I made a thread last year here about this problem, but I wanted to update.
I still have bad pain on my left tibial tuberosity. Pain first started in June of last year during a jerk (I used to compete in o-lifting). I'm almost 23 and done growing so it's not Osgood's. Pain is localized and does not radiate up or down.
Pain can get excruciating at times, especially during exercise. I have tried resting for 4+ weeks, icing, etc, and the pain would come back immediately when trying squats/etc. I have done seen a chiro and got ART on my tib anterior, seen a PT, and have seen four doctors total, so far.
The current orthopedic doctor I am seeing seems good. I got X-rays awhile ago, they were negative. I just got my MRI results (which my current doc wanted me to get), they didn't show much except for some breaking down of cartilage. The doctor said my problem is bad patellar tendonitis, although I don't get any pain in my patellar tendon, only on my tibial tuberosity.
As a side note I have broken three metatarsals in my left foot (I overpronate), and my pain is in the left shin bone. Whether or not these are connected, I don't know. I suspect they are, because my right knee is fine.
I will be seeing my doctor again April 11 to see what he recommends from here on out. Until then I am doing complete rest, and taking lots of fish oil/curcumin.
I've also done some reviewing of past threads on T-Nation with those who had/have my problem. This is what I have come up with:
1) Tight quads (I do quad/hip flexor stretches all the time)
2) No bent-knee sitting (BBB recommended this, and truth be told I ALWAYS sit with my left knee bent under my butt. He could be on to something. I'm now putting my left leg straight whenever I sit)
3) Contrast therapy/ice massage
4) Foam roll quads/ITB (I do this all the time)
5) Glute med work (I do these all the time)
6) 12+ weeks healing time, complete rest. Apparently the patellar tendon, where it connects to the tibial tuberosity, is avascular so it takes a long time to heal?
Thanks for any input.