Growth plate elevation
Hello Doctor, my son is in the second year of junior high school.
A few months ago, he started telling me that the area below his right knee was swollen.
After seeing an orthopedic specialist, I was informed that it was due to an elevated growth plate, possibly caused by playing basketball.
He has undergone multiple rehabilitation treatments (including infrared therapy, electrical stimulation, and ultrasound), and while the swelling has subsided, he still feels pain when pressed and experiences some discomfort during physical activities.
Upon returning for a follow-up, the doctor suggested he could undergo laser therapy twice a week for about 3 to 5 sessions.
I would like to know if laser therapy can truly lead to healing.
Will this affect his growth since he is currently in a growth phase? Some people have suggested taking glucosamine; what would you recommend as a doctor?
Chongchong, 40~49 year old female. Ask Date: 2021/02/18
Dr. Chen Bochen reply Orthopedics
Based on your symptom description, it seems more like Osgood-Schlatter disease, which is a benign condition that can heal on its own.
Applying ice and using anti-inflammatory ointments may help (though the condition may persist).
However, it is essential to have a physician conduct a personal examination.
1.
Laser treatment is harmless, and there is limited medical evidence suggesting some efficacy.
2.
Young individuals do not need to take glucosamine.
Reply Date: 2021/02/18
More Info
Understanding growth plate elevation, especially in young athletes, is crucial for ensuring proper development and preventing long-term complications. The growth plates, or epiphyseal plates, are areas of developing cartilage tissue located near the ends of long bones. They are responsible for the lengthening of bones during childhood and adolescence. When these plates are injured, it can lead to various issues, including pain, swelling, and potential alterations in growth patterns.
In your son's case, the diagnosis of growth plate elevation, likely due to repetitive stress from basketball, is not uncommon among young athletes. This condition can occur when the growth plate becomes irritated or inflamed, often due to overuse or trauma. The fact that he has undergone rehabilitation treatments such as infrared therapy, electrical stimulation, and ultrasound is a positive step toward recovery. These modalities can help reduce inflammation and promote healing.
Regarding the use of laser therapy, it is important to note that while some studies suggest that laser therapy can be beneficial in reducing pain and inflammation, its effectiveness can vary from person to person. Laser therapy works by stimulating cellular activity and promoting blood flow to the affected area, which can aid in healing. However, it is not a guaranteed solution, and the results may depend on the severity of the condition and the individual’s response to treatment. If your physician has recommended this treatment, it may be worth trying, especially if other conservative measures have not provided sufficient relief.
As for the concern about whether this condition will affect your son's growth, it is essential to understand that as long as the growth plate is not severely damaged or closed, there is still potential for growth. The growth plates typically close after puberty, and the timing can vary significantly among individuals. If your son is still in his growth phase, which is likely given his age, there is still a chance for him to grow taller. However, it is crucial to manage his activity levels to prevent further injury.
In terms of nutritional support, glucosamine is often discussed in the context of joint health. While some athletes take glucosamine supplements to support cartilage health, the evidence regarding its effectiveness is mixed. It may help some individuals, but it is not a substitute for proper medical treatment and rehabilitation. A well-balanced diet rich in vitamins and minerals, particularly calcium and vitamin D, is essential for bone health and growth. Encouraging your son to consume a variety of foods, including fruits, vegetables, lean proteins, and whole grains, will provide the necessary nutrients for his growing body.
In conclusion, managing growth plate elevation involves a combination of appropriate medical treatment, rehabilitation, and nutritional support. It is vital to follow your physician's recommendations closely and monitor your son's symptoms. If pain persists or worsens, further evaluation may be necessary to rule out any underlying issues. Encourage your son to engage in low-impact activities while he recovers and to maintain a balanced diet to support his growth and overall health. Regular follow-ups with his healthcare provider will ensure that he is on the right track for recovery and growth.
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