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Zachary Jeffers Case Summary

Decent Essays

Case Study
Zachary Jeffers
Pathology and Evaluation 1
Mr. Baerman

Medial Tibial Stress Syndrome
Zachary Jeffers

The objective for this case study is to give in detail the evaluation process of medial tibial stress syndrome, including treatment plan and progress. Medial tibial stress syndrome is a pathology common in sports that require a lot of running. It occurs when overuse and repetitive stresses are placed on the tibia. Some differential diagnosis are stress fracture, and entrapment of the superficial peroneal nerve. Treatment for this pathology are ulrasound, cold whirlpool and electric stimulation. The uniqueness of this case is how long the athlete had been experiencing pain before bringing it tot the attention …show more content…

Diagnosis
My diagnosis for the patients injury is medial tibial stress syndrome. I believe this due to the positive special test and the palpation’s. The compression test was positive with pain on the medial distal one third of the tibia. The fulcrum test was the most positive out of the two with the patient pulling back from pain. Also with the palpation's, he had point tenderness over the medial distal one third of the tibia (1985).

Treatment and Clinical Course
Physical therapy modalities, such as ultrasound, whirlpool baths, phonophoresis, augmented soft tissue mobilization, electrical stimulation, and unweighted ambulation, may be used (2009). Ice and rest are the two most important treatments the athlete can receive during the acute phase. Ultrasound will be used to increase the tempeture of the local area. This will increase the speed of healing. Phonophoresis will be used to introduce medications into the area. Mainly anesthetics to numb the trigger point. Whirlpool baths will be used to relive pain and swelling of injured leg. Electrical stimulation is used for to help the healing process by transporting ions beneficial to healing to the affected area

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