NPTE Clinical Files | Physical Therapy

Lower Leg Differential Diagnosis

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Ryan presents with anterolateral leg pain and reports progressive worsening since an increase in his training regimen over the past two weeks. Symptoms appear in the later stages of running and last 2-3 hours after the run. The anterior tibialis muscle is tender and taut on palpation. Resisted dorsiflexion is strong but reproduces the patient's pain. Which of the following is the MOST likely diagnosis?   

A. Medial Tibial Stress Syndrome 

B. Stress fracture 

C. Acute compartment syndrome 

D. Chronic exertional compartment syndrome

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    NPTE Clinical Files | Physical TherapyBy Kyle Rice
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