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I have yet another young athlete (11 years old) who has been

diagnosed with Osgood-Schlatter. The conservative remedy is of course

to stop exercising and shrivel up in a corner until the disease runs

its course. From the research I have done on this disease, my

impression is that those afflicted with O-S could benefit from taking

doses of glucosamine, chondroitin and MSM to help build the joints.

Have any of you Supertrainers had any experience with this? Any other

suggestions for moving this along without too many lost months?

--

Gerald Lafon

******************************************

* Judo America San Diego *

* Email: glafon@... *

* Web: http://www.judoamerica.com *

* Phone: *

******************************************

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Gerald Lafon wrote:

>I have yet another young athlete (11 years old) who has been

>diagnosed with Osgood-Schlatter. The conservative remedy is of course

>to stop exercising and shrivel up in a corner until the disease runs

>its course. From the research I have done on this disease, my

>impression is that those afflicted with O-S could benefit from taking

>doses of glucosamine, chondroitin and MSM to help build the joints.

>Have any of you Supertrainers had any experience with this? Any other

>suggestions for moving this along without too many lost months?

>

>

OSD strictly speaking is not a joint problem, so the items you mention

above would not directly affect the condition, although the player might

have other issues for which these items would be beneficial.

Suggest you visit the archives of SCL (Soccer Coach List) for some good

references and pratical application. One series of 5 postings of begins

3/25/99 as " Re: Prep: Osgood-Schlatter syndrome " but unfortunately is

not in the archives, the second of which references

http://www.physsportsmed.com/issues/1998/03mar/wall.htm I'll follow

later if any of the 5 are worth posting.

The second series 8/2/2001 - see

http://lists.mun.ca/cgi-bin/wa?S2=soccer-coach-l & q= & s=osgood & f= & a=June+1995 & b=NO\

vember+2003

I have to add as a coach (if you are one) you need to be sensitive and

watchful for conditions in young athletes, especially at competitive

levels such as high school, because they often won't come to you and

tell you they have a problem, and parents are likewise normally (if

you'll excuse the negative connotation) ignorant. It'll just show up as

if the player is 'dogging it'. You must encourage from day one with a

written policy and emphasize throughout early training that you REQUIRE

them to come to you - state outright that players who are injured will

not be penalized, but if they don't come to you they seriously risk

losing playing time later in the season and, worse frankly, risk

impacting team performance, especially if the condition becomes chronic

and they are a key player. Early, proper, aggressive treatment is key

in most scenarios.

I probably would have been great at track, but I'm sure I had PF at the

time. I could hardly walk by the time I quit early in the season in 10th

grade. I never went to the coach about it and the coach never recognized

it or talked to me about it. He probably didn't know better - I know I

didn't.

Wayne Mery

sville, PA

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Gerald, It looks like you got some good advice from . We deal

with HS students all the time, and the prescription sometimes depends

on the doctor. If the doctor is up to speed on sports medicine, they

will usually go with s program. Sometimes Ibuprofen is allowed,

and the client is the judge of when to stop activity. If the doctor

is less familiar with sports medicine, he will be more conservative

and stop all activity. We (the client) also get additional pain

relief, in most cases, from what we call a " patella band " . We teach

the student how to make his or her own from Pre-wrap. Works

surprisingly well.

Hunsicker

Edgerton, KS.

Supertraining , Bodyfelt <kyle_axispt@y...> wrote:

> Gerald -

>

> I had a strong case of Osgood-Schlatter as child and I

> was basically given the same conservative advice you

> mentioned from my pediatrician.

> However, he did state that I could stay as active as

> pain allowed, which for me at the time, was running

> around the neighborhood, playing basketball, and

> taking part in P.E. class as normal.

> I endured some pain, but the dangers of inactivity and

> a sedentary lifestyle are much worse than the

> temporary pain resulting from O-S Disease.

>

> Hope this helps,

>

> Bodyfelt

> Menlo Park, CA

> --- Gerald Lafon <glafon@j...> wrote:

> > I have yet another young athlete (11 years old) who

> > has been

> > diagnosed with Osgood-Schlatter. The conservative

> > remedy is of course

> > to stop exercising and shrivel up in a corner until

> > the disease runs

> > its course. From the research I have done on this

> > disease, my

> > impression is that those afflicted with O-S could

> > benefit from taking

> > doses of glucosamine, chondroitin and MSM to help

> > build the joints.

> > Have any of you Supertrainers had any experience

> > with this? Any other

> > suggestions for moving this along without too many

> > lost months?

> > --

> > Gerald Lafon

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I've treated various young athletes with growth plate problems. Keep it

simple, ice and rest as necessary. Stretch tight muscles and progressively

condition, principally enhance the athletes ability to use muscles to absorb

force. This could involve load acceptance exercises etc, also ensure the

athlete performs within their limits of muscular endurance. Hope this helps.

