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Seeking knee advice (Osgood and knee cap)

 Poster: A snowHead
Poster: A snowHead
I am after advice if anyone has any, looking for a good sports physio or knee surgeon in the north ( I am Manchester based) that can sort out my knee issues.
I have Osgood-Schlatter Disease and have tried to mange that with physio. But last time I went skiing I developed severe pain across the knee cap which in the end prevented me from skiing for a couple of days.
I have been to my GP and had physio which helps a bit with the Osgood but not the knee cap.
The GP also sent me to see a consultant and their suggestion of surgery ( shaving the top of the shin bone) and the % chance of a good recovery weren't that great so I opted not to go ahead. I would like to seek advice of a specialist as the consultant said that if I go back to the GP I would only end up with the same option of the surgery offered above.
The knee cap issue is becoming more of a concern so it's time to try and sort things out.
Has anyone got recommendations for a knee specialist or good sports physio in the north if England.
Thanks in advance of any response.
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 Obviously A snowHead isn't a real person
Obviously A snowHead isn't a real person
How old are you?
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Quote:

Has anyone got recommendations for a knee specialist or good sports physio in the north if England

sounds like you need the former before the latter. Can't recommend anyone, but someone who can will probably be along shortly. Good luck with your search for an answer. snowHead
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Nick London in Harrogate is a keen skier
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CH20 43.11
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Frosty the Snowman wrote:
Nick London in Harrogate is a keen skier

Thanks will investigate.
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WellySki0009, ?? Which one?
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43 years 11 months Happy
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So 44 then wink
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WellySki0009, Ah ok, well me too nearly, I've had it since 9, and never had a problem while skiing, how would you describe your skiing? Are you back set driving? If so perhaps instruction would help correct technique and put less stress on the knee?
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Frosty the Snowman wrote:
So 44 then wink

Nooooooo not just yet
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CH2O wrote:
WellySki0009, Ah ok, well me too nearly, I've had it since 9, and never had a problem while skiing, how would you describe your skiing? Are you back set driving? If so perhaps instruction would help correct technique and put less stress on the knee?

Technique has been an issue but had lesson at pre and post season bashes had sorted or at least made me aware of what was wrong. The Osgood is long standing but the knee cap is a more recent issue and was pronounced at the EOSB and hasn't improved much since.
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WellySki0009, I was diagnosed with Osgood-Schlatters disease at 14, which was almost certainly caused by excessive use as I was playing 2 hours of football a day, and rugby twice a week. For me, it took over 2 years to settle down, and while I still have the lumps to show for it, there have been no follow-on issues. I ski for 6 hours a day with no major problems.

If you still have pain during or after exercise as an adult, then it won't just go away if you ignore it long enough. You'll need to either rest it until the healing processes complete, or go down the surgery route. As your bones have presumably stopped growing, the most likely cause is a fragment of bone which is still floating around and causing irritation.

On the surgery route, I would have thought that a well-qualified knee specialist in the Manchester area should be easily found, given the number of high-profile sports clubs producing a regular flow of patients. My only caution would be that they are more likely to be specialists in ACL or MCL reconstruction, rather than in childhood bone issues. Perhaps someone who specialises in arthroscopy would be a better bet, but then I'm not medically qualified
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 You know it makes sense.
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ousekjarr, The sports clubs in Manchester have youth academies that probably generate a fair number of cases of this.

I had Osgood-Schlatters in my teens too but wasn't living in Manchester then so can't suggest where to go.
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rjs, good point, but I would have thought that surgery in teens is not generally an option.
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 Poster: A snowHead
Poster: A snowHead
Had a quick search for surgeons in Manchester, but those recommendations that come with the words"keen skier" attached look promising.
Surgery on osgoods isn't necessarily recommended, it's the development of new issues in the same knee that's causing most concern. I can see a trip to Yorkshire looming.....
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Quote:

I was diagnosed with Osgood-Schlatters disease at 14, which was almost certainly caused by excessive use as I was playing 2 hours of football a day, and rugby twice a week. For me, it took over 2 years to settle down, and while I still have the lumps to show for it, there have been no follow-on issues. I ski for 6 hours a day with no major problems.

