Final answer:
For managing Osgood-Schlatter disease in a 13-year-old, physical therapy focusing on quadriceps strength training is recommended. Surgery is not commonly the first line of treatment and aggressive exercises should be avoided to not worsen the symptoms. Activity modification rather than complete cessation is often advised.
Step-by-step explanation:
The correct approach for managing Osgood-Schlatter disease (OSD) in a 13-year-old patient named Michael would be to recommend rest and possibly physical therapy focused on stretching and strengthening. OSD is a common condition affecting adolescents and is associated with pain and swelling just below the knee, where the patellar tendon attaches to the shinbone. It is most prevalent during growth spurts when bones, muscles, tendons, and other structures are rapidly changing.
Option B, recommending physical therapy for quadriceps strength training, is a viable management strategy that addresses symptoms and encourages proper strengthening and flexibility. However, it is critical to proceed with caution to not exacerbate the condition. Advocating for complete cessation of sports until growth plates have fused, as mentioned in option C, may not be necessary nor practical, as activity modification rather than complete discontinuation is commonly recommended.
Options A, an early surgical correction, and D, resuming usual activities immediately along with aggressive exercises, are not recommended. Surgery is only considered in severe and persistent cases where conservative treatment has failed, and it is usually not the first line of treatment for OSD. Recommending aggressive exercises would likely worsen the condition. Gentle exercise and activities that do not exacerbate symptoms can often be continued. The key is balance and listening to the body's response to activity levels.