- Hi, I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- And together we are
the most famous physical therapists on the internet
- In our opinion, of course-
- Would you agree, Napoleon?
Oh, wow, you got that at the end of the ankle.
Today, we're talkin' about
top three signs your knee pain is possibly
Osgood-Schlatter Syndrome or Disease,
named after two doctors, Osgood-
- And Schlatter.
- And Schlatter. - Okay.
- Basically, the three things you're gonna look at is:
one, do you fit the demographics?
This is a problem, a growing pain problem.
So it's of a young person
and it's generally the person who's having a growth spur.
So in boys, that tends to be age 12 to 15,
and girls it's younger, age eight to 12.
So, as we were talking before the video,
it's a crappy thing to get.
- Right. - Because-
- Especially if you're an active person,
it's gonna make big difference in-
- You know, your high school athletic career
is gonna be very much affected by this.
It does go away on its own
once the growth plates have closed
and your growing has stopped,
but until then you really just have to manage it.
We have another video on that.
We'll show that after this one, but...
So, you fit the demographics,
you're going through a growth spurt,
the second thing is pain.
- Pain.
- And when would you normally have pain, Brad?
- With activity; running, sprinting, jumping,
if you kneel on it, the mechanical force of kneeling on it
is gonna be very uncomfortable
as well. - Right, so
soccer, basketball, football
tends to be the sports where you're sprinting.
- Where you're putting a lot of force, you know,
you know, coming out of the, you know-
- Actually, the pain is not so much the push off as the stop
they think, the eccentric aspect of it.
It's like if you're running hills
and you're pounding down the hill, you know what I mean?
That's gonna make it worse.
But we think is the number one sign,
if this is the thing you wanna look for in someone,
if you wanna know if your child
or if you have Osgood-Schlatter
is you're gonna have tenderness
over what we call the tibial tuberosity.
Now, Brad, do you wanna explain what we got going here?
- Yeah, okay, so with Bonaparte here, our model skeleton
is doing a fine job, by the way.
We're very proud of him.
- Yeah, he always does a good job.
- You better believe it.
Here's your patella, or your kneecap.
This red tape here represents
the muscle tendon unit of the quadriceps,
which connects to the top of the kneecap,
and then there's a little tendon
at the bottom of the kneecap.
Can you see that, Lonnie?
And that connects to the tibial, we call that the tibial-
- Tuberosity.
- Tuberosity, which is a bump, and everyone can feel that,
you can feel that on your knee.
- We gotta show bumps.
- Yeah, let's show our bumps here.
We got some nice legs, huh, Bob?
- Yeah, I would-
- Right here, you're gonna feel a bigger bump,
and with some of the Osgood-Schlatters,
that can get noticeably bigger.
- Right, 'cause that tendon, this tendon,
is pulling on that bump, and after a while,
what happens is, actually, the bone starts to overgrow
and it could even fracture a little bit, so...
And you can also get tears in the tendon,
but generally, that's why you're gonna...
So what you're gonna feel is, when you push on that tendon,
which the tendon is right here, you may not feel anything,
but we go down onto the bump and that's where it's tender.
- Right, on the bone there.
- On the bone itself.
- If the tendon in that hollow spot,
you can feel it's a little soft there,
if that's the tender spot,
it's probably not Osgood-Schlatter.
You kinda gotta get onto the bony spot.
- Yeah, if it's tender on the tendon,
then you probably just have infrapateller tendonitis,
which is, to be honest, would be the better of the two
because you can treat that a lot easier,
so... - Right, right.
- All right, so those are the three signs.
I'm gonna put up our video here right now
that this is the one you go to to watch
on how to manage this problem or cope with it.
So auf wiedersehen from the Germans.
- Yeah, better believe it, and subscribe to us because-
- Oh, yeah.
- Yeah, because Bob says, we need more subscriptions.
- That's right.
Subscribers, baby.
- We're gonna help you out with more things like this.