Abstract
Two case reports of high-level athletes with medial tibial stress syndrome (MTSS),
1 an Olympian with an actual stress fracture, are presented. Successful treatment
included radial soundwave therapy, pneumatic leg braces, relative rest using an antigravity
treadmill, and temporary foot orthoses. Radial soundwave therapy has a high level
of evidence for treatment of MTSS. We also present recent evidence of the value of
vitamin D assessment. Both patients had a successful outcome with minimal downtime.
Finally, a suggested treatment regimen for MTSS is presented.
Level of Clinical Evidence
Keywords
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Article info
Footnotes
Financial Disclosure: The shockwave machines used in this investigation were donated by Storz and Zimmer Medzin. Amol Saxena is a stock holder in AlterG.
Conflict of Interest: Dr Fullem was awarded a $1500 honorarium by Zimmer Medzin to speak at the Midwest Podiatry Conference, Chicago, IL, April, 28, 2017.
Identification
Copyright
© 2017 by the American College of Foot and Ankle Surgeons. All rights reserved.
