Is Increased Training And Running On Concrete Causing Tibial Pain? - Page #1

Author: Annie Casta, MD
Editor: Adam Lewno, DO
Senior Editor: Adam Lewno, DO
Editor: Margaret Gibson, MD
Senior Editor: Margaret E Gibson, MD

Patient Presentation:
Left anterior mid-tibia pain for 1 month.

A 17-year-old healthy male presented with a one-month history of left anterior mid-tibia dull achy pain that was aggravated with running. He reported an increase in his training volume with most of his runs occurring on concrete when his leg pain began. His pain rapidly increased after he was "cleated" during a track practice with his pain beginning to radiate to his knee as well. He denied any prior treatment for his pain.

Physical Exam:
GENERAL: no acute distress
HEENT: atraumatic
MUSCLESKELETAL: Left knee with full range of motion. No swelling was noted but he had point tenderness along the left anterior mid tibia. He had a negative anterior draw test and McMurrary's test.
NEUROLOGICAL: Sensation was intact with no gross focal deficits

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