Abstract

The aim was to evaluate whether ultrasound-guided injection of 15% dextrose for treatment of recalcitrant medial tibial stress syndrome (MTSS) decreases pain and facilitates a return to desired activity levels....

Highlights

  • Medial tibial stress syndrome (MTSS) is one of the most common lower leg injuries in sporting populations[1]

  • Patients reported a significant (p

  • Clinical Relevance: Clinicians should consider the use of ultrasound-guided injection of 15% dextrose as a viable treatment option to reduce pain and aid return to activity for patients with recalcitrant Medial Tibial Stress Syndrome

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Summary

Introduction

Medial tibial stress syndrome (MTSS) is one of the most common lower leg injuries in sporting populations[1]. As the condition progresses, pain may occur constantly throughout exercise[8], at rest and at night, causing significant distress and affecting quality of life[2, 5, 9]. Medial tibial stress syndrome (MTSS) is one of the most common lower leg injuries in sporting populations. It accounts for between 6%-16% of all running injuries, and up to 53% of lower leg injuries in military recruits.

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