{
  "schema_version": 1,
  "kind": "condition",
  "id": "osteochondrosis",
  "name": "Osteochondrosis",
  "category": "chronic",
  "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/",
  "review_status": "reviewed",
  "verified_against": "No dose - referral pathway, no medicine given in primary care",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 1311,
      "generic": "No drug therapy in primary care (Referral & Advice)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "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.",
      "adult_duration": "Refer, with advice",
      "dose_source": "No dose - referral pathway, no medicine given in primary care",
      "rationale": "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."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children follow the same pathway: recognise and refer. No primary-care medicine is implied.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "osteochondrosis"
    }
  ]
}