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1 de 5
Visit 1: Day 1
TMC
Presenting Pain
EXAM:
Point Tenderness
After 7 days
Visit 2: Day 7
Persistent Point
Tenderness?
Return To
Duty
After 14 Days
Visit 3 Day 21?
Persistent Point
Tenderness?
L/AP
Radiographs
After 7 Days
Visit 4 Day 28?
Persistent
Point
Tenderness?
L/AP
Radiographs
Diagnosis
YES
NO
POS
NEG 99T m scan
YES
YES
NO
NO
POS
POS
NEG
NEG
YES
YES
NO
Stress
Fracture
As Is Model
Visit 1: Day 1
TMC
Presenting Pain
EXAM:
Point Tenderness
After 7 days
Visit 2: Day 7
Persistent Point
Tenderness?
Return To
Duty
After 14 Days
Visit 3 Day 21?
Persistent Point
Tenderness?
L/AP
Radiographs
After 7 Days
Visit 4 Day 28?
Persistent
Point
Tenderness?
L/AP
Radiographs
Diagnosis
YES
NO
POS
NEG 99T m scan
YES
YES
NO
NO
POS
POS
NEG
NEG
YES
YES
NO
Stress Fracture To Be Model
Fix Forward Early
Where do this?
SF Screen/Test Options
a. Diet questionnaire
b. QUS heel scan
c. Iron 1st screen (TBD)
d. Vit D screen
e. Fitness test
f. Quad-ham muscle imbalance
(see Sportsmetrics)
g. Menstrual Hx
Where issue this?
SF Therapuetic Bar
1. Vit D
2. B vits
3. Calcium citrate
4. EVOO
5. Magnesium
6. Green tea?
7. Plum extract
8. Iron
9. initial Floradix (iron)
bolus?
Stress fracture 2a
Stress fracture 2a
Stress fracture 2a

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Stress fracture 2a

  • 1. Visit 1: Day 1 TMC Presenting Pain EXAM: Point Tenderness After 7 days Visit 2: Day 7 Persistent Point Tenderness? Return To Duty After 14 Days Visit 3 Day 21? Persistent Point Tenderness? L/AP Radiographs After 7 Days Visit 4 Day 28? Persistent Point Tenderness? L/AP Radiographs Diagnosis YES NO POS NEG 99T m scan YES YES NO NO POS POS NEG NEG YES YES NO Stress Fracture As Is Model
  • 2. Visit 1: Day 1 TMC Presenting Pain EXAM: Point Tenderness After 7 days Visit 2: Day 7 Persistent Point Tenderness? Return To Duty After 14 Days Visit 3 Day 21? Persistent Point Tenderness? L/AP Radiographs After 7 Days Visit 4 Day 28? Persistent Point Tenderness? L/AP Radiographs Diagnosis YES NO POS NEG 99T m scan YES YES NO NO POS POS NEG NEG YES YES NO Stress Fracture To Be Model Fix Forward Early Where do this? SF Screen/Test Options a. Diet questionnaire b. QUS heel scan c. Iron 1st screen (TBD) d. Vit D screen e. Fitness test f. Quad-ham muscle imbalance (see Sportsmetrics) g. Menstrual Hx Where issue this? SF Therapuetic Bar 1. Vit D 2. B vits 3. Calcium citrate 4. EVOO 5. Magnesium 6. Green tea? 7. Plum extract 8. Iron 9. initial Floradix (iron) bolus?