Medial Tibial Stress SyndromeMedial Tibial Stress Syndrome / Shin SplintsMedial shin pain, Medial Tibial Stress Syndrome, previously known as “shin splints” is one of the most common overuse injuries in active people. The pain will initially usually appear after activity and is aggravated by repetitive activities such as walking, running or jumping. Contributing factors include: excessive pronation (flat feet), calf tightness, worn out or improper sporting footwear and training on uneven surfaces. |  |
Pain over the posteromedial border of the Tibia bone can be the result of inflammation of the bone, periostitis or a stress fracture. The differential diagnosis is based on your clinical evaluation where the location, the size of the tender zone of bone, percussion testing and hop testing are all assessed and taken into account. Critically, the treatment varies according to whether you have periostitis or a stress fracture.
Treatment Options Include
- Load management
- Training load review
- Gait evaluation
- Footwear recommendation
- Home strengthening and stretching program
- Orthotics