What Are Custom Foot Orthotics And Who Will Benefit From Them?
His symptoms persisted and he was seen by his primary care doctor. The assessment was the same. He was suffering from "severe" shin splints. Oral anti-inflammatory meds, R.I.C.E. and some home exercises were given. NO response then he was ordered outpatient physical therapy. A few treatments went by without relief; the patient's primary care provider referred him to me.
My exam showed the patient demonstrated "classic" shin splint palpable tenderness along the distal medial and anterior lateral aspects of the right leg. The worsening of the pain with exercise was present, also a common finding in the shin splint injuries. With my athlete patients, I will often make the patient exercise to the point of where they get the similar onset of pains reported.
We did so. He described the pain that was both an ache and a burn-in sensation at same locations above. He had strong pulses. All sensation was intact. This young man had very large, muscular calves which were very tight and turgid even in resting condition. His leg x-rays were negative for a stress fracture. My next most likely diagnosis was Chronic Exertional Compartment Syndrome (CECS). I set up a time to analyze leg compartmental pressures: resting and post-exercise reading are indicated. His were 10 mm and 38 mm respectively.
Shin splints have a variety of presentations. This syndrome can encompass a number of overuse disorders, they all share a common finding of periostitis (bone inflammation) near the origins of the soleus and/or flexor muscles.
My exam showed the patient demonstrated "classic" shin splint palpable tenderness along the distal medial and anterior lateral aspects of the right leg. The worsening of the pain with exercise was present, also a common finding in the shin splint injuries. With my athlete patients, I will often make the patient exercise to the point of where they get the similar onset of pains reported.
We did so. He described the pain that was both an ache and a burn-in sensation at same locations above. He had strong pulses. All sensation was intact. This young man had very large, muscular calves which were very tight and turgid even in resting condition. His leg x-rays were negative for a stress fracture. My next most likely diagnosis was Chronic Exertional Compartment Syndrome (CECS). I set up a time to analyze leg compartmental pressures: resting and post-exercise reading are indicated. His were 10 mm and 38 mm respectively.
Shin splints have a variety of presentations. This syndrome can encompass a number of overuse disorders, they all share a common finding of periostitis (bone inflammation) near the origins of the soleus and/or flexor muscles.
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