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Visit 1: Day 1
TMCPresenting Pain
EXAM:Point Tenderness
After 7 daysVisit 2: Day 7
Persistent Point Tenderness?
Return To Duty
After 14 DaysVisit 3 Day 21?
Persistent Point Tenderness?
L/AP Radiographs
After 7 DaysVisit 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
TMCPresenting Pain
EXAM:Point Tenderness
After 7 daysVisit 2: Day 7
Persistent Point Tenderness?
Return To Duty
After 14 DaysVisit 3 Day 21?
Persistent Point Tenderness?
L/AP Radiographs
After 7 DaysVisit 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 ModelFix 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 D2. B vits3. Calcium citrate4. EVOO5. Magnesium6. Green tea?7. Plum extract8. Iron 9. initial Floradix (iron)
bolus?
![STRESS-SINGULARITY AND GENERALIZED FRACTURE ......disappear and the generalized stress-intensity factor assumes the physical dimensions of stress, [F][L] -2 On the other hand, when](https://img.pdfslide.us/doc/110x75/6065d7b211cf5f3d9202a4ef/stress-singularity-and-generalized-fracture-disappear-and-the-generalized.jpg)
