Ch 19 Specific Injuries Part 2

Etiology
· run down hill

Sign/Symptoms
· point tenderness over anterior tibialis tendon

Management
· Rest
·in serious cases- ice, stretch before running
· Daily strengthening
· anti-inflam
· if chronic- cross friction massage

Etiology
· common over use injury in runners w/ hypermobility or over pronation

Signs/Symptoms
· Pain and swelling in medial malleolus and during resistive inversion and plantar flexion
· edema, point tenderness

Management
· Initially- RICE, NSAIDs
· Cast w/ foot in inversion
· Orthodics for over pronation

Etiology
· not common
· people w/ pes cavus --> stressing peroneal tendon

Signs/Symptoms
· pain behind lateral mallelus during push off
· pain along distolateral aspect of calcaneus and beneath cuboid

Management
· RICE, NSAIDs, elastic taping, warm up and flexibility exercises
· LowDye taping or orthodics

Etiology
· Direct blow to lower leg- impacting periosteum anteriorly

Signs/Symptoms
· Intense pain, rapidly forming hematoma

Management
· RICE, NSAIDs
· Maintaining compression for hematoma
· Doughnut pad w/ orthoplast shell
· if not managed turn into osteomyelitis