Dawaa Reference

Clinical reference

Osteochondrosis

Treatment options, dosing, cautions and Egyptian brands from the shipped Dawaa Reference card.

Evidence status

Checked against the sources named below

Sources3 sources

ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class LD77 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care · Scheuermann Disease - StatPearls - NCBI Bookshelf - https://www.ncbi.nlm.nih.gov/books/NBK499966/

Verified against1 document
  • No dose - referral pathway, no medicine given in primary care

Verified date2026-08

Presentation reference

Is it this?

Reference only, to read alongside your own examination.

Symptoms — what the patient reports (4)

  • In this traction apophysitis, pain is a dull ache over the tibial tubercle that slowly worsens with activity
  • The onset is gradual, without any preceding injury
  • Pain settles with rest, easing within minutes to hours of stopping the triggering activity
  • Running, jumping, direct trauma to the knee, kneeling, and squatting all worsen the pain

Signs — what you find (3)

  • An enlarged, tender bump is found where the patellar tendon inserts on the tibial tubercle [skin nodule]
  • Tightness of the quadriceps and hamstrings is a common predisposing exam finding
  • Resisted or passive knee movement reproduces the pain

Tests (3)

  • This is usually a clinical diagnosis, so imaging is not required unless the picture is severe or atypical
  • When ordered, x-rays classically show tubercle elevation, soft-tissue swelling, fragmentation, or tendon calcification
  • Comparing both knees on x-ray helps tell a true abnormality from a normal variant

If not this — what else fits (5)

  • Patellar tendonitis is on the differential for this condition
  • Tibial osteomyelitis is on the differential
  • Perthes disease is on the differential
  • Synovial plica injury is on the differential
  • Infectious apophysitis is on the differential

SourceStatPearls "Osgood-Schlatter Disease" - disease-level clinical article

Presentation findings are traced to the source above.

1

NO DRUG THERAPY IN PRIMARY CARE (REFERRAL & ADVICE)

1st line
Adult dose and duration

A group of childhood/adolescent bone disorders affecting growth ossification centres (e.g. heel pain in Sever's disease, back pain and kyphosis in Scheuermann's disease), causing pain during growth spurts; most are managed with activity modification and analgesia, with referral for diagnostic uncertainty or progressive spinal deformity. - Refer, with advice

Paediatric dose

Children follow the same pathway: recognise and refer. No primary-care medicine is implied.

Dose source

No dose - referral pathway, no medicine given in primary care

Why

A group of childhood/adolescent bone disorders affecting growth ossification centres (e.g. heel pain in Sever's disease, back pain and kyphosis in Scheuermann's disease), causing pain during growth spurts; most are managed with activity modification and analgesia, with referral for diagnostic uncertainty or progressive spinal deformity.

Cautions
  • Progressive spinal deformity (Scheuermann's disease), or fever, night pain, and weight loss which should raise concern for infection or malignancy rather than osteochondrosis.
  • No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.

Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy.