Chronic and Other Injuries of the Foot and Lower Leg

Injuries, Part 3

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“Before & After” BELLWORK

Using a piece of notebook paper, answer the following questions, leaving a line between each answer. Put the paper aside until the end of class.

1. How do you get inflammation?2. What is tendonitis and its symptoms?3. What do you think compartment syndrome does to the body?4. What do you think fasciitis is?

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ObjectivesDifferentiate between chronic injuries and unique lower leg issues; and their mechanisms, signs, symptoms and treatments.

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Think-Pair-ListThink back to treatments for

injuries that we have learned about this unit and you have recorded on your Injury Tracker. Make a list with your neighbor. Share.

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Contusions

• http://athletics.franklinpierce.edu/information/athtraining/pain4?dec=/printer-decorator

• MOI: direct blow• S/S:

o Can limit ROMo Swellingo Ecchymosis

• Rx:o RICEo Padding for

protectiono Monitor for acute

compartment syndrome

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Acute Compartment Syndrome

• http://www.empowher.com/media/reference/acute-compartment-syndrome

• MOI: direct blow or tearing of muscle fibers causing swelling

• S/S:o Pain becoming

worse; eventually numbness

o Loss of foot ROMo Leg swelling

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Acute Compartment Syndrome

• http://www.digparty.com/wiki/Compartment_syndrome• Rx: Medical Emergency! Refer Immediatelyo Apply cold and

elevateo Surgical intervention

is probably necessary

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Plantar FasciitisCauses:

• http://www.stanislausorthopedics.com/plantarfas.htm

• Shoes• Overweight• Activity on hard

surfaces• Overuse• Poor mechanics• Fatigue

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Plantar Fasciitis• S/S:

o Morning paino Swellingo Pain with WBo Crepitus

• Rx:o Good

shoes/orthoticso Stretchingo Iceo Tapingo Referral?

• http://www.aidmyplantar.com/plantar-fasciitis/plantar-fasciitis-treatments.php

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Shinsplints or Medial Tibial

Stress Syndrome

• http://www.inyourstride.net/Shin%20splints.htm

• MOI:o Pes planus (flat feet)o Overweighto Poor conditioningo Poor shoeso Activity on hard

surfaceso Overuse/Muscle

weaknesso Poor running

techniqueo Genetics

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Shinsplints• Shinsplints is a catch-all term for tendonitis, chronic

compartment syndrome or a stress fracture• Medial Tibial Stress Syndrome (MTSS) is the more

apporpriate term for shinsplint-type pain

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MTSS:S/S: Rx:

• Pain- usually found on medial side of leg

• Pain with activity that gets progressively worse over time

• RICE before/after• Check shoes• Stretch• Strengthen• NSAIDs• Cross Train• Rest• Refer for fracture or

commpartment syndrome

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“What’s My Injury?”

• With a partner, choose an injury from today’s lesson

• Write a creative scenario about that injury including the etiology, pathology, and treatment for the injury

• Be prepared to share with the class

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“Before & After” CLOSURE

On your Before and After bellwork sheet, answer the following questions on the line below your “Before” answers. This will assess your new learning for the day!

1. How do you get inflammation?2. What is tendonitis and its symptoms?3. What do you think compartment syndrome does to the body?4. What is faciitis?

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