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I have an 11 year old male patient with O-S Disease. Had been playing considerable amount of basketball/running (2 games per week, 3 official trainings per week, home training each day 1-2 hours). Patient has ceased all sport/running for last 2 weeks with significant reduction in pain (other treatment has included stretching, massage, ice, NSAIDS - topical & oral at different times plus heel raises/orthotics & footwear advice to correct some biomechanical issues). What is the protocol before allowing him to return to running/basketball? Should he not start until he is completely pain free? By pain free, should that be pain free to palpation or just to running/basketball?

He is very keen to return to basketball but Im very wary about not aggravating his condition & causing him an even longer lay off.

Any other suggestions or advice on treatment & management greatly appreciated.

 

I let mine play if they are pain free and advise them to stop if the pain returns. I get mine to use a patella strap or a zinc oxide bow tie strap. I also tend to manage them like any other sporting injury regarding PRICE etc

 

having suffered from O-S personnally and having a son who also had the condition I would give the advice to leave off sport when symptomatic, wear the knee supports and only resume when pain free. Advise patient that condition normally is self limiting and tends to stop almost altogether when patient reaches adulthood as thats when full bone development has occurred.