Osgood-Schlatter lesion

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Hello Marilette,

Hope you are doing well,

 

I am faced with a problem here my son (15 years old) had been complaining about

pains in his legs, especially around the knees. We hadn't taken that seriously,

nor were there any signs that caused us any anxiety.

Last week, he noticed some swelling in both the knees and he showed it to me.

Since it was in both kness (the right knee more than the left), I thought it

best to have him examined by a doctor. The doctor ordered xrays of both knees

and this was the radiologist's report:

 

" AP and lateral view radiographs of both knees show normal alignment of bones.

Femoral condyles, tibial plateau and patella in both knees have regular cortical

outlines. Unfused ossific centres of tibial tuberosity are seen in both knees,

with minimal soft tissue thickening around it. Mineral density of

juxta-articular bones is normal in both knees. Joint space is preserved.

IMPRESSION: Minimal changes of osteochondritis in tibial tuberosity regions,

more on right. "

 

 

The ortho says that it would be best to immobilize by having both legs plastered

upto the thighs, for about one to one and one-half months, but because he is a

student and in Grade 10, we could try with medication and knee supports and

minimum movement for about 10 days. If there is progress, the treatment will be

continued. Otherwise, we would have to go for plaster.

The medicine prescribed is OMEDAR (Omeprazole, 20 mg), at breakfast for 10 days,

and EMIFENAC 50 DT (Diclofenac, 50mg) tabs, mornings and evenings, also for 10

days.

Can you please send me the protocol and the reason for this. My son's name is

wisam. Hope to hear from you soon.

 

Best regards

 

tanya

 

 

 

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Dear Tanya,

 

Namaste.

 

Thank you for your email.

 

Medical Background:

 

The Osgood-Schlatter lesion is a common cause of knee pain in active

adolescents. Two authors, Robert Bayley Osgood and Carl Schlatter, working

independently, were the first to describe the condition in 1903. The diagnosis

is usually made on the basis of characteristic localized pain at the tibial

tuberosity, and radiographs are not needed for diagnosis. However, radiographic

results confirm the clinical suspicion of the disease and exclude other causes

of knee pain.

 

 

Originally, the Osgood-Schlatter lesion was thought to result from an avulsion

of bone or cartilage in the tibial tuberosity. More recent findings indicate

that most cases of Osgood-Schlatter disease are caused by microtrauma in the

deep fibers of the patellar tendon at its insertion on the tibial tuberosity,

although avulsion may be present in some cases.

 

The quadriceps femoris muscle, the largest muscle in the human body, inserts on

a relatively small area of the tibial tuberosity. As a consequence, naturally

high tension exists at the insertion site. In children, the additional stress

placed on the cartilaginous site with vigorous physical activity leads to

traumatic changes at the insertion, particularly those activities that involve

high stress at the insertion, such as kicking.

 

 

 

Osgood-Schlatter lesion occurs more frequently in boys than in girls, with a

male-to-female ratio as high as 7:1, It occurs around the age of 10 to 14 years

old.. This difference is likely related to a greater participation in specific

risk activities by boys in comparison with girls.

 

 

 

In children, the cartilaginous tibial tuberosity is an inferior extension of the

proximal tibial physis. The tuberosity usually ossifies as an inferior extension

of the main epiphyseal ossification center. Sometimes, 1 or more secondary

ossification centers develop separately in the cartilaginous tuberosity. These

eventually unite with the main proximal tibial epiphyseal ossification center.

Hence, the presence of multiple ossific nodules anterior to the tibial

metaphysis is, by itself, a normal variant. The patellar tendon extends anterior

to the infrapatellar fat pad of Hoffa and inserts into the cartilage of the

anterior tibial tuberosity.

 

 

 

Clinical Details: Pain, focal swelling, heat, and localized tenderness at the

tibial tuberosity are typical and diagnostic clinical findings in

Osgood-Schlatter disease. Treatment is conservative, with the use of

pain-relieving medications (analgesics, nonsteroidal anti-inflammatory drugs

[NSAIDs]), application of ice in the area of pain, and avoidance of stress on

the knee caused by heavy quadriceps loading. Surgical treatment is reserved for

patients in whom the disease does not respond to conservative therapy.

 

The condition is usually self-limited, and symptoms resolve with skeletal

maturity when the tibial tubercle fuses to the remainder of the tibia in over

90% of cases.

 

Regarding other conditions to be considered, soft-tissue edema adjacent to the

tibial tuberosity can be present with an active Osgood-Schlatter lesion,

infectious apophysitis, or a soft-tissue malignancy, although the last 2 are

exceedingly uncommon.

 

 

 

Source- Aparna , Joshi, MD. Assistant Professor, Department of Radiology, Wayne

State University School of Medicine

 

 

 

Pranic Healing:

 

 

 

Source - Advanced Pranic Healing by Master Choa Kok Sui.

 

 

 

1. Invoke and scan before, during and after treatmnent.

 

 

 

2. General sweeping.

 

 

 

3. Localized thorough sweeping on the affected knee(s) alternately with LWG and

LWO. Rescan. Repeat sweeping if necessary.

 

 

 

4. Energize the knee with LB for soothing and localizing effect.

 

 

 

5. Energize the affected part with LWO-R then with LWO-Y, simultaneously

visualize the energy penetrating into and saturating the fibers of the tendons.

 

 

 

6. Localized thorough cleansing on the basic and navel chakras. Energize them

with LWR.

 

 

 

7. Localized thorough sweeping ont he front and back sola rplexus chakra.

Energize with white.

 

 

 

8. Stabilize and release projected pranic energy.

 

 

 

9. Repeat treatment 2 times per week.

 

 

 

Love,

 

 

 

Marilette

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

" Real self-knowledge is the awakening to consciousness of the Divine Nature of

Man. " ~ Helena Blavatsky

 

" The eyes of wisdom are like the ocean depths; there is neither joy nor sorrow

in them. Therefore the soul of the disciple must become stronger than joy, and

greater than sorrow. " ~ Helena Blavatsky

 

 

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