Author: Tim Bertelsman, DC, DACO

Medial Tibial Stress Syndrome

Medial Tibial Stress Syndrome

Autumn means that youth overuse injuries increase as school sports resume, and lower extremity stress is particularly amplified when athletes move indoors onto hard floors. Medial tibial stress syndrome (MTSS), aka Medial Tibial Traction Periostitis, is a common result of this increased load. The diagnosis of MTSS describes exercise-induced pain along the posteromedial border of the tibia. The condition is commonly referred to as “shin splints” and is a familiar malady in athletes and soldiers where it affects up to 1/3 of those populations. (1-4) MTSS is responsible for approximately 15% of all running injuries. (1)

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Your Role in the Opioid Epidemic​

Your Role in the Opioid Epidemic​

The cost of the opioid crisis is staggering and increasing at alarming rates. From 2007-2014, opioid dependence rose by 3,203% among patients with private insurance. (1) Expenses to the patient and the insurers are equally impressive. From 2011-2015, opioid abuse or dependence charges rose from $72 million to $722 million for privately insured patients. (2) The US prescribes 50 times more opioids than the rest of the world combined. (3)

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Biceps Tendinopathy

Biceps Tendinopathy

Biceps tendinopathy describes a painful inflammation or degeneration of the tendon of the long head of the biceps. (1,2) The term “tendinopathy” may suggest either an inflammatory or degenerative origin. (3) In the case of a recent acute insult, inflammation (tendinitis) may be a valid explanation. However, current evidence suggests that many cases of tendinopathy occur without inflammation and are the result of chronic overload, which leads to microscopic tearing, failed healing and subsequent degenerative changes within the tendon. (3) Injuries that have been present over three months consistently demonstrate fibrosis and degeneration with very little inflammation. (3)

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