The Three-Phase Bone Scan and Exercise Induced Lower-Leg Pain

Abstract

The three-phase bone scan is finding increasing utility in acute and chronic pain syndromes in sports medicine settings. This useful technique may have significant clinical application in assessing the increasing numbers of patients with exercise induced lower leg or medial tibial pain. The authors present a case of exertional lower leg pain or medial tibial pain in which three-phase bone imaging exhibited a dramatic increase in early flow after a simple derived exercise stress. The three-phase bone scan should play a key role in the assessment of exercise pain, and may be enhanced by the addition of simple exercise intervention.

Clinical review of patients treated for atypical claudication: a 28-year experience

“…Medial tibial syndrome is the least common cause of atypical claudication. 3,[15][16][17][18] Chronic posterior medial tibial bone pain is characteristic, and may coexist with plantar paresthesia and posterior distal flexor muscle cramping in the lower third of the leg. The differential diagnosis includes myotendinitis, stress fracture or periostitis, and distal deep posterior compartment syndrome.…”