Management of Medial Tibial Stress Syndrome with Glucopuncture. A Clinical Case.
Main Article Content
Abstract
Medial tibial stress syndrome, sometimes referred to as shin splints, is an overuse injury of the lower extremities. It is commonly managed conservatively, but there is lack of consensus on the application of new treatment options such as regional dextrose 5% injections in regional superficial fascia. Over the last decade, regional dextrose 5% injections are popular for the treatment of orthopedic complaints and sports injuries because of easy application, low cost and excellent safety profile. This article describes a 25-year-old runner suffering from pain in both shins for several years. His pain level went from 7/10 to 0/10 after three sessions of dextrose 5% injections in the superficial fascia, and he recovered permanently after five sessions. This case report is an invitation to design more studies to confirm whether this novel approach may become one of the new tools for athletes suffering from shin splints.
Keywords:
Medial Tibial Stress Syndrome, Glucopuncture, Tensegrity, Sports Injury, Fascia
Article Details
How to Cite
KERSSCHOT, Jan et al.
Management of Medial Tibial Stress Syndrome with Glucopuncture. A Clinical Case..
Medical Research Archives, [S.l.], v. 12, n. 5, may 2024.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/5299>. Date accessed: 04 dec. 2024.
doi: https://doi.org/10.18103/mra.v12i5.5299.
Section
Case Reports
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
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2. Tarabishi MM, Almigdad A, Almonaie S, Farr S, Mansfield C. Chronic Exertional Compartment Syndrome in Athletes: An Overview of the Current Literature. Cureus. 2023 Oct 27;15(10):e47797
3. Bosnina F, Padhiar N, Miller S, Girotra K, Massoura C, Morrissey D. Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review. J Foot Ankle Res. 2023 Nov 21;16(1):82
4. Okunuki T, Magoshi H, Maemichi T, Liu Z, Tanaka H, Matsumoto M, Hoshiba T, Kumai T. The prevalence and effect of the sites of pain in female soccer players with medial shin pain. J Sports Med Phys Fitness. 2023 Jan;63(1):111-120
5. Bouché RT, Johnson CH. Medial tibial stress syndrome (tibial fasciitis): a proposed pathomechanical model involving fascial traction. J Am Podiatr Med Assoc. 2007 Jan-Feb;97(1):31-6
6. Menéndez C, Batalla L, Prieto A, Rodríguez MÁ, Crespo I, Olmedillas H. Medial Tibial Stress Syndrome in Novice and Recreational Runners: A Systematic Review. Int J Environ Res Public Health. 2020 Oct 13;17(20):7457
7. Naderi A, Bagheri S, Ramazanian Ahoor F, Moen MH, Degens H. Foot Orthoses Enhance the Effectiveness of Exercise, Shockwave, and Ice Therapy in the Management of Medial Tibial Stress Syndrome. Clin J Sport Med. 2022 May 1;32(3):e251-e260
8. Bhusari N, Deshmukh M. Shin Splint: A Review. Cureus. 2023 Jan 18;15(1):e33905
9. Kakouris N, Yener N, Fong DTP. A systematic review of running-related musculoskeletal injuries in runners. J Sport Health Sci. 2021 Sep;10(5):513-522
10. Mattock JPM, Steele JR, Mickle KJ. Are Leg Muscle, Tendon and Functional Characteristics Associated with Medial Tibial Stress Syndrome? A Systematic Review. Sports Med Open. 2021 Oct 9;7(1):71
11. Running-related musculoskeletal injuries (RRMIs), especially stemming from overuse, frequently occur in runners. This study aimed to systematically review the literature and determine the incidence and prevalence proportion of RRMIs by anatomic location and specific pathology.
12. Winters M. The diagnosis and management of medial tibial stress syndrome: An evidence update. Unfallchirurg. 2020 Jan; 123(Suppl 1):15-19.
13. McClure CJ, Oh R. Medial Tibial Stress Syndrome. 2023 Aug 8. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–
14. Bove GM. Partial mixed neuropathy of the fourth lumbar spinal nerve misdiagnosed as "shin splints". J Can Chiropr Assoc. 2023 Aug;67(2):186-193
15. Winters M. The diagnosis and management of medial tibial stress syndrome: An evidence update. Unfallchirurg. 2020 Jan;123(Suppl 1):15-19
16. Milgrom C, Tsur N, Eshed I, Milgrom Y, Beyth S, Spitzer E, Gofman I, Finestone AS. Significance of tibial MRI findings of special forces recruits at the onset of their training. BMJ Mil Health. 2024 Jan 25;170(1):9-14
17. Velasco TO, Leggit JC. Chronic Exertional Compartment Syndrome: A Clinical Update. Curr Sports Med Rep. 2020 Sep;19(9):347-352
18. Deshmukh NS Jr, Phansopkar P, Wanjari MB. A Novel Physical Therapy Approach in Pain Management and Enhancement of Performance in Shin Splints Athletes: A Case Report. Cureus. 2022 Jul 9;14(7):e26676
