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Dr. Amol Saxena, DPM
Palo Alto Foundation
Medical Group
Dept. of Sports Medicine
3rd Floor, Clark Building
795 El Camino Real
Palo Alto, CA 94301
Office: 650-853-2943
Fax: 650-853-6094
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Dr. Amol Saxena, DPM

Foot Related Injuries & Treatments

Medial Distal Tibial Syndrome (Shin Splints)

Treatment recommendations for elite athletes with MTSS

  1. Pneumatic leg brace for weightlifting activity until pain free
  2. Avoidance of nonsteroidal anti-inflamatory drugs
  3. Use of cryotherapy for control of pain and swelling
  4. Foot orthoses with varus wedge, rearfoot to forefoot to sulcus, as appropriate
  5. Radial soundwave therapy and/or focused extracorporeal shockwave therapy to affected area
  6. Relative rest (decreased impact; ie, aqua, jogging, cycling, elliptical machine)
  7. Use of AlterGTM treadmill
  8. Assessment of vitamin D3, nutrition status (ie, disordered eating, relative energy deficiency in sports)
  9. Assess shoes and sport surface
  10. Access core strength, limb length and muscle imbalances

From Saxena et al, Journal of Foot & Ankle Surgery 2017

 

 

 

 

 

 


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