Osgood Schlatter Syndrome is not only extremely painful, it’s extremely common.  OS is characterized by a painful knob of bone an inch or so below the knee.   When OS is active (adolescents and teen) this bony knob is extremely pain sensitive.  Not only is it aggravated by physical activity, but if the knob is hit or bumped, the pain can be debilitating.  Notice the oversize Tibial Tubercle in the photographs below (Osgood Schlatter’s is actually a kind of “Avulsion Fracture”).

Image by D3aj86

Osgood Schlatter

James Heilman MD









Osgood Schlatters Disease is found most frequently in kids between the ages of 10 and 18.  The biggest risk factors are playing organized sports, and / or having undergone a major growth spurt.   It is frequently associated with FASCIAL ADHESIONS  in the front thigh muscles (quadriceps).  The tight quads are attached to the Tibial Tubercle by the PATELLAR TENDON.  As crazy as it sounds, there can be enough force present to “avulse” small pieces of bone away from the Tibia (pic on right).

Typically, these adhesions occur because of overuse and abuse, and/or muscle imbalance.  The Quadriceps are naturally much stronger than the Hamstrings, and sports (and weightlifting) tend to magnify this imbalance.  Osgood Schlatter’s can be so painful that many young people end up quitting sports because of the inability of traditional therapies to resolve the problem. There are three main reasons that standard medical approaches often fail.

  • Treatment is based on prescription: Not only are muscle-relaxers, anti-inflammatories, and cortico-steroids, ineffective for Osgood Schlatter Syndrome, they are downright dangerous (HERE).  The truth is, doctors are using a treatment model that is based on “itis” (inflammation) instead of “osis” (tissue derangement) for dealing with Osgood Schlatters.  It’s s a model that was outdated over 30 years ago (HERE)! 
  • Treatment is often aimed at the wrong area: Treatment is usually focused on the painful tibial tubercle below the knee instead of focusing on the real source of the problem.  Several years ago I treated a college basketball player from a local town (he was a junior or senior at the time).  He had been receiving treatment (sometimes hours a day) since 8th grade — all at the Tibial Tubercle.  I found the Fascial Adhesion, broke it up, and the guy was 90% better — instantly!
  • Treatment does not include breaking up the scar tissue: Osgood Schlatters Syndrome is typically addressed by resting and doing lots of stretches. A nice thought…….  But until the restricting adhesion in the Fascia is dealt with, rest and stretching are usually (in all but the most minor cases) ineffective (HERE).  And let’s be truthful with each other for a moment.   Few athletes tolerate “prolonged rest” as part of their training protocol.

Dr. Schierling’s protocol for treating Osgood Schlatter Syndrome utilizes techniques similar to those used by the physicians and clinicians that treat both professional and college athletic teams.  It is common to see a dramatic change after a single treatment (HERE).  Patients are then given simple stretching and strengthening programs to do at home.

In fifteen years of treating Osgood Schlatter’s using our TISSUE REMODELING protocols, I am not sure that I have ever failed to see a case of Osgood Schlatter Syndrome resolve or at least dramatically improve.  For more on Osgood Schlatter Syndrome, take a look at our VIDEO TESTIMONIAL PAGE.




  1. Anthony

    I am 24 years old and have been dealing with Osgood Schlatter since I was roughly 15 years old. I have been to the doctor numerous times and they all gave me stretching to do and told me to not be active (this obviously doesn’t work). What I would like to know is what can I tell the doctor to start getting the right treatment to get rid of it or reduce it? I live in Las Vegas and was wondering if there is a doctor you suggest out here?

  2. Meschelle

    Can u send me some of the stretching exercising to help my son….

    • Hello Meschelle,

      If Osgood Schlatter were simply a matter of stretching, it would be easy to solve and no one would be suffering with this problem long term. Stretching without dealing with the underlying Fibrosis / Scar Tissue, often makes these problems worse.

      Dr. Russ

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