MTSS Case Study Female Runner | Medial Tibial Stress Syndrome

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MTSS Case Study Female Runner | Medial Tibial Stress Syndrome
• MTSS Case Study Female...
📚 ARTICLES:
Nielsen et al pubmed.ncbi.nlm.nih.gov/24923...
Hebert-Losier et al pubmed.ncbi.nlm.nih.gov/28886...
Mulvad et al pubmed.ncbi.nlm.nih.gov/30312...
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Link: • Pharien - What You Say
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This is not medical advice! The content is intended to be educational only for health professionals and students. If you are a patient, seek care of a health care professional.

[@DoctorDj98]

Can you please link the first paper that you mentioned? I can't find it. Thanks

[@DoctorDj98]

Whats the first paper he references? Is it linked/ available to see?
Yates and Wyatt et al?

[@justineguillemenot9302]

Can I please have the link for the patient leaflet? I cannot see it in the description

[@maxfromphysiotutors]

Bit overdue but I've entered the link in the description. Apologies!

[@barevoet]

why dont you look at her shoes she is wearing and her landing, if you land on your midfoot instead of your heel chances are much lower to get this problem. The lower the heeldrop the higher chance is she lands on her midfoot. If you land on your midfoot your calve muscle activation is higher and she will progress there as well... If you have this problem I might help you.

[@maxfromphysiotutors]

Thanks for you comment Bart! First I want to say that this is not an exhaustive or all encompassing case study. So yes there obviously are things to add, or maybe to leave out. However, changing running mechanics, especially strike pattern, should be low on your list IMO. This is really really tough to do with someone. Adding to this, you don't reduce load, you just put it somewhere else. The ankle/calf complex might not be adapted to this, plus it often feels really uncomfortable for the patient.

[@ownerlutz]

What running style does she have ? Heelstrike or Forefoot?

[@maxfromphysiotutors]

Let's say heel striker

[@christopherhankins9792]

Clearly a heel striker.

[@ownerlutz]

@@christopherhankins9792 The person in the video is not the actual patient.

[@ownerlutz]

@@maxfromphysiotutors Did you give any instruction about changing the running technique from heelstrike to forefoot ? There are some authors who claim that heelstrike running is the cause for every runners "diseases". Even the Howard University compared those two running styles on a treadmill, which had weight sensors. The heelstrike style has a heavier and faster amplitude/impact than the forefoot. So, the forefoot style would be softer on her joints etc.

[@maxfromphysiotutors]

​ @K. Ater Softer on the joints, maybe. But something has got to give. Take the achilles tendon for example in forefoot strikers. I'm not a big fan of changing running mechanics- and definitely not with a patient that is in rehab for 6 weeks for a complaint that can easily take up 3 months to a year. Doesn't make sense to me. It's extremely difficult to do as well, against his/her nature. Slowing her down and gradually building volume is what I'll mainly do for the first few months.

[@gaurav-galditor]

First I have sharp niddle pain in lower tibia when I go for run. But when I take rest the pain resolve but swelling in there. Can you tell me what is this . I have not run since last 3 month.

[@christopherhankins9792]

OMG what the heck running shoes is she wearing?!?!!
Get her in ANY actual distance running shoe instead of that square cross training thing she’s wearing. Nike, Hoka, Saucony, New Balance… nearly anything is better than what she is wearing.
I agree with everything else in your video. You can teach them to apply a strip of KTape on the medial tibia to assist with analgesia on the easy runs as well.

[@Physiotutors]

Maybe this needs clarification, the woman shown in the video is NOT the actual patient but purely for illustrative purposes

[@christopherhankins9792]

Ahhh. Phew. Gotcha. Thanks for the clarification!