Ella is a 20-year old elite football player who comes to your clinic complaining of left leg pain. The pain has gradually developed over the last two months during training with no specific preceding injury. It is only present during all football training and resolves with rest. To date, she has been able to complete all of her sessions. Ella denies any night-time pain and states that it is not present when she does her cross-training swim twice per week. She does not report any sensory or motor disturbance. As she gives her history, Ella points to the specific painful area at the anterior aspect of her lower left shin.
Which of the following features in the history is suggestive of a stress fracture?
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Pain which improves throughout the exercise period
Bilateral pain
Recent history of a decrease in training intensity
Focal pain
