Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Everything that you are ever going to want to know about running shoes: Running Shoes Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
  2. Have you considered the Critical Thinking and Skeptical Boot Camp, for taking it to the next level? See here for more.
    Dismiss Notice
  3. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

Osgood Schlatters/Sever's Disease

Discussion in 'Biomechanics, Sports and Foot orthoses' started by Craig_g100, Feb 11, 2010.

  1. Craig_g100

    Craig_g100 Member


    Members do not see these Ads. Sign Up.
    Hi

    I am in a bit of a quandary about how to go about treating a 14 year old male with the use of orthotics. The patient has been initially diagnosed with Sever's disease and Osgood Schlatters. In dynamic assessment the foot pronates a little in stance but pronates more when the heel lifts off the ground-which occurs prematurely. He plays a lot of soccer and also presents with tight gastroc, soleus and hamstrings. I'm ok with stretching techniques but am unsure on what is the most important aspect to manage with the orthotics and what post etc to use?

    Any help would be appreciated.
     
  2. Griff

    Griff Moderator

    Bilateral heel raises
     
  3. Craig_g100

    Craig_g100 Member

    Thank you-I did think that they might be the best option but as a student I was unsure. I have been reading that sometimes a deep heel cup with the heel raise is used-is this worth doing? Also should any type of valgus be added to the orthoses?
     
  4. Griff

    Griff Moderator

    Craig,

    We're gonna need some more information about the patient before discussing various prescription variables. More often than not in these developmental traction apophysitis conditions such as Sever's and Osgood-Schlatter's bilateral heel raises with a religious soft tissue stretching programme and maybe some short term activity modification and these kids will do just fine.

    Attached some reading for you - just what I could find on my laptop that looked related; I'm sure a bit of a search and you'd find plenty more.

    Ian
     

    Attached Files:

  5. Admin2

    Admin2 Administrator Staff Member

  6. twirly

    twirly Well-Known Member

    Hi Craig,

    Purely anecdotal evidence.

    I was diagnosed with Osgood Schlatters in my early teens. (Circa 1979ish)

    Referred to the local military hospital Orthopaedic consultant.

    Prescribed therapy was heat lamp treatment 3 x weekly to both knees for around 30 mins.

    Also paracetamol as required.

    Consultant also advised reduce activity. No stretching! :hammer:

    My passion at the time was skateboarding. So my parents took it away :confused:

    I stole my brothers :D

    Consequence was the consultant placed my left leg in plaster for a total of 6 months to prevent my activity. :eek:

    Result was muscle wasting due to the cast :boohoo:

    I understand that these barbaric techniques are no longer recommended (thankfully)

    My recommendation (in conjuction with orthotic devices) would be stretches & icing the local area. Also a temporary reduction in activity (although not in an ankle to thigh cast!) :wacko:

    Regards,

    Mandy
     
Loading...

Share This Page