Periostitis is an inflammation of the periosteum, which is a thin layer of tissue that covers bones. It is a common condition that affects athletes, especially runners, and people who put a lot of stress on their bones. Periostitis can cause pain, swelling, and tenderness in the affected area. Fortunately, there are several ways to treat periostitis and prevent it from recurring.

Rest and Ice

The first step in treating periostitis is to rest the affected area. Avoid any activities that cause pain or discomfort. During the first 48-72 hours, apply ice to the affected area for 15-20 minutes at a time, several times a day. This will help reduce pain and inflammation.

Compression and Elevation

In addition to rest and ice, it is also important to compress and elevate the affected area. Compression can be achieved by wrapping the area with a compression bandage or wearing compression stockings. Elevation entails keeping the affected area elevated above the level of your heart, which will help reduce swelling.

Nonsteroidal Anti-inflammatory Drugs (NSAIDs)

Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxen, and aspirin can help alleviate pain and inflammation associated with periostitis. However, prolonged use of NSAIDs can cause side effects such as stomach ulcers and liver damage, so it is important to use them as directed by your doctor.

Physical Therapy

Physical therapy can help relieve pain and prevent recurrence of periostitis. A physical therapist can prescribe exercises and stretches to strengthen the muscles around the affected area and improve flexibility. They can also use techniques such as massage and ultrasound therapy to reduce pain and inflammation.

Orthotics

Orthotics are shoe inserts that can help prevent or treat periostitis. They can help correct any foot or gait abnormalities that may be contributing to the condition. Your doctor or physical therapist can recommend the appropriate type of orthotics for your needs.

Surgery

In severe cases of periostitis, surgery may be necessary. Surgery may involve removing the inflamed periosteum or correcting any underlying bone abnormalities. However, surgery is generally only considered after other treatments have failed.

Prevention

Taking steps to prevent periostitis is always preferable to treating it. Here are some steps you can take to prevent periostitis:

– Warm up and cool down properly before and after physical activity.
– Wear appropriate shoes and replace them when they become worn.
– Gradually increase the intensity and duration of physical activity to allow your body to adjust.
– Cross-train to reduce stress on specific areas of the body.
– Stretch regularly to maintain flexibility.
– Rest when you feel pain or discomfort.

In conclusion, periostitis is a common condition that can cause pain, swelling, and tenderness in the affected area. Treating periostitis usually involves rest, ice, compression, elevation, NSAIDs, physical therapy, orthotics, and, in severe cases, surgery. It is always better to take steps to prevent periostitis, such as warming up properly, wearing appropriate shoes, increasing physical activity gradually, and resting when necessary. If you experience pain or discomfort that persists despite rest and home remedies, it is important to seek medical attention.

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