19. Deshmukh NS, Phansopkar P. Medial Tibial Stress Syndrome: A Review Article. Cureus. 2022 Jul 7; 14(7):e26641.
20. Deshmukh NS, Phansopkar P. Medial Tibial Stress Syndrome: A Review Article. Cureus. 2022 Jul 7;14(7):e26641
21. Kim MY, Na YM, Moon JH. Comparison on treatment effects of dextrose water, saline and lidocaine for trigger point injection. J Korean Acad Rehab Med 1997;21:967-973
22. Kersschot J, History of Glucopuncture, World Journal of Advanced Research and Reviews 2024, 21(01), 1925–33
23. Kersschot J, Mathieu T, Treatment of Painless Nodules with Glucopuncture in Dupuytren's Disease in Men: A Clinical Case, Cureus 2022, 14(11): e31445
24. Kersschot J, Lam KHS, Teinny S, Nurhasanah L, Kesoema TA, Treatment of Failed Back Surgery Syndrome with Regional Sugar Water Injections: A Clinical Case. Medical Research Archives, dec 31, 2023, online 11[12]
25. Pandey N, Priyanka N, Vijendra G, Kersschot J, Glucopuncture: A novel injection therapy for non-specific low back pain, World Journal of Advanced Research and Reviews, 2022, 16(03), 426–432
26. Waluyo Y, Kersschot J, Perineural Injection Therapy, Malaysian Association of Rehabilitation, Jan 30, 2024, USM Health Campus
27. Kersschot J, Treatment of Fascial Pain with Glucopuncture, International Journal of Science and Research Archive Feb 2024, 11(01), 1227–1234
28. Safiullina A, Application of Glucopuncture, Medical Congres October 28, 2023, Kazan, Russia
29. Maniquis-Smigel L, Dean Reeves K, Jeffrey Rosen H, Lyftogt J, Graham-Coleman C, Cheng AL, Rabago D. Short Term Analgesic Effects of 5% Dextrose Epidural Injections for Chronic Low Back Pain: A Randomized Controlled Trial. Anesth Pain Med. 2016; 6 (1): e42550
30. Pandey N, Nayak P, Gahnolia V, A Randomized Control Trial on Efficacy of Analgesic Effect of 5% Dextrose Caudal Epidural Injection for Non-specific Low Back Pain. International Journal of Scientific Research, 2021, 10 (9), 11-13
31. Lam KHS, Hung CY, Chiang YP, Onishi K, Su DCJ, Clark TB, Reeves KD. Ultrasound-Guided Nerve Hydrodissection for Pain Management: Rationale, Methods, Current Literature, and Theoretical Mechanisms. J Pain Res. 2020 Aug 4;13:1957-1968
32. Chen LC, Ho TY, Shen YP, Su YC, Li TY, Tsai CK, Wu YT. Perineural Dextrose and Corticosteroid Injections for Ulnar Neuropathy at the Elbow: A Randomized Double-blind Trial. Arch Phys Med Rehabil. 2020 Aug;101(8):1296-1303
33. Safiullina A, Kersschot J, Glucopuncture (глюкопунктуру), Russia, October 28, 2023
34. Kersschot J, History of Glucopuncture, World Journal of Advanced Research and Reviews 2024, 21(01), 1925–33
35. Schleip R, Stecco C, DriscollM, Fascia: The Tensional Network of the Human Body, 2nd Edition, The science and clinical applications in manual and movement therapy, Elsevier 2021
36. Kersschot J, Treatment of Fascial Pain with Glucopuncture, IJSRA 2024, 11(01), 1227–1234
37. Bordoni B, Zanier E. Skin, fascias, and scars: symptoms and systemic connections. J Multidiscip Healthc. 2013 Dec 28;7:11-24
38. Lam KHS, Lai WW, Ngai HY, Wu WKR. Practical Considerations for Ultrasound-Guided Hydrodissection in Pronator Teres Syndrome. Pain Med. 2022 Jan 3;23(1):221-223
39. Fischhoff C, Vincent K Ultrasound-guided Glucopuncture in the Management of Saphenous Nerve Entrapment in Ultra-trail Runner. A Clinical Case. WJARR 2023 Dec
