The most cited works on Osgood-Schlatter are mainly narrative reviews, case reports, and retrospective case-series, while no high-level evidence supports current conservative management approaches. This is likely in part due to the prevalent notion of Osgood-Schlatter as a self-limiting condition, making the development of new treatments seem unwarranted. Current care reflects this, with clinicians and patients reporting varied and conflicting advice and modalities being utilized. Recent systematic reviews call for evidence on conservative approaches which is likely further hindered by the unique challenges of conducting high-quality trials in pediatric populations. A recent cohort study found positive short and long-term changes in knee function and pain in a smaller group of adolescents with Osgood-Schlatter, following a novel self-management approach. This novel approach provided adolescents and parents with tools to self-manage the condition through education, exercises, and activity modification, but it is unknown if this intervention is superior to usual care. 

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