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Prevention and treatment of exercise related leg pain in young soldiers; a review of the literature and current practice in the Dutch Armed Forces
  1. Wes O Zimmermann1,2,
  2. P H Helmhout1 and
  3. A Beutler2
  1. 1Department of Training Medicine and Training Physiology, Royal Dutch Army, Utrecht, The Netherlands
  2. 2University of the Uniformed Services of the Health Sciences (USUHS), Bethesda, Maryland, USA
  1. Correspondence to Lt Col Wes O Zimmermann, Department of Training Medicine and Training Physiology, Royal Dutch Army, Postal address: Stille Steeg West 34, Amersfoort 3823 ZJ, The Netherlands; wo.zimmermann{at}mindef.nl, wesselzimmermann{at}hotmail.com

Abstract

Overuse injuries of the leg are a common problem for young soldiers. This article reviews the literature concerning the prevention and treatment of exercise related leg pain in military settings and presents the latest developments in proposed mechanisms and treatments. Current practice and treatment protocols from the Dutch Armed Forces are reviewed, with an emphasis on the most prevalent conditions of medial tibial stress syndrome and chronic exertional compartment syndrome. The conclusion is that exercise related leg pain in the military is an occupational problem that deserves further study.

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