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T & O LOWER LEG complaints
Shin splints, Stress Fracture
27
Health Care
Graduate
04/15/2011

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Cards

Term
If shin splints are exacerbated over time, the muscle hypertrophies, expands to compress the peripheral nerve and arteries and irritate fascia, what's this condition called?
Definition
Compartment Syndrome
Term
What are the symptoms of Compartment syndrome?
Definition
Pain & weakness
Term
What muscle is involved in Anterior shin splints, and what does the muscle do?
Definition
Anterior Tibialis - dorsiflex foot
Term
What muscles are involved in Posterior shin splints?
Definition
Tibialis posterior & Soleus
Term
When the foot is pronated, the tibialis anterior muscle twists within its sheat, causing tiny muscle tears, or rubbing abnormally in the sheath causes inflammation and pain. What's the syndrome?
Definition
Anterior Shin Splints
Term
What movement mechanism causes shin splints?
Definition
*overuse (especially when increasing intensity or frequency of activity)
*especially running
*especially pronation
Term
A patient presents with pain on the the inner surface of the tibia, while training for a marathon, what does she likely have?
Definition
Posterior (Medial) shin splints
Term
A patient with acute shin splints is encouraged to R.I.C.E., what does that stand for?
Definition
REST
ICE
COMPRESS
ELEVATE
Term
what muscle channel is treated for Anterior Shin splints?
Definition
Stomach Channel :ST 36, 39, 40, 41
Term
What muscle channel is used to treat Posterior Shin Splints?
Definition
Spleen: SP 6, 7, 9
Term
Patients with Shin splints or stress fractures are discouraged from wearing...
Definition
Old, worn shoes
Term
What are 2 TCM diagnoses for Shin splints?
Definition
1)LV/ KD yin xu
2)Qi / Blood stagnation & channel blockage
Term
What type of injury is a stress fracture?
Definition
overuse
Term
When muscles are fatigued and unable to absorb shock, what can happen?
Definition
fatigued muscle transfers stress to the bone, causing tiny crack: stress fracture
Term
Stress fractures are more common among women or men?
Definition
women
Term
where do most stress fractures of the low leg occur?
Definition
Weight-bearing bones:
Tibia
Metatarsals
Calcaneus
(fibula less likely, not very weightbearing)
Term
*Rapid increase in amount / intensity of activity
*activity on unfamiliar / harder surface
*use of unsupportive equipment
Are activities that are likely to cause...
Definition
Stress Fracture
Shin splints
Term
what peripheral nerve innervates the tibialis anterior, allowing for dorsiflexion of the foot?
Definition
Common peroneal nerve
Term
A patient with deep ache after training, then deep ache during activity, then deep ache when walking, then deep ache all the time, even when resting, has a disease progression resembling what?
Definition
Stress fracture
Term
Stress fractures are sensitive to what type of stimulation?
Definition
pressure & vibration
Term
What 3 diseases are risk factors for Stress fractures?
Definition
Rheumatoid Arthritis
Osteoporosis
Nutritional Deficiency
Term
What 3 physical/biomechanical forces are risk factors for Stress fractures?
Definition
Over pronation / supination
Short legs (one shorter than other?)
Bowed legs
Term
What is the most important treatment for a stress fracture?
Definition
REST!!! 6-8 weeks!!!
Term
If a stress fracture isn't given adequate time to heal, what can occur?
Definition
larger, harder-to-heal stress fractures will develop
Term
*slowly increase any new sports activity
*consume enough calcium
*don't wear old shoes
*Immediately stop if pain/swelling occurs , rest a few days
*recognize symptoms early
Are all tips to prevent what?
Definition
Stress fractures
Term
Lv / KD yin xu
Lv blood xu
KD qi xu
qi & blood stagnation
are all potential diagnoses of...
Definition
Stress fractures
Term
What are three lifestyle treatments for px with a stress fracture?
Definition
1) Tape fracture site
2) Walk with cane/ crutch (don't limp!)
3) Use shoes with substantial cushion
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