Physical Therapy
We are unable to recommend for or against physical therapy for patients with OCD treated non-operatively.

Rationale
Some skeletally immature patients with OCD of the knee and intact articular cartilage have the potential to heal non-operatively. A systematic review of the literature did not identify any studies that addressed specific physical therapy protocols for patients with OCD treated non-operatively. A period of restricted activity to reduce impact loading on the lesion and physical therapy to address impairments such as loss of motion, strength deficits, residual effusion and altered movement patterns are reported in the medical literature for patients with other conditions such as osteoarthritis (osteoarthrosis) (Please see AAOS Clinical Guideline on the Treatment of Osteoarthritis of the Knee58).

We were unable to find any studies that addressed these impairments or specific physical therapy protocols in patients with OCD lesions of the knee.

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