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Questions and Answers

What are some factors that can cause Medial Tibial Stress Syndrome?

Being female, overweight, and having less running experience (correct)

Being female, underweight, and having extensive running experience

Being male, overweight, and having less running experience

Being male, underweight, and having extensive running experience

What are the symptoms of Achilles Tendinopathy?

Pain during running and jumping, anterior knee pain, and point tenderness at the patella

Pain during walking and stance phase loading, posteromedial tibial point tenderness, and pain that subsides with inactivity

Pain during walking and standing, swelling on the front of the ankle, and point tenderness at the anterior tibial tendon

Pain during walking and stance phase loading, diffuse swelling on the sides of the tendon, and point tenderness at the calcaneal insertion site or within the tendon (correct)

What should clinicians do to manage MTSS?

Perform self-release and PNF stretching of the pretibial muscles and gastrocnemius soleus complex

Request an MRI or bone scan to rule out Haglund's deformity and calcaneal fracture

Use KT Tape, low-intensity pulsed ultrasound self-adhesive device, ISTM, and eccentric strengthening protocol

Determine the root cause and address any insulting factors or conditions (correct)

What should patients do to manage Achilles Tendinopathy?

Perform self-release and PNF stretching of the pretibial muscles and gastrocnemius soleus complex Signup and view all the answers

What should clinicians consider doing if a training, movement, or biomechanical error is suspected in a patient?

Perform a biomechanical evaluation of gait Signup and view all the answers

What is the recommended treatment sequencing for both MTSS and Achilles Tendinopathy?

Scanning and treating specific muscles and structures in a specific order, followed by PRT, thermal ultrasound or laser, PNF stretching, and myofascial massage Signup and view all the answers

What are some additional interventions for Achilles Tendinopathy?

Using KT Tape, low-intensity pulsed ultrasound self-adhesive device, ISTM, and eccentric strengthening protocol Signup and view all the answers

What can patients use to unload the affected area during the initial phase of rehabilitation?

Temporary or custom orthotics Signup and view all the answers

What is the common cause of Medial Tibial Stress Syndrome?

Dynamic pronation during gait Signup and view all the answers

What is the common cause of Achilles Tendinopathy?

Sudden change in surface Signup and view all the answers

What are the symptoms of MTSS?

Pain during walking and stance phase loading Signup and view all the answers

What are the symptoms of Achilles Tendinopathy?

Pain during walking and toe-off during gait Signup and view all the answers

What is the clinician's therapeutic intervention for MTSS?

Requesting an MRI or bone scan to rule out stress fracture Signup and view all the answers

What is the clinician's therapeutic intervention for Achilles Tendinopathy?

Determining the root cause Signup and view all the answers

What is the additional intervention for Achilles Tendinopathy?

Eccentric strengthening protocol Signup and view all the answers

What should patients use to unload the affected area during the initial phase of rehabilitation?

Custom orthotics Signup and view all the answers

Study Notes

Common Injury Conditions and Their Management

Medial Tibial Stress Syndrome (MTSS) or shin splints is caused by multiple factors including being female, overweight, less running experience, and dynamic pronation during gait.
The symptoms of MTSS include pain during walking and stance phase loading, posteromedial tibial point tenderness, and pain that subsides with inactivity.
Clinician therapeutic interventions for MTSS include determining the root cause, requesting an MRI or bone scan to rule out stress fracture, and addressing any insulting factors or conditions.
Patient self-treatment interventions for MTSS include performing self-release and PNF stretching of the pretibial muscles and gastrocnemius soleus complex.
Achilles Tendinopathy (Noninsertional) is common in athletic and recreational athletes and can occur due to training error, pathological biomechanical alterations during the gait cycle, or sudden shoe or surface change.
The symptoms of Achilles Tendinopathy include pain during walking and toe-off during gait, diffuse swelling on the sides of the tendon, and point tenderness at the calcaneal insertion site or within the tendon.
Clinician therapeutic interventions for Achilles Tendinopathy include determining the root cause, requesting a radiograph to rule out Haglund's deformity and calcaneal fracture, and addressing any insulting factors or conditions.
Patient self-treatment interventions for Achilles Tendinopathy include performing self-release and PNF stretching of the Achilles tendon and gastrocnemius soleus complex.
Treatment points and sequencing for both MTSS and Achilles Tendinopathy include scanning and treating specific muscles and structures in a specific order, followed by PRT, thermal ultrasound or laser, PNF stretching, and myofascial massage.
Additional interventions for Achilles Tendinopathy include the use of KT Tape, low-intensity pulsed ultrasound self-adhesive device, ISTM, and eccentric strengthening protocol.
Clinicians should consider performing a biomechanical evaluation of gait if a training, movement, or biomechanical error is suspected.
Patients can use temporary or custom orthotics to unload the affected area during the initial phase of rehabilitation.
Patients should slowly progress to dynamic physical activity through aquatic therapy or antigravity-assisted running devices.

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Description

Test your knowledge on common injury conditions and their management with this informative quiz! Discover the causes, symptoms, and therapeutic interventions for Medial Tibial Stress Syndrome (MTSS) and Achilles Tendinopathy (Noninsertional). Explore the self-treatment interventions available to patients and the additional interventions used by clinicians. Learn about treatment points and sequencing, biomechanical evaluations, and the use of orthotics during rehabilitation. Test your understanding of these common injury conditions and their management with this quiz!