Periostitis

Periostitis is either a stress injury from dilation, congestion, edema of the periosteum and its vessels or subperiosteal hemorrhage with hematoma organization, periosteal hyperplasia and inflammatory changes, or an infectious periosteal injury from pyogenic bacteria. 1) Pitting edema occurs at the painful site in about half of patients. 2) Tenderness: about 1/3 have tenderness at the medial border of the lower 1/3 of the tibia (or its posterior aspect) and anterior cortex; about 1/4 at the upper 1/3 cortex; some have scattered tenderness of varying severity, with palpable bony hyperplasia. 3) Push-off pain: pain when the patient pushes off on tiptoe (but often not against resistance).

Common Symptoms

Lateral foot pain; nodular wrist prominence; bone spindle; bone pain; hypertrophic periostitis; pain on extending the arm and shaking hands; diffuse periosteal thickening; pitting edema of the ankle

Causes

1. Little usual exercise and poor coordination, sudden increase in running and jumping with poor technique on hard surfaces over long periods; repeated forceful push-off keeps calf muscles tense, constantly pulling and tearing the tibiofibular periosteum, with dilation, congestion, edema or subperiosteal hemorrhage, hematoma organization, periosteal hyperplasia and inflammatory change. 2. Post-traumatic pyogenic bacterial infection.

Treatment

Supportive treatment, rehabilitation therapy, physical therapy

Prevention

Prevention is important; exercise the back, avoid wind-cold-dampness, balance work and rest, and eat reasonably. Begin prevention at school, home and pre-work training; learn correct posture and use labor protection to prevent lumbar disc degeneration. 1. Regular health checks for congenital or idiopathic spinal deformity; protect the lower back in athletes and acrobats. 2. Correct posture; avoid prolonged sitting or standing. 3. Strengthen muscles: strong back muscles prevent soft-tissue injury; abdominal and intercostal muscles increase intra-abdominal and intrathoracic pressure, reducing lumbar load; swimming helps. 4. Use a hard flat bed with a thin soft pad; sleep is important, and too-soft a mattress cannot maintain the normal spinal curvature, so a 10 cm soft pad on a board is best. 5. Avoid excess weight. 6. Keep warm.

Recommended Department

It is recommended to visit the orthopedic surgery department; before the visit you may first book an appointment and connect with experts through this platform.

Warm reminder: The above information is provided for health education reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek care at a regular hospital in time.