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Medial Tibial Stress Syndrome

HOPS

SOAP

HOPS

SOAP

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

HOPS

SOAP

HOPS

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?

Structures Involved

Sources

Scenario

General Causes

Shin Splints

Therapeutic Modalities

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

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