Hi,
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I've been treating a competitive runner/triathlete over the past few months as her post tib becomes inflamed roughly an hour and a half into her long runs. With rest, Active Release, and orthotics it is nearly under control...
However...today seeing her she had some tenderness and mild edema on the distal anterior tib. No discolouration, no pain with movement or resisted movement, some tenderness with palpation of the tibia but not overly sensitive. Says its a constant mild ache.
It doesn't seem to be tendon related. I'm not entirely sure what's going on. I am curious what amount of swelling would be seen with a tibial stress fracture as I haven't seen one.
Plan is to see how it does with rest and ice - if no change then sending for x-ray next week - is this too soon? I've read its better to wait 4 weeks as new bone growth will show up better then the fracture itself.
Opinions?
Would love to hear feedback!
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