[Solved]: A 12-year-old girl is brought to the office due to…

A 12-year-old girl is brought to the office due to bilateral lower leg pain that has been worsening gradually over the past month. The patient studies ballet and is learning to dance en pointe (on the tips of her toes), which worsens the pain. Her parent states that the patient has grown 3 inches in the past 2 months. The patient has tried resting for a week, icing the legs, and taking ibuprofen 200 mg daily without much relief. On examination, an area 2 cm below the tibial plateau is tender to palpation on both legs. The pain increases with resistance to knee extension and squatting with the knee in full flexion. Which of the following is the most appropriate treatment for this patient? Select one: complete cessation of ballet for 6 to 12 months continuing ballet and increasing the ibuprofen dose to 200 mg twice daily immobilization and 2,000 mg of calcium supplementation daily referral for orthopedic consultation