Page 58 - 2021 IDMT Digital
P. 58

SHIN SPLINTS
          Introduction:
            •  5HSHWLWLYH UXQQLQJ  MXPSLQJ RU RWKHU LPSDFW IRUFHV FDQ OHDG WR DQWHULRU ORZHU OHJ SDLQ
                 o  7KLV LV FRPPRQO\ UHIHUUHG WR DV VKLQ VSOLQWV
            •  &RQGLWLRQ LV WKRXJKW WR EH D SHULRVWHDO UHDFWLRQ LQ UHVSRQVH WR UHSHWLWLYH PXVFOH
               FRQWUDFWLRQ

          Subjective:
            •  6LJQV DQG 6\PSWRPV
                 o  3DLQ LQ WKH DQWHULRU ORZHU OHJ
                       ƒ  6WDUWV ZKHQ DFWLYLW\ EHJLQV
                       ƒ  /HVVHQV DV DFWLYLW\ FRQWLQXHV
            •  )RFXVHG +LVWRU\
                 o  5HFHQW LQFUHDVH LQ H[HUFLVH
                 o  5XQQLQJ XSKLOO
          Objective:
            •  3K\VLFDO ([DP
                 o  6HYHUH ORFDOL]HG SDLQ RYHU DQWHULRU FRPSDUWPHQW PXVFOHV
                 o  7HQGHUQHVV WR SDOSDWLRQ RI WKH WLELDO VKDIW LV SRVVLEOH
            •  7RROV
                 o  ; UD\V XQOLNHO\ WR VKRZ DQ\WKLQJ
                 o  %RQH VFDQ PRUH VHQVLWLYH IRU VWUHVV IUDFWXUH
                 o  05, LI ERQH VFDQ XQDYDLODEOH
          Assessment:
            •  'LIIHUHQWLDO
                 o  6WUHVV IUDFWXUH  LI VXVSLFLRXV  ERQH VFDQ ZLOO VKRZ
                 o  ([HUFLVH LQGXFHG FRPSDUWPHQW V\QGURPH  SDLQ WKDW RFFXUV GXULQJ H[HUFLVH DQG
                    JUDGXDOO\ ZDQHV DIWHU H[HUFLVH
                 o  'HHS YHLQ WKURPERVLV  '97   SDLQ DQG VZHOOLQJ LQ WKH FDOI  ULVN IDFWRUV
                 o  7UDXPD  FRQWXVLRQ  HFFK\PRVLV PD\ EH SUHVHQW
          Plan:
            •  6WRS UXQQLQJ
            •  5,&(
            •  16$,'V IRU DFXWH SDLQ 7\OHQRO LI VWUHVV IUDFWXUH VXVSHFWHG
            •  If certified in Battlefield Acupuncture (BFA) and with preceptor concurrence, consider
               administering up to 10 treatment sessions as an alternative to NSAIDs as long as there
               is clinical benefit and no worsening of the patient’s condition
            •  6WUHWFKLQJ VWUHQJWKHQLQJ H[HUFLVHV


















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