Iranian Rehabilitation Journal
مجله انگلیسی زبان توانبخشی
Iranian Rehabilitation Journal
Medical Sciences
http://irj.uswr.ac.ir
18
agent2
17353602
17353610
10.29252/nrip.irj
en
jalali
1400
9
1
gregorian
2021
12
1
19
4
online
1
fulltext
en
Missing the Bull’s Eye: A Case Report of Tibialis Anterior Hernia
فیزیک درمانی
Physiotherapy
گزارش موردي
Case Reports
<strong>Objectives</strong>: Shin pain is a broad term used to describe lower leg pain. It is commonly seen in the athletic/sports population. Various conditions have been claimed to produce leg pain, and muscle herniation is one of these conditions. Muscle herniation is the protrusion of muscle through a defect in the overlying fascia. Although such herniation is common, it is often an underdiagnosed condition in the lower extremity. It usually occurs in athletes, especially in the anterior compartment of the leg, as a result of trauma or due to muscle hypertrophy secondary to strenuous exercise. Herniation diagnosis depends on its clinical presentation as it appears as a palpable soft tissue bulge through a fascia defect; radiological findings are used to confirm the diagnosis. Conservative treatment should be the initial approach, and surgery can be performed if conservative treatment fails.<br>
<strong>Methods</strong>: We present a case of symptomatic anterior lower leg pain, initially diagnosed as a psychosomatic disorder by two orthopedic physicians. However, tibialis anterior hernia in this patient was confirmed after physical examination by a physiotherapist and subsequent referral for ultrasonographic evaluation to a radiologist. The patient underwent an 8-week course of conservative treatment under the supervision of a physiotherapist. This treatment significantly improved the patient’s pain and function.<br>
<strong>Results</strong>: After eight weeks of conservative treatment using Minhaj protocol for Tibialis Anterior hernia, the patient has reported improvement in pain (reduction of score from eight to two on the NPRS scale) and function. The patient returned to his previous level of physical activity following eight weeks of rehabilitation.<br>
<strong>Discussion</strong>: Tibialis anterior hernia should be considered a differential diagnosis in chronic leg pain with palpable soft tissue protrusion. Conservative treatment can be chosen as the primary approach.
Athletic injuries, Hernia, Muscles, Diagnostic errors, Lower extremity, Ultrasonography
465
472
http://irj.uswr.ac.ir/browse.php?a_code=A-10-1458-1&slc_lang=en&sid=1
Muhammed
Minhaj
minhajthaikandy@gmail.com
1800319475328460025258
1800319475328460025258
Yes
Department of Sports Physiotherapy, Jamia Millia Islamia University, New Delhi, India.
Binoy
Mathew
binoy9797@gmail.com
1800319475328460025259
1800319475328460025259
No
Department of Physiotherapy, Composite Regional Centre for Skill Development Rehabilitation and Empowerment of Persons with Disabilities, Kozhikode, India.