Medial Tibial Stress Syndrome - PowerPoint PPT Presentation

Loading...

PPT – Medial Tibial Stress Syndrome PowerPoint presentation | free to download - id: 8483-NTFmZ



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

Medial Tibial Stress Syndrome

Description:

Also caused by the muscle imbalance of anterior and posterior lower leg muscles. ... Stretching of Achilles tendon several times daily, as well as other leg muscles ... – PowerPoint PPT presentation

Number of Views:572
Avg rating:4.0/5.0
Slides: 13
Provided by: fafats
Learn more at: http://www.lhup.edu
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Medial Tibial Stress Syndrome


1
Medial Tibial Stress Syndrome
  • By Fafa Tsikata

2
What is Medial Tibial Stress syndrome?
  • Commonly called shin splints
  • Can be anterior or posterior
  • MTSS is periostitis- inflammation of the
    periostium of the deep posterior Tibial muscles.
  • Also caused by the muscle imbalance of anterior
    and posterior lower leg muscles.

3
Where does MTSS occur?
  • The posteriom-edial Tibial border
  • Along the distal 1/3 of the Tibia

4
History
  • Believed to be caused by periostitis of the
    insertion of the soleus along the posterior
    medial border of the tibia.
  • Biomechanical abnormalities
  • Pes planus
  • Arch does not support or absorb shock from the
    ground which causes stresses to travel up the
    tibia
  • Pes Cavus
  • Causes more stress to the tibia due to the foots
    inflexibility during gait which does not allow
    for shock to be absorbed
  • Excessive pronation and supination of the foot
  • Causes an eccentric contraction of the soleus.
    The stess from the contraction inflames the
    periostium therefore causing pain.

5
History Cont.
  • Changes in running form
  • Usually trained individuals
  • Increase in training
  • Speed or distance
  • Usually untrained individuals
  • Footwear
  • Old or new shoes
  • Improper shoes for arches
  • Changes in running surface
  • Hard/ soft

6
Signs and symptoms
  • Typically occurs in runners or jumpers
  • Athlete will be point tender on the medal aspect
    of anterior Tibial crest.
  • Athlete will complain of dull ache
  • Pain occurs at any time during activity
  • Pain diminishes with activity
  • Pain will reappear within hours after activity
  • Athlete will also have pain ascending and
    descending stairs

7
Signs and Symptoms
  • Pt. will be tender along the length of the
    muscle.
  • If Pt. is point tender in one specific spot is
    and indication of stress fx.

8
Special Test
  • One Leg Hop Test
  • Pt. stork standing on affected leg
  • Pt. hops 10x
  • Pt. with MTSS should be able to complete test
    without severe pain
  • If severe pain occurs indication of Stress Fx

9
Management
  • RICE
  • Approximately 5-7 days rest
  • Cryotherapy
  • Ice Massage
  • NSAIDS
  • Stretching of Achilles tendon several times
    daily, as well as other leg muscles
  • Muscle strengthening
  • Of muscles involved in Pt.s activity
  • Proper periodization of Training
  • Biomechanical assessment

10
Management Cont.
  • Compression taping
  • Arch Taping
  • X taping
  • Tear Drop taping
  • Arch support
  • Orthotics
  • Proper shoes with sufficient heel support and
    shock absorption

11
Management
  • As pain subsides Pt. can work gradually towards
    RTP
  • Low impact training such as biking or swimming to
    keep cardiovascular levels
  • Progress to around 1/2 of full intensity
  • Keep in mind that if pain returns progression is
    to fast.

12
References
  • 1. shin splints. 27 March, 2008. www.Rice.edu
  • 2. shin splints. 28 March, 2008.
    www.sportsinjuryclinic.net
  • 3. Anderson M., Hall S., Martin M., Foundations
    of Athletic Training. 3rd ed. Philadelphia, Pa
    Lippincott Williams Wilkins 2005 578,579
  • 4. Shin splints. 08 April,2008. www.hughston.com
  • Lecture Notes
About PowerShow.com