Most cases of OCD in children and teens will heal over time, especially when they have a lot of growing to do. Rest and avoiding vigorous sports until symptoms resolve relieve pain and swelling.
If symptoms do not improve after a reasonable amount of time, your doctor may recommend using crutches or splinting or casting the affected joint for a period of time. Most children will see improvements in 2-4 months.
Your doctor will recommend surgery if:
- Non-Surgical treatment does not improve the condition
- The lesion is detached from the surrounding bone and cartilage, moving around within the joint.
- The lesion is large, greater than 1cm in diameter, especially in older teens.
There are different procedures to treat OCD. The procedure depends on the individual and the condition:
- Drilling into the lesion to create a new pathway for blood vessels to nourish the affected area.
- Holding the lesion in place with internal fixation such as a screws or or pins
- Replacing the damaged area with a new piece of bone and cartilage