Was she worked up with x-rays &/or a bone scan? My first suspicion is a stress
fracture. If so orthotics &/or increasing the shock absorbency of the footwear
should help. She should not dance until there is no pain with palpation or
activity.
Douglas M. White, PT, OCS
Milton, MA USA
Rob Herman wrote:
> Hi there everyone,
>
> I need some help with a highland dancer - she is 17 yr old and has had
> chronic medial shin pain with dancing for 2 years.
>
> She has a moderate pes cavus with a fairly stiff first metatarsal.
>
> Her pain is mainly medial with severe tenderness to the medial distal 2/3 of
> the tibia.
>
> Fortunately she sprained her medial ligament complex and has not been
> dancing for the last 3 weeks. Her pain is almost resolved but i could use
> some ideas to keep it from coming back
>
> Thanks in advance
>
> Rob Herman
> Physiotherapy Coordinator
> 1999 Pan Am Games
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