Medial tibial stress syndrome (MTSS), commonly known as “shin splints,” is a condition characterised by pain along the inner edge of the shinbone (tibia). It often occurs in athletes, particularly runners and dancers, and is typically caused by repetitive stress on the shinbone and surrounding tissues.
MTSS can result from various factors, including:
Overuse
Increased training intensity or volume without adequate rest.
Improper Footwear
Wearing shoes that do not provide proper support.
Biomechanical Issues
Less common but can also cause infections.
Hard Surfaces
Running or exercising on hard surfaces can increase impact stress.
MTSS is typically diagnosed through a physical examination and a review of symptoms. In some cases, imaging tests like X-rays or MRIs may be conducted to rule out other conditions, such as stress fractures.
Treatment for MTSS generally includes:
Reducing or stopping activities that cause pain.
Applying ice to the affected area to reduce pain and swelling.
Using proper shoes with adequate support and cushioning.
Custom shoe inserts may help correct biomechanical issues.
Slowly increasing activity levels as pain allows, often incorporating low-impact exercises.
Strengthening and stretching exercises to improve flexibility and support.
To prevent MTSS, it’s essential to:
If symptoms persist or worsen, it’s advisable to consult a healthcare professional for further evaluation and treatment.
Here are some frequently asked questions about medial tibial stress syndrome (MTSS):
MTSS is primarily caused by repetitive stress on the shinbone and surrounding tissues, often due to overuse, improper footwear, biomechanical issues (like flat feet or abnormal gait), and exercising on hard surfaces.
Symptoms typically include pain along the inner edge of the shin, tenderness, swelling, and discomfort that worsens with activity but may improve with rest.
MTSS is diagnosed through a physical examination and a review of symptoms. Doctors may also use imaging tests like X-rays or MRIs to rule out other conditions, such as stress fractures.
Treatment usually includes rest, ice, proper footwear, orthotics, gradual return to activity, and physical therapy to strengthen and stretch the affected muscles.
Recovery time varies depending on the severity of the condition and adherence to treatment. It can take a few weeks to several months for symptoms to fully resolve.
t’s important to avoid activities that cause pain. Low-impact exercises, such as swimming or cycling, may be suitable, but always consult a healthcare professional for guidance.
Preventative measures include gradually increasing training intensity, wearing appropriate footwear, incorporating rest days, and strengthening lower leg muscles.
Yes, athletes who engage in high-impact activities like running or dancing, as well as individuals with specific biomechanical issues (e.g., flat feet), are more likely to develop MTSS.
No, while both conditions involve pain in the shin area, MTSS involves inflammation of the muscles and tendons, whereas a stress fracture is a small crack in the bone. Imaging tests can help differentiate between the two.
You should see a healthcare professional if symptoms persist despite home treatment, worsen over time, or are accompanied by severe pain or swelling.