That's pretty much my story too. I had a full length leg plaster on for about 6 weeks when I was a teenager, but have suffered very little with it since. I have difficulty when swimming with a crawl kick or cycling. Just about everything else has been OK including cricket, rugby and skiing.
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WellySki0009, there are quite a few good consultants in Manchester, I know as my husband and a few friends have/have had dodgy knees. My hubby's problems are patella-femoral mainly and he is currently seeing Prof Philip Turner and this is his specialist area so could be a good choice for you too. He works from The Alex privately and Stepping Hill NHS. I don't know if he skis, I can't remember if we asked him, but he does see his fair share of sports people. He is very down to earth and very practical.

I would also recommend Philip Hirst at the Alex and I'm not sure if he's still working in the NHS or not as I think he is scaling back his workload, if he is it's Manchester Royal Infirmary. Now he is a lovely guy, good surgeon and a very keen skier and will show you his fantastic skiing photos on his laptop snowHead I think his specialist area is more ligament reconstruction. He's fairly conservative in his approach so could be good for an opinion.

There are other good ones, these are the two we have first hand experience of.

Re. physios, Physiofit in Alderley Edge, excellent practice.

PM if you want any more info.
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WellySki0009, I had to leave army sixth form back in the 80s because of Osgood. I am 44 now and have been able to deal with it with rest. I can run a marathon and ski most of the day but try not to overdo it. I would not go down any surgery route and just try to manage it on a day to day basis
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sarahthanks for that I will have a look at those you have mentioned.
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chrisb I have managed the Osgood with a programme of physio but the knee appears to be getting worse in different areas.[/i]
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WellySki0009, turner or jari (bridgewater) are fine, phil (hard and fast) hirst retired but still does a bit. However, Osgoods is likely to be irrelevant to your current anterior knee pain. If you are in south manchester look up Focus Physio at wilmslow leisure centre, knows his stuff and won't take you on an expensive detour Laughing
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WellySki0009, sent you a PM
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sarah wrote:
WellySki0009, sent you a PM

Many thanks, it's good to get a response from someone who has had experience. Much appreciated.
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sunnbuel thanks for the response will look into the physio.
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WellySki0009, nothing useful to contribute, but all the very best with getting the issue sorted/under control Smile
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 And love to help out and answer questions and of course, read each other's snow reports.
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WellySki0009 wrote:
I am after advice if anyone has any, looking for a good sports physio or knee surgeon in the north ( I am Manchester based) that can sort out my knee issues.
I have Osgood-Schlatter Disease and have tried to mange that with physio. But last time I went skiing I developed severe pain across the knee cap which in the end prevented me from skiing for a couple of days.
I have been to my GP and had physio which helps a bit with the Osgood but not the knee cap.
The GP also sent me to see a consultant and their suggestion of surgery ( shaving the top of the shin bone) and the % chance of a good recovery weren't that great so I opted not to go ahead. I would like to seek advice of a specialist as the consultant said that if I go back to the GP I would only end up with the same option of the surgery offered above.
The knee cap issue is becoming more of a concern so it's time to try and sort things out.
Has anyone got recommendations for a knee specialist or good sports physio in the north if England.
Thanks in advance of any response.


If you are in your 40's it is not Osgood Schlatters, as that is a diagnosis of childhood, but some people are left with a small nodule of bone within the tendon that can be a source of pain in adulthood. I have excised it many times with a good outcome.

Patella femoral pain is a common problem that usually responds to the correct physiotherapy approach.

However i see large numbers who fail to get better, to the point where we have a physio who only does second opinions for patella pain.

I am in the process of getting Claire Robertson to put something together that we can put on our site. A couple of snowHeads have seen Claire so it may be worth seeing if they felt it helpful as i have to declare a conflict in that she is my wife.

If you see a knee specialist in the North they should know who are the best physios in your area for your problem. Arthroscopy for patella pain is very much a final option be careful if it is offered too freely unless a good case is made.

Jonathan Bell
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Thanks Jonathan. The Osgood is an outstanding childhood issue that was diagnosed when I was 13. Thanks for the advice, much appreciated.
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 You know it makes sense.
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For physio I'd recommended city physio in St Anne's sq. Nick and Nicola are both good. Nick is a skiier.

Mr Jari did a good job with my knee op, although was a bit reluctant to operate for a while.
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