
Has the usual training system been changed, such as hard work or longer periods using new methods and techniques?

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