The most common cause of tibial tuberosity bulge is osteochondritis of the tibial tuberosity. This disease generally does not require special treatment, and the pain can be gradually reduced with local heat, as well as by reducing activity and trauma. However, a bump is usually present and treatment is not recommended for this bump. If the bump is serious or if the pain persists and affects daily life, local treatment, such as local closure, is recommended. If the symptoms are severe, surgical treatment is an option, which involves removing a portion of the raised nodule.