Medial tibial stress syndrome (MTSS) or ‘shin splints’ is a common overuse injury that podiatrists are likely to encounter in clinical practice regularly. Medial Tibial Stress Syndrome is reportedly responsible for 6-16% of running injuries.

Medial tibial stress syndrome

Generally, patients with MTSS present with complaints of diffuse pain and tenderness of the middle, distal one-third or most frequently, the junction between the middle and distal posteromedial tibia. Medial Tibial Stress Syndrome is believed to be caused by chronic strain, overuse, and microtrauma of the soleus muscle at its origin on the inside of the tibia (posteromedial tibia), or deep inflammation of the periosteum, which is the connective tissue that covers the bone, of the tibia beneath the posterior tibialis muscle.

MTSS Signs & Symptoms

People suffering from MTSS will feel diffuse pain on the inner border of the shin during and following exercise. It is important to distinguish MTSS from other conditions such as Chronic Exertional Compartment Syndrome, Nerve Entrapment, Deep Vein Thrombosis, Muscular Strain or a Tibial Stress Fracture. A thorough history taking and physical examination is usually adequate to confirm the diagnosis however, in some cases medical imaging could be required.

Risk factors

  • Excessive pronation of the feet
  • Increased body mass index
  • Unsupportive, poor or worn out footwear
  • Training on hard surfaces
  • Sudden increase in physical activity
  • Tight calf muscles
  • Weakness of core muscles

How can we help?

Do you think you might be experiencing Medial Tibial Stress Syndrome? MTSS is a condition that responds well to conservative treatment, if treated early. Gen Physio provides professional in-home Podiatry services in the community. There is no need to worry about travelling to the clinics with your leg or foot pain as our podiatrists are mobile and come to you. Contact us today to make an appointment and to experience the Gen Physio difference!

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