Steve Aspinall BSc (Hons) GSR

City Physio Sports Medicine

Manchester, UK

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Gerald,

Sounds like you have done your homework. You have dealt with this

before so you obviously also know the injury.

When you have an avulsion (beginning) of this nature, any manner of

supplementation/medication will mostly be wasted on other aspects of

body development than the actual injury site. (unless it directly

administered via injection)

The question becomes how does the glucosamine, chondroitin or MSM act

directly on only that spot? It doesn't.

This basically means that taking the dosages necessary to improve the

condition significantly would/could have other detrimental effects.

As others have metioned, use the Os knee rap. Also involve someone

who can began strengthening exercises at specific range Isometric as

well as limited range eccentric.

In our clinic we are not conservative at all. However we would never

go the route you are suggesting for lack of information surrounding

the consequences.

I have a few questions which might help with further answers as well,

What sport are we talking about? Your post has JUDO on it. Typically

this condition is seen in soccer and other running sports. If it is

Judo then you might be able to look at some specific aspect of the

training which is enhancing the normal stressors for this condition.

Hope this helps.

Dennis

Toronto Canada

> I have yet another young athlete (11 years old) who has been

> diagnosed with Osgood-Schlatter. The conservative remedy is of

course

> to stop exercising and shrivel up in a corner until the disease

runs

> its course. From the research I have done on this disease, my

> impression is that those afflicted with O-S could benefit from

taking

> doses of glucosamine, chondroitin and MSM to help build the joints.

> Have any of you Supertrainers had any experience with this? Any

other

> suggestions for moving this along without too many lost months?

> --

> Gerald Lafon

>

> ******************************************

> * Judo America San Diego *

> * Email: glafon@j... *

> * Web: http://www.judoamerica.com *

> * Phone: *

> ******************************************

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OS was always explained to me not as a growth plate problem, but as a

connective tissue issue. Below the gp by the attachment on the Tibial

Tuberosity. The usual " rice " is helpful for most problems of this

type.

In addition to the traditional " RICE " , you might want to check out

Oscon. It appears to work with " RICE " on a variety of levels to help

treat the painful condition. The method of action appears to be in at

least three areas. First is an increase in glutathione peroxidase due

to the increased presence of both organic selenium and selenium-

containing enzymes. Second is the proven biological effect of certain

vitamin E isomers. The most biologically active of these is RRR-a-

tocopherol. Thirdly, these two micronutrients may act synergistically

to reduce inflammation and pain due to free-radical activity at the

injury site. Vitamin E has long been recommended as a topical wound

healer, and it appears that certain forms have that effect when taken

internally. More research is continuing on just why this combination

is so remarkably effective in cases of Osgood-Schlatter. Improvement

is almost always seen in less than a week!

Hunsicker

Edgerton, KS.

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>I have a few questions which might help with further answers as well,

>What sport are we talking about? Your post has JUDO on it. Typically

>this condition is seen in soccer and other running sports. If it is

>Judo then you might be able to look at some specific aspect of the

>training which is enhancing the normal stressors for this condition.

>

>Hope this helps.

>

>Dennis

This 11 year old boy (solid 100lb) does Judo and Olympic

weightlifting with me and Muy Thai with someone else. He is not a

runner. A few months ago, he had minor problems with his elbows. I

suspected the Muy Thai. His mom eliminated the Muy Thai and the

problem went away. However, dad who just got back from Iraq has put

him back into an adult Muy Thai class and takes him to the gym to do

additional weight training. That's how he bonds with his son! This is

when the OS started to appear. My suspicion is that he is hitting

bags too often and too heavy for his body and simply not resting

adequately.

We will definitely use the knee bands to see if that helps.

--

Gerald Lafon

Director of Coaching, Judo America San Diego

Vice Chairman, USJA Coach Education Committee

Coach, Mira Mesa Weightlifting Club

Web: http://www.judoamerica.com

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>Has this young man been diagnosed by a Doctor with OS? Training an

>11 year old is different than training an adult. ?????

>

> Hunsicker

>Edgerton, KS.

Yes, he has been diagnosed by a doctor, and yes, an 11 year old is

different than an adult. I know this but dad seems to think his son

can handle more.

--

Gerald Lafon

Director of Coaching, Judo America San Diego

Vice Chairman, USJA Coach Education Committee

Coach, Mira Mesa Weightlifting Club

Web: http://www.judoamerica.com

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>Has this young man been diagnosed by a Doctor with OS? Training an

>11 year old is different than training an adult. ?????

>

> Hunsicker

>Edgerton, KS.

Yes, he has been diagnosed by a doctor, and yes, an 11 year old is

different than an adult. I know this but dad seems to think his son

can handle more.

--

Gerald Lafon

Director of Coaching, Judo America San Diego

Vice Chairman, USJA Coach Education Committee

Coach, Mira Mesa Weightlifting Club

Web: http://www.judoamerica.com

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