40. Ho TY, Chen SR, Li TY, Li CY, Lam KHS, Chen LC, Md YW. Prognostic factors in carpal tunnel syndrome treated with 5% dextrose perineural injection: A retrospective study. Int J Med Sci. 2021 Mar 3;18(9):1960-1965
41. Gharaei H, Fast and Frugal Pain Injection Decision-making, Volume 2, Aryateb Publishing 2022
42. Dinsuhaimi F, Suryadi T, Lam SKH , Suhaimi A, Proximal median nerve hydrodissection: a case series of a novel approach, Abstracts of Roma Pain Days 2023. Signa Vitae RDP 2023
43. Gharaei H, Clinical Pearls in Interventional Pain Management, Atlas of Interfascial plane hydrodissection, Volume 3,Aryateb Publishing, 2024
44. Reeves KD, Shaw J, McAdam R, Lam KHS, Mulvaney SW, Rabago D. A Novel Somatic Treatment for Post-traumatic Stress Disorder: A Case Report of Hydrodissection of the Cervical Plexus Using 5% Dextrose. Cureus. 2022 Apr 7;14(4):e23909
45. Kobayashi T, Kimura H, Zenita Y, Imagita H, Hydrorelease of Fascia. In: Schleip R, Stecco C, DriscollM, Fascia: The Tensional Network of the Human Body, 2nd Edition p.609-617
46. Lam KHS, Hung CY, Chiang YP, Onishi K, Su DCJ, Clark TB, Reeves KD. Ultrasound-Guided Nerve Hydrodissection for Pain Management: Rationale, Methods, Current Literature, and Theoretical Mechanisms. J Pain Res. 2020 Aug 4;13:1957-1968
47. Solmaz İ, Akpancar S, Örsçelik A, Yener-Karasimav Ö, Gül D. Dextrose injections for failed back surgery syndrome: a consecutive case series. Eur Spine J. 2019 Jul;28(7):1610-1617
48. Chen LC, Ho TY, Shen YP, Su YC, Li TY, Tsai CK, Wu YT. Perineural Dextrose and Corticosteroid Injections for Ulnar Neuropathy at the Elbow: A Randomized Double-blind Trial. Arch Phys Med Rehabil. 2020 Aug;101(8):1296-1303
49. Buntragulpoontawee M, Chang KV, Vitoonpong T, Pornjaksawan S, Kitisak K, Saokaew S, Kanchanasurakit S. The Effectiveness and Safety of Commonly Used Injectates for Ultrasound-Guided Hydrodissection Treatment of Peripheral Nerve Entrapment Syndromes: A Systematic Review. Front Pharmacol. 2021 Mar 5;11:621150
50. Huang CY, Lai CY, Reeves KD, Lam KHS, Li TY, Cheng CI, Wu YT. Volume Effect of Nerve Hydrodissection for Carpal Tunnel Syndrome: A Prospective, Randomized, and Single-Blind Study. J Ultrasound Med. 2024 Jan;43(1):161-169
51. Wu YT, Ho TY, Chou YC, Ke MJ, Li TY, Tsai CK, Chen LC. Six-month Efficacy of Perineural Dextrose for Carpal Tunnel Syndrome: A Prospective, Randomized, Double-Blind, Controlled Trial. Mayo Clin Proc. 2017 Aug;92(8):1179-1189
52. Nasiri A, Rezaei Motlagh F, Vafaei MA. Efficacy comparison between ultrasound-guided injections of 5% dextrose with corticosteroids in carpal tunnel syndrome patients. Neurol Res. 2023 Jun;45(6):554-563
53. Wu YT, Ke MJ, Ho TY, Li TY, Shen YP, Chen LC. Randomized double-blinded clinical trial of 5% dextrose versus triamcinolone injection for carpal tunnel syndrome patients. Ann Neurol. 2018 Oct; 84(4):601-610.
54. Lam KHS, Wu YT, Reeves KD, Galluccio F, Allam AE, Peng PWH. Ultrasound-Guided Interventions for Carpal Tunnel Syndrome: A Systematic Review and Meta-Analyses. Diagnostics (Basel). 2023 Mar 16;13(6):1138
55. Huang CY, Lai CY, Reeves KD, Lam KHS, Li TY, Cheng CI, Wu YT. Volume Effect of Nerve Hydrodissection for Carpal Tunnel Syndrome: A Prospective, Randomized, and Single-Blind Study. J Ultrasound Med. 2024 Jan;43(1):161-169
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