Medial Tibial Stress Syndrome
(MTSS; Shin Splints; Medial Distal Tibial Syndrome, MDTS; Medial Tibial Syndrome; Stress-Related Anterior Lower Leg Pain; Spike Soreness)
|Muscle and Bones of Lower Leg|
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- Acute inflammation of structures in the calf
- Chronic compartment syndrome
- Chronic trauma to structures in the calf
Participation in repetitive, high-impact sports
- Racquet sports
- Military recruits
- Female runners with amenorrhea (absent menstruation) and osteoporosis
- Pronation of feet (feet turn inwards), or other leg or foot abnormalities
- Poor (hard) running surfaces
- Poor footwear
- Overtraining or recent increase in workout or miles run
- Heel cord tightness
- Shin pain at a very specific point
- Pain when running which gets more severe with continued exercise
- Pain when bearing weight on the leg
- Pain after changing workout intensity or running surface
- Symptoms may not go away with rest
- Nonsteroidal antiinflammatory drugs (NSAIDs)
- Crutches may be given for severe pain
- Arch supports and shock-absorbing insoles may be recommended
- When you feel better, slowly return to normal activities. Increase your activity level slowly over several weeks.
- Wear shock-absorbing insoles when running or during other high-impact exercise.
- Stretch before and after exercising.
- When starting a new sport or increasing your workout, do so gradually.
- Choose footwear that is best for the activity and your foot.
- Cross train
American Academy of Orthopaedic Surgeons http://www.aaos.org
The American Orthopaedic Society for Sports Medicine http://www.sportsmed.org
American Physical Therapists Association http://www.apta.org
Canadian Medical Association http://www.cma.ca/
Canadian Orthopaedic Association http://www.coa-aco.org/
Canadian Orthopaedic Foundation http://www.canorth.org/
AOSSM sports tips. AOSSM website. Available at: http://www.sportsmed.org/secure/reveal/admin/uploads/documents/ST%20Running%20and%20Jogging%2008.pdf . Accessed November 13, 2008.
Conquering medial tibial stress syndrome. Podiatry Today website. Available at: http://www.podiatrytoday.com/article/5031 . Accessed November 13, 2008.
Cosca DD, Navazio F. Common Problems in Endurance Athletes. American Family Physician —Volume 76, Issue 2 (July 2007).
Craig DI. Medial tibial stress syndrome: evidence based- prevention. Journal of Athletic Training . 2008;43(3):316–318.
Shin splints. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated April 27, 2009. Accessed June 11, 2009.
Shin splints. Mayo Clinic website. Available at: http://www.mayoclinic.com/health/shin-splints/DS00271 . Accessed November 13, 2008.
- Reviewer: John C. Keel, MD
- Review Date: 12/2012 -
- Update Date: 12/03/2012 -