A 30-year-old runner has focal tibial pain that begins earlier during each run and now hurts at rest. Examination shows point tenderness over the

Question

A 30-year-old runner has focal tibial pain that begins earlier during each run and now hurts at rest. Examination shows point tenderness over the tibial shaft; radiographs are normal. Which of the following is the most appropriate next step?

Accepted Answer

MRI of the tibia

Answer

Intra-articular steroid injection

Answer

Return to running with ibuprofen

Answer

Reassurance and no activity change

Answer

Long-term antibiotics

Tibial stress fracture — ABFM Board MCQ

A 30-year-old runner has focal tibial pain that begins earlier during each run and now hurts at rest. Examination shows point tenderness over the tibial shaft; radiographs are normal. Which of the following is the most appropriate next step?