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Subjective:
-Same as History in HOPS
Objective:
-Same as Observation, Palpation, and Special Tests (signs) in HOPS
Palpation:
-Deformities?
-Point tenderness?
-Crepitice?
-Swelling (wet diaper vs. water balloon)?
-Fractures?
Plan:
-Immediate treatment given
-Frequency and duration of treatments and modalities and evaluation
-Ongoing patient Education
-Criteria for discharge/ return to play
History:
-How did this injury happen?
-When did this injury happen?
-Did you hear anything: pops, grating, etc?
-Did you feel anything: give out, pop out, burning, numbness, etc?
-What have you done for it: ice, heat, NSAIDs?
-Type and location of pain?
2010
Assessment:
-Description of major problem and the patient
-List of problems identified
-2 different diagnoses for what injury could be
Special Tests:
-Joint range of motion?
-Muscle strength and function?
-Ligament stability?
-Nervous function/integrity?
Observation:
-Swelling (type, location, amount)?
-Discoloration?
-Deformities?
-Gait/weight-bearing?
-Posture?
-Scars from previous injuries?
-Bleeding?
1. textbook
2. http://www.foot-pain-explained.com/images/shinsplints-anterior.jpg
3. http://www.foot-pain-explained.com/shin_splints.html
4.http://orthoinfo.aaos.org/topic.cfm?topic=A00407
5. http://jichs.ccsdschools.com/common/pages/DisplayFile.aspx?itemId=16138153
6. https://gymnasticsinjuries.files.wordpress.com/2012/09/shin_splints-09.png
7. http://orthoinfo.aaos.org/figures/A00407F01.jpg
8.mos.triradar.com/Training_Plans/TRI43.Running_Rehab.pdf
9.notes
-Running/walking long distances
-Sports associated: cross country, track, or any vigorous sport
-Athlete will begin to notice a soreness in the front or back of the leg
-The more the person moves the more it worsens
-If athlete stops, pain will go away a little only to worsen once the activity is resumed
After Injury:
Cold- within a 48 hour span, use any cold modality to numb pain (no more than 10-20 min at a time)
Includes: ice, ice massage, ice bath,etc.
Hot- 48 hours to 72 or more, use heated modalities to relieve pain and warm injured area (no more than 15-20 min at a time) Includes: hydrocollar packs, whirlpool,etc.
After 72 hours, ultrasound and e-stim and going to be most helpful as they are felt deep in the tissue. use these modalties as instructed (never over 20 min at a time.)
An athlete was walking on a tilted track for several laps. She was on the inside, the designated spot for faster walkers/runners. After a while she decided to move to the outside, the slower lane, and take a break. A few laps later she felt a sharp pain in her lower leg. She rested at home for a few days and went back to the track. She started walking at her usual pace and began to feel the same pain she did before. This time she visited a doctor. The doctor diagnosed her with medial tibial stress syndrome or shin splints.
-Also called Medial Tibial Stress Syndrome
-Usually found in runners and aggressive walkers
-It is from doing too much too soon
-Occurs early in training or coming back from a hiatus