Treatment of Medial Tibial Stress Syndrome With Radial Soundwave Therapy in Elite Athletes: Current Evidence, Report on Two Cases, and Proposed Treatment Regimen.

Amol Saxena, Brian Fullem, Ludger Gerdesmeyer

Journal: The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons 2018;56(5):985-989

PMID: 28842109

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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.

Address: Podiatrist, Department of Sports Medicine, Palo Alto Foundation Medical Group, Palo Alto, CA.; Podiatrist, Elite Sports Podiatry, Clearwater, FL. Electronic address: [email protected].; Orthopedist, Department of Orthopaedic Surgery and Traumatology, University Schleswig-Holstein, Campus Kiel, Kiel, Germany; Orthopedist, Department of Orthopaedic and Traumatology, Technical University Munich, Klinikum Rechts der Isar, Munich, Germany.

DOI: 10.1053/j.jfas.2017.06.013

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MeSH Terms: Adolescent, Adult, Athletic Injuries, Follow-Up Studies, Foot Orthoses, Fractures, Stress, High-Energy Shock Waves, Humans, Male, Medial Tibial Stress Syndrome, Recovery of Function, Severity of Illness Index, Tomography, X-Ray Computed, Treatment Outcome