TO REST OR NOT TO REST: CHIROPRACTIC MANAGEMENT STRATEGIES FOR JUVENILE OSTEOCHONDROSIS. A CASE SERIES

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Harold M. Olson
Nathan Hinkeldey

Keywords

Abstract

Objective: To describe the chiropractic management of symptoms typical in patients with juvenile osteochondrosis, either Osgood-Schlatter’s Disease or Sever’s Disease.


Clinical Features: Eleven young (pre-teen and teen-aged) athletes sought care for the management of juvenile osteochondrosis.  Eight of the patients were diagnosed with Sever’s Disease and 4 patients were diagnosed with Osgood-Schlatter’s Disease. Objective measures were evaluated using the Lower Extremity Functional Scale during the duration of care.


Intervention and Outcome: Chiropractic manipulative therapy, manual myofascial release, instrument-assisted soft-tissue technique, therapeutic post-isometric stretching (PIR), and kinesiology taping was provided to help treat the dysfunctions causing the pain associated with either disease. Percent improvement as measured by the Lower Extremity Functional Scale ranged from 10.0-40.0% from the start of care to the day of discharge. Additionally, improvement ranged from 8-32 scale point difference measured using the Lower Extremity Functional Scale.


Conclusion: Patients with Osgood Schlatter’s Disease or Sever’s Disease may benefit from a combination of IASTM, manual therapy and chiropractic extremity manipulation. This case series suggests that treating both disease states as a tendinopathy can provide significant pain relief and functional improvement without withholding the young athlete from athletic participation.

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