KeiS a medical professional

This is a blog about the scientific basis of medicine. A judo therapist reads research papers for study and writes about them.

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How to diagnose "Shin Splints

Tuesday, May 4, 2021

injury

This time, I'd like to talk about Shin splints, which medical professionals should know about.

Have you ever heard of shin splints?

Shin splints, also known as overworked neck pain, is a chronic sports disorder that all athletes should know about.

When does it happen?

Abnormal alignment of the lower limbs

Lowering of the medial arch of the foot, which may lead to hyperextension of the soleus and tibialis posterior muscles, which can also be called periostitis or laminitis.

It is also observed in cases where the range of motion of the ankle is limited.

It can also be caused by running in the winter.

It is characterized by

Pain is felt in the lower 1/3 of the medial side of the tibia, below the knee.

If the pain is mild, the patient does not visit a specialist or medical institution, but often the patient is diagnosed with a severe case.

MRI imaging evaluation shows periostitis.

In addition, intramedullary signals may indicate myositis, bone edema, hemorrhage, or microfracture.

The case is as follows

16-year-old male soccer player.

Soccer player. 1 week ago, pain appeared on the medial side of the right lower leg without cause.The pain was so severe when walking that he was unable to participate in sports activities.

Hop step was not possible, and MRI images showed high signal around the tibial periosteum.

The patient was instructed to rest, and was reexamined three weeks later with no evidence of osteogenesis.

Conclusion

In our clinical experience, foot pain in winter sports competitors was often caused by this syndrome.

After the onset of the disease, the pain may be so persistent that there have been cases where it took more than three months to fully recover, depending on the intensity of the symptoms.

It is unclear whether mere stretching is enough to prevent the disease, and it is necessary to take measures while assessing the factors mentioned above.

QooQ