Commonly referred to as ‘shin splints’, Medial Tibial Stress Syndrome (MTSS) refers to inflammation occurring where a tendon or muscle attaches to a bone.
How does it happen?
MTSS usually results from overuse or training errors such as a sudden increase in training loads (“too much, too soon”). Tendons and muscles attach to bone via a layer of connecting tissue overlying the bone. This tissue is called the periosteum. When muscles contract, they pull on their tendons which, in turn, pull on the periosteum overlying the bone.
With overuse, sudden increases in training loads, poor biomechanics or excessive muscle tightness, this pulling can damage the periosteum. This results in an inflammatory response as the body attempts to repair the damage. Consequently, medial tibial traction periostitis is inflammation (-itis) where a tendon attaches to the periosteum (periost-) along the inside (medial) part of the tibia as a result of traction.
How does it feel?
MTSS is typically felt as pain along the inside border of the shin bone (tibia). It is usually painful as you begin exercising; however, as the area begins to warm up the pain may subside. Following exercise, your pain may gradually return as inflammation takes place. The area of tenderness may be painful to touch and you may feel thickened areas or bands of tissue adjacent to the tibia.
What should you do?
MTSS generally does not settle on its own if the cause is not addressed and you continue to exercise. If you have or suspect you have medial tibial traction periostitis, you should consult your nearest sports medicine professional.
What shouldn’t you do?
If you have shin soreness, you shouldn’t ignore the problem. Your pain may get better as you exercise; however, the exercise you are doing may be causing further damage. This can lead to your injury getting worse such that your pain does not ‘warm up’ and you feel it throughout an entire exercise session.
Could there be any long-term effects?
Medial tibial traction periostitis does not produce any long-term effects, as long as it is properly diagnosed and appropriately treated. However, the condition can recur unless causative factors are not addressed. Possibly, MTSS can lead to a stress fracture.
Management
The assistance of a sports medicine professional is important in the treatment of MTSS. Initially, they can assist in diagnosing the problem and establishing its severity. From this, an appropriate treatment plan will be developed.
This may involve initial activity modification, soft tissue treatment such as massage and stretching, and the correction of biomechanical abnormalities using foot orthoses. The sports medicine professional will also be able to assess and determine why you developed medial tibial traction periostitis and address this during your recovery to prevent a re-occurrence when you return to full participation.
I highly recommend Caitlin. I saw her after suffering knee pain for an extended period of time, and had become very severe over the last 12 months. I had had X-rays and physio with no improvement. I had a very thorough examination with Caitlin several months ago. She diagnosed an issue with my feet. Orthotics and exercises have now almost eliminated the pain, and it continues to improve. Some days now are completely pain free. Caitlin is very knowledgeable and was confident in her assessment and diagnosis. I did not realise that feet could affect the rest of your body so much. I am extremely happy with the outcome.
Highly recommend Ben at Sports & Family Podiatry. I had been struggling with knee pain for a while. Ben picked up the problem straight away and with the help of my health fund, I got some very affordable orthotics made and my knee has never been better!
Fanatic service. Highly knowledgeable and patient. Had foot pain preventing me from running . With some changes made over a few weeks after my initial consultation I was able to complete my goal of a half marathon.
Excellent outcome! 3years of foot pain sorted in 3 months & now working on overall foot, leg strength for long term, pain free mobility. Highly recommend Ben & the network of providers @ Clem Jones centre
My GP referred me to Ben after many years of treatment for a myriad of lower body ailments. Ben was wonderful and blended art and science to help me find significant improvement to my pain and discomfort. My only regret is not finding him sooner! Thank you.
Dr Sweeting went above and beyond for me every appointment. After 3 years of dealing with an injury, multiple doctors, I was finally able have results and am now on the mend! Couldn't reccomend Ben any more highly!
Great service, knowledgeable, and a great outcome for my feet. Thanks again, now I can tell my story walking, happy feet, highly recommend Ben and the team.
We were so pleased to find Ben! His assessment of my daughter for orthotics was extremely thorough and included diagnostic equipment and software for biomechanics. His explanation of his findings and treatment plan was clear and meaningful. Ben’s caring, friendly and professional approach combined with his expertise ensured we felt comfortable and informed throughout the entire process. We would highly recommend Ben to anyone looking for an exceptionally skilled and caring podiatrist.
My experience at Sports & Family Podiatry was excellent. Ben really listened, took his time, and was friendly and professional. I’d definitely recommend Ben and his clinic.
