shin splints?????

[Netty]

Hi Aisha,

Thanks for your reply.

Yes I do understand that I need to give a more detailed history however I have only spoken to the patient on the phone. I will be seeing them tomorrow when I will be able to give a fuller history. However I just wanted to know what the lumps and bumps under the shin that the patient told me about over the phone could be, whether it was possible shin splints or compartment syndrome.

Thanks anyway and I will post fuller history once I have seen patient tomorrow!

Netty

[GAR42]

I am a PT patient. I have been diagnosed with MTSS/ Periostitis/Shin splints. I have been non responsive to any therapies for 1 and 1/2 years. I have a very involved history, but in summary, I started with bilateral calf pain in March '06. Calf pain mostly resolved, but medial shin pain persists. I had an ultrasound on Tuesday, September 4. The tech showed me my tibia where it lines up with healthy tissue around my knee. As she moved the wand south, the area surrounding the tibia all turned black, because there was no signal response. The tissue had all seperated from the tibia. She said she had never seen periostits this bad. She went and summoned the Dr. who gave me the number for a surgeon.

I have been off my activities for a year and a half. I used to play indoor baseketball 2-3x/week. Now, I do no impact exercises of any kind. I am in the middle of my 5th course of therapy. I have had two pairs of orthotics. I am not overweight (6'2"/185#) and I use heat, ice and HEP with no relief. What can I do? I had ASTYM which seemed to work in the short term for the fibrosis (or whatever was going on) but did not help with the inflammation or the attachment of the muscle sheath to the tibia. What modalities are there that can help this? Is there anything else short of surgery? Do you have experience with post surgical patients and, if so, what is the course of recovery.

I appreciate your help.