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Seacoast Spine & Sports Injuries Clinic

Osgood-Schlatter Disease

Knee · Before your visit

Osgood-Schlatter disease is growth-related irritation at the bump below the kneecap where the patellar tendon attaches.

When to seek urgent medical care

Seek prompt medical evaluation for a visibly deformed knee, inability to bear weight after trauma, rapid major swelling, a locked knee after injury, or a hot swollen joint with fever.

This is not an exhaustive emergency list. If something feels severe, rapidly worsening, or unsafe, call 911 or seek urgent medical evaluation.

Start here

What is osgood-schlatter disease?

Osgood-Schlatter disease is growth-related irritation at the bump below the kneecap where the patellar tendon attaches. It commonly affects active adolescents during running and jumping growth periods.

The same label can behave differently from one person to the next. The timing, location, type of symptoms, injury mechanism, and response to movement help distinguish a local tissue problem from referred pain, nerve involvement, or a pattern that should be evaluated elsewhere first.

What osgood-schlatter disease can feel like

People do not need every sign below to fit this pattern. They are useful clues to discuss during an evaluation, especially when paired with what changes the symptom and what activity has become difficult.

  • painful bump below the kneecap
  • pain jumping or kneeling
  • symptoms during a growth spurt
  • tenderness after sport

Common contributors and aggravators

A contributor is not always a single cause. Tissue capacity, recovery, the size of a recent load change, and the mechanics of the task can overlap. For osgood-schlatter disease, the history commonly examines:

  1. 1growth-plate sensitivity
  2. 2high running and jumping volume
  3. 3tight schedule across multiple teams

What we look at before planning care

An assessment begins with the story, then tests the findings that can change a decision. For this presentation, that usually means looking at the items below and comparing them with the demands of work, daily life, or sport.

Clinical focusgrowth and training history
Clinical focustendon and quadriceps load
Clinical focusscreen for other adolescent knee conditions

Imaging can be useful when the history or examination indicates it, but a scan is not a substitute for matching the finding to symptoms, function, and the clinical screen.

Clinically reviewed

Reviewed by Dr. Tamara Lovelace, DC, DACBSP, ICCSP, Chiropractic Sports Doctor and clinic director, on August 25, 2026.

This page explains what we look at and what care can involve. It is not a diagnosis, and it cannot replace an examination. Bring the problem in and a provider will tell you what is going on.

What your provider will discuss with you

Care for osgood-schlatter disease is built around the findings, not a preset protocol. The early goal may be symptom control or protection; the later goal is enough motion, strength, and tolerance for the exact activity you need.

01

manage painful volume without unnecessary shutdown

Progress is checked against symptom response and function so the plan can change when capacity changes.

02

maintain strength and motion

Progress is checked against symptom response and function so the plan can change when capacity changes.

03

plan sport participation around symptoms

Progress is checked against symptom response and function so the plan can change when capacity changes.

Services that may support care for osgood-schlatter disease

These are clinical tools, not automatic recommendations. Your provider selects a service only when it fits the diagnosis, irritability, healing stage, and goal.

See every service

Common questions about osgood-schlatter disease

Short answers to the decisions people usually face before an evaluation.

What is osgood-schlatter disease?

Osgood-Schlatter disease is growth-related irritation at the bump below the kneecap where the patellar tendon attaches. It commonly affects active adolescents during running and jumping growth periods.

How is osgood-schlatter disease assessed?

The examination is shaped by your history and the task that brings symptoms on. For this pattern, useful checkpoints include growth and training history, tendon and quadriceps load, screen for other adolescent knee conditions. The provider also screens for findings that should be evaluated medically before musculoskeletal care continues.

What can care for osgood-schlatter disease include?

A plan may draw from Physical Therapy, KT Taping, and Cold Laser, but the service is not the diagnosis. Care is selected around the examination and may focus on manage painful volume without unnecessary shutdown, maintain strength and motion, plan sport participation around symptoms. The dose and sequence change with irritability, healing stage, and the activity you need to regain.

Can I stay active with osgood-schlatter disease?

Often, some activity can continue after the provoking dose is adjusted, but that decision depends on the tissue, severity, and warning signs. The goal is to protect what needs healing while preserving safe strength and conditioning, then rebuild the specific work, daily-life, or sport demand.

When does osgood-schlatter disease need urgent medical care?

Seek prompt medical evaluation for a visibly deformed knee, inability to bear weight after trauma, rapid major swelling, a locked knee after injury, or a hot swollen joint with fever.

Related knee guides

Symptoms often overlap. These pages can help you compare nearby tissues, referred pain, and different loading patterns.

Browse knee

Get clarity on osgood-schlatter disease.

Book at the Portsmouth or Alton clinic. The first step is a focused assessment that separates what hurts from what is driving it.

Portsmouth Clinic

Portsmouth, NH · Seacoast

Mon to Thu: 9:00 AM to 6:00 PMFriday: 9:00 AM to 5:00 PM
(603) 431-4200
Lakes Region Clinic

Alton, NH · Lakes Region

Mon, Wed, Fri: 9:00 AM to 7:00 PMTue & Thu: 9:00 AM to 6:30 PMSaturday: 8:00 AM to 12:00 PM
(603) 875-4000
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