Ben is possibly the best medical practitioner I’ve ever worked with and probably the best podiatrist I’ve ever seen. Ben is very thorough, very supportive and very understanding. He tailors his treatment and exercises to suit the client. He has a calm and considered approach and doesn’t rush through his appointments. Ben is focused on a long term outcome, not just a short term fix. I appreciate that. Thanks Ben.
I saw Dr Sweeting for an initial consultation a couple of weeks ago after experiencing heel pain. I attended the clinic after reading all of the positive reviews. I was very impressed with Ben's level of knowledge, professionalism and approachability. Ben was spot on with his initial diagnosis (confirmed by subsequent ultrasound). I have also appreciated being able to contact him outside of consultation times to confirm treatment / exercises, plus how he sends an email post consultation to confirm what was discussed. Ben has also been welcoming of having my young children attend the clinic. I have already recommended the clinic to friends. The clinic itself is also very nice!
Fabulous podiatrist who has always gone above and beyond to assist with my many foot issues. Often fits me in when there is an urgent issues even when he has not time and it’s outside hours. Ben’s knowledge of foot issues is extensive and he always try’s to find ways to keep me moving and offer a range of options. Ben explains things very well and is very supportive and reassuring when there are significant issues to be addressed. Cant’t speak more highly of Ben’s approach and knowledge.
I came to Sports & Family Podiatry due to shin pain when running. After diagnosing a dreaded bone stress reaction and evaluating my running form, Ben developed an active recovery plan for me. His approach allowed me to maintain (some) running, accompanied by custom orthotics, cross-training, stretching, and strength work. Ben discussed and adjusted the plan at every consult based on my progress, and I now feel stronger in my running and confident this injury won't reoccur. Thanks Ben!
I am very thankful for my experience with Ben. He is very knowledgable, attentive and friendly and has really helped my running recovery - even only over just a few sessions. Thank you so much!
Refreshing to be treated by a health professional who digs deep to find the problem and create solutions for your wellbeing and recovery. Initial appointment included extensive assessment and advice for treatment with exercises provided by email video link alongside summary of appointment. Highly recommend Ben!
Ben was incredibly patient and honest with us when looking at how our toddler hip to knee to foot are developing. I would highly recommend Sports and Family Podiatry for children's podiatry.
I have severe inflammatory issues and psoriatic arthritis which affect both my feet and achilles tendons bilaterally. I've been seeing Ben for just over a year and he has helped tremendously. My pain levels have decreased enough for me to lead a fairly normal life now. I'd recommend Ben - he's not only (obviously) extremely knowledgeable, but he's also very compassionate and caring. I've never felt rushed and he's listened to me complain about more than just my feet!
Dr. Benjamin offered a highly professional experience at his new clinic. His expertise in foot health and proactive approach to addressing my concerns were impressive. I appreciated the personalized recommendations he provided for alleviating my foot pain. Excellent service overall.
Can't stress enough how great the service is from these guys and Ben is amazing in the level of service he offers. I have had issues for years and after 1 week I can see a huge improvement.
The most professional, knowledgeable & caring podiatrist in Brisbane! Helped my kids with school shoe insoles & sports performance insoles and exercises. Highly recommend.
Ben's been fantastic in helping the whole family with everything from feet, knees and hips. Ben is extremely knowledgeable, friendly and gives his full attention.
Could not recommend Ben enough.Pain and discomfort I was dealing with daily has almost gone all together. Amazed with the progress made in the time I have been seeing him.
I was very happy with the professional treatment and clinical skills of Ben at Sports & Family Podiatry. The clinic is very inviting and staff are polite and helpful. I would strongly recommend this clinic to others as I am a very lucky patient to have found this clinic. Dave
Ben Sweeting is an exceptional podiatrist whose expertise and care is leagues above. The practice has all the equipment and technology needed. With a compassionate approach, he attentively addresses patients' needs, providing thorough assessments and personalised treatment plans. Ben’s professionalism and commitment to excellence makes him a standout choice for anyone seeking a top-tier podiatrist.
Ben takes the time to get to know your needs, and has great attention to detail. I walked out of his clinic feeling refreshed, like someone had actually taken the time to tailor a solution to my specific problem. Would refer him and his practice to anyone. Thanks Ben!!
Orthotics can help alleviate shin splint pain by providing proper arch support and alignment, which reduces strain on the lower legs. They are particularly beneficial for individuals with flat feet or high arches, helping to distribute pressure more evenly during physical activities.
Can running on hard surfaces cause medial tibial stress syndrome?
Running on hard surfaces can indeed contribute to medial tibial stress syndrome (MTSS). The repetitive impact on rigid ground can increase stress on the shin bone, leading to inflammation and pain associated with shin splints.
What are the symptoms of medial tibial stress syndrome?
The symptoms of medial tibial stress syndrome include pain along the inner edge of the shinbone, tenderness, swelling, and discomfort that worsens during physical activities like running or jumping.
How do I prevent medial tibial stress syndrome?
Preventing medial tibial stress syndrome involves several key strategies: gradually increase your activity level, wear appropriate footwear, maintain proper running form, and incorporate strength training and flexibility exercises into your routine.
How is medial tibial stress syndrome diagnosed?
The diagnosis of medial tibial stress syndrome involves a thorough evaluation by a healthcare professional, including a physical examination, assessment of symptoms, and review of the patient's activity history to rule out other conditions.
Can shin splints be treated with ice and rest?
Shin splints can indeed be treated with ice and rest. Applying ice helps reduce inflammation, while rest allows the affected tissues to heal, making these methods effective in managing symptoms of Medial Tibial Stress Syndrome.
How do shin splints differ from normal shin pain?
Shin splints, or Medial Tibial Stress Syndrome (MTSS), differ from normal shin pain in that they are specifically caused by repetitive stress on the shinbone and surrounding tissues, often leading to inflammation, while normal shin pain can arise from various non-specific factors.
Can shin splints lead to more serious injuries?
Shin splints can lead to more serious injuries if not properly managed. Ignoring the symptoms may result in conditions such as stress fractures or tendonitis, which can significantly hinder mobility and athletic performance.
Are shin splints more common in certain sports?
Shin splints are indeed more common in certain sports, particularly those involving high-impact activities like running, basketball, and soccer. These sports often require repetitive stress on the lower legs, increasing the risk of developing Medial Tibial Stress Syndrome.
What causes sore shins in runners and athletes?
Sore shins in runners and athletes are commonly caused by overuse, improper footwear, running on hard surfaces, and inadequate conditioning. These factors can lead to conditions like Medial Tibial Stress Syndrome, resulting in pain and discomfort.
How long does it take to recover from medial tibial stress syndrome?
The recovery time from medial tibial stress syndrome can vary, but typically it takes anywhere from a few weeks to several months, depending on the severity of the condition and adherence to treatment protocols.
How to prevent shin splints from occurring?
Preventing shin splints involves several key strategies: gradually increase your activity level, wear appropriate footwear, maintain proper running form, incorporate strength training, and ensure adequate rest and recovery.
What is the difference between shin splints and stress fractures?
The difference between shin splints and stress fractures lies in their nature: shin splints involve pain along the shin due to overuse and inflammation, while stress fractures are small cracks in the bone caused by repetitive strain.
Can shin splints be prevented with proper footwear?
Proper footwear can help prevent shin splints. Choosing shoes that provide adequate support, cushioning, and stability for your specific foot type and activity level is essential in reducing the risk of developing this condition.
What are the symptoms of shin splints in athletes?
The symptoms of shin splints in athletes include pain along the inner part of the lower leg, tenderness, swelling, and discomfort that worsens with physical activity. These signs often improve with rest but can return with continued exertion.
How long does it take to recover from shin splints?
The recovery time from shin splints can vary, but generally, it takes about 3 to 6 weeks with appropriate rest and treatment. Consulting a healthcare professional can help tailor a recovery plan for optimal healing.
What are the symptoms of sore shins in runners?
The symptoms of sore shins in runners include tenderness along the inner shin, pain during or after running, swelling, and discomfort that worsens with activity. These signs may indicate Medial Tibial Stress Syndrome (MTSS).
Is medial tibial stress syndrome common in soccer players?
Medial tibial stress syndrome is indeed common among soccer players. The repetitive impact and stress from running and sudden changes in direction can increase the risk of developing this condition.
Can medial tibial stress syndrome lead to shin splints?
Medial tibial stress syndrome (MTSS) is a primary cause of shin splints. Therefore, if you have MTSS, it can indeed lead to the development of shin splints due to the stress placed on the shinbone and surrounding tissues.
What exercises can help prevent shin splints?
Exercises that can help prevent shin splