1. Chronic and Other Injuries of the Foot and Lower Leg
Injuries, Part 3
Chronic and Other Injuries of the Foot and Lower Leg
4/17/2018

2. “Before & After” BELLWORK
Using a piece of notebook paper, answer the following questions, leaving a line between each answer. Put the paper aside until the end of class. 1. How do you get inflammation? 2. What is tendonitis and its symptoms? 3. What do you think compartment syndrome does to the body? 4. What do you think fasciitis is?
This activity is used in Bellwork as a pretest and then in the Closure as an assessment of new learning.
At this point in the lesson, students probably will not answer the questions correctly.
Teacher instructs students to put Before and After aside until the end of the lesson.
TEACHER! PLEASE FEEL FREE TO CHANGE QUESTIONS TO FIT YOUR PRESENTATION! IF YOU DO, CHANGE THE LESSON, AND ALL SLIDES THAT PERTAIN TO THEM
4/17/2018

3. Objectives
Differentiate between chronic injuries and unique lower leg issues; and their mechanisms, signs, symptoms and treatments.
Property of CTE Joint Venture
4/17/2018

4. PROPERTY OF PIMA COUNTY JTED, 2010
Think-Pair-List
Think back to treatments for injuries that we have learned about this unit and you have recorded on your Injury Tracker. Make a list with your neighbor. Share.
3. Think-pair-share
teacher presents a question
teacher gives wait time for student to form answer
teacher instructs students to share their answer with a partner
teacher calls on non-volunteers to share with the class
PROPERTY OF PIMA COUNTY JTED, 2010 3

5. Contusions MOI: direct blow S/S: Can limit ROM Swelling Ecchymosis Rx:
RICE
Padding for protection
Monitor for acute compartment syndrome
Property of CTE Joint Venture
4/17/2018

6. Acute Compartment Syndrome
MOI: direct blow or tearing of muscle fibers causing swelling
S/S:
Pain becoming worse; eventually numbness
Loss of foot ROM
Leg swelling
Property of CTE Joint Venture
4/17/2018

7. Acute Compartment Syndrome
Rx: Medical Emergency! Refer Immediately
Apply cold and elevate
Surgical intervention is probably necessary
Property of CTE Joint Venture
4/17/2018

8. Plantar Fasciitis Causes: Shoes Overweight Activity on hard surfaces
Overuse
Poor mechanics
Fatigue
Property of CTE Joint Venture
4/17/2018

9. Plantar Fasciitis S/S: Morning pain Swelling Pain with WB Crepitus Rx:
Good shoes/orthotics
Stretching
Ice
Taping
Referral?
4/17/2018

10. Shinsplints or Medial Tibial Stress Syndrome
MOI:
Pes planus (flat feet)
Overweight
Poor conditioning
Poor shoes
Activity on hard surfaces
Overuse/Muscle weakness
Poor running technique
Genetics
Property of CTE Joint Venture
4/17/2018

11. Shinsplints
Shinsplints is a catch-all term for tendonitis, chronic compartment syndrome or a stress fracture
Medial Tibial Stress Syndrome (MTSS) is the more apporpriate term for shinsplint-type pain
4/17/2018

12. MTSS: S/S: Rx: Pain- usually found on medial side of leg
Pain with activity that gets progressively worse over time
RICE before/after
Check shoes
Stretch
Strengthen
NSAIDs
Cross Train
Rest
Refer for fracture or commpartment syndrome
4/17/2018

13. “What’s My Injury?”
With a partner, choose an injury from today’s lesson
Write a creative scenario about that injury including the etiology, pathology, and treatment for the injury
Be prepared to share with the class
Property of CTE Joint Venture
4/17/2018

14. “Before & After” CLOSURE
On your Before and After bellwork sheet, answer the following questions on the line below your “Before” answers. This will assess your new learning for the day! 1. How do you get inflammation? 2. What is tendonitis and its symptoms? 3. What do you think compartment syndrome does to the body? 4. What is faciitis?
4/17/2018