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Indication for physiotherapy and deep tissue release Singapore

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The Osgood-Schlatter disease is medically termed as epiphysitis of the tubercle of the tibia (the large calf bone). Sometimes it’s termed as knobby knees too. It refers to the irritation of the ligament of the patella at the tibial tuberosity, causing characterised painful bumps and lumps just below the knee.

It’s most seen in young adolescents as the adolescent bone growth is the main cause of it, but other risk factors including being overweight and/or overuse injuries from activities that involve running and jumping. This condition generally happens in boys and girls between 9-16 years old, during the years of growth spurts. It happens more frequently in boys than in girls, and it’s likely due to an increased participation by boys and males in sports and higher risk activities compared to girls.

The Osgood-Schlatter disease is often self-limiting and is caused by the stress on the patellar tendon that attaches to the quadriceps muscles that is located at the front of the thigh to the tibial tuberosity. This may lead to multiple subacute avulsion fractures along with the inflammation of the tendon, which can lead to excess bone growth in the tuberosity and producing a commonly visible lump. This visible, exterior lump can be very tender and painful when pressed or hit. Activities that include kneeling and knee flexion may irritate the tendon.

Intense knee pain is the common symptom that patients complain about which accompanies activities that include jumping, running, kneeling, squatting and especially going up and down stairs. If the knee gets a direct traumatic impact, the pain is much more intense. This same pain can be reproduced by extending the knee against resistance, stressing the quadriceps muscle or direct impact on the knee.

Usually the pain is mild and on-off at the beginning, but in the acute phase, the pain can be sharp and severe and continuous. In 20-30% of patients often includes the involvement of both knees.

On average, the symptoms usually resolve with physiotherapy and deep tissue release but it may come back, on-and-off for about 12-24 months before it completely resolves at full skeletal maturity, which is when the epiphysis of the tibia fuses. In about 10% of patients, the symptoms may continue without resolutions, but can be managed with a mix of physiotherapy and deep tissue release.

Physiotherapy and Deep Tissue Release Intervention

In our physiotherapy clinic, our physiotherapists will assess your knees and diagnose your condition, and early treatment is conservative with Rest, Ice, Compression and Elevation (RICE), and where necessary, paracetamol and ibuprofren may be useful.

The use of splints, braces or casting to immobilize joints is rarely required but at times, may provide comfort and help reduce pain as it will help to reduce strain on the tibia. Surgery and surgical excision may be rarely be required in skeletally mature clients. However, in cases where the condition has been chronic and non-responsive to conservative treatment, surgery may be helpful.

 Surgery may be a good solution for patients whose bones that will no longer grow but their knee is still affected by the Osgood-Schlatter disease. Usually following the removal of the painful lumps, there will be immediate pain relief and return to activity is a few weeks.

Sometimes after surgery, there may be a decreased blood flow and circulation to the knees and feet, but don’t worry, it’d be back to normal soon enough. You may feel pain occasionally that is caused by either the decreased blood flow, or the scar tissues, but the pain will decrease over time. Studies show that functional outcome of surgical intervention of unresolved Osgood-Schlatter disease is excellent or good, residual pain intensity is low, with low rates of postoperative complications or subsequent reoperations.

After the symptoms have resolved, gradual physiotherapy progression to the desired activity level may start. Often, tightness in the quadriceps and hamstrings is present and should be addressed with physiotherapy and stretching intervention.

After our physiotherapists or your doctors diagnose you, you should consider resting for several days and decrease the use of the knee intensively for about 2 weeks with minimal physical activities. If the disease progresses such that the joint becomes very stiff or inflamed, then clients should seek medical advice as soon as possible as it can limit one’s joints movement severely in the future.

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Our Physio & Rehab Expertise

Specialist Rehab Group works with specialist physiotherapists and specialist rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.

Areas of specialization

  • physiotherapy: back and neck (spine), sports, shoulder, hip, knee, ankle
  • hand therapy: forearm, wrist, hand and fingers
  • podiatrist: leg, calf, ankle, foot and toes
  • read more on our specializations here

All our therapists are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCM). See our entire team here by location and specialization.

Initially, our specialist physiotherapists will carry out a thorough assessment, helping them to select the most appropriate treatment to help you recover. They then provide expert treatment for your pain as well as prescribing specific exercises to reduce your risk of re-injury and giving you a long term solution.

To call for inquiries or appointments, please contact us at:

SMS/Call/Whatsapp: 96402670


Where to next?

  1. Make A Physiotherapy, Hand Therapy or Deep Tissue Release Singapore Appointment
  2. Arrange A CallBack or Make An E-Enquiry Here
  3. See the list of physiotherapy conditions we treat 
  4. See the list of orthopedic surgeons we serve in Singapore
  5. Return to Urbanrehab's Physiotherapy, Hand Therapy and Sports Massage Singapore Home Page from our Osgood-Schlatter page

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We appreciate you as a patient and want you to know that the #1 way we grow as a clinic is through word of mouth referrals from valued patients like yourself.

We do not rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients.

When you have the opportunity, please take the time to tell your family, friends and physicians about the positive results and experience you have had in our clinic.

Thank you so much, and stay healthy!

Please Call/SMS/WhatsApp to
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We are a wholly Singapore Private Limited group of licensed physiotherapists, hand therapists, podiatrists, chiropractors, sports massage therapists, clinical pilates practitioners and TCM physicians practicing in our scope of rehabilitation and its areas of specializations. As listed in our website are the list of services we provide our clients as referred by their medical doctors or by self referrals/word of mouth.

The range of rehabilitation results vary from patients to patients, depending on a variety of factors and reasons such as severity of condition, genetics, gender and age. However, we will still deliver the best evidence-based-practice of physiotherapy, hand therapy, TCM, sports training and deep tissue release therapy that we can deliver.

The information available on this site is for educational purposes only, if you need a full professional advise on physiotherapy, hand therapy and occupational therapy, please schedule an appointment with us by contacting our staff by Call/SMS/WhatsApp at xx, thanks!




You can also text or WhatsApp and we will call you back too =)


Physio, Rehab &  Insurance

Your physio, hand therapy and rehab with us may be covered under your medical insurance or cashless - find out more here.


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OMG. The pain levels in my hands have dropped dramatically, about 60-70%


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