What is a possible cause of periostitis?

Periostitis, which refers to the inflammation of the periosteum—the connective tissue that surrounds the bone—can indeed be caused by surface changes that lead to irritation or inflammation. When the periosteum experiences stress or injury, such as from repetitive activities or impacts, it can result in inflammation and discomfort in the area.

Surface changes might include factors such as excessive friction, mechanical stress from overuse, or even underlying conditions that affect how the periosteum interacts with the surrounding structures. Recognizing these changes as a cause of periostitis highlights the importance of understanding the biomechanical and physiological stresses that can lead to injury in athletes and active individuals. Monitoring training loads and ensuring proper techniques can help mitigate these changes and prevent periostitis from developing.

The other choices, though they relate to different types of injuries and conditions, don't directly address the specific inflammation of the periosteum caused by those surface changes. This makes understanding the proper connection vital for recognizing and treating periostitis in a sports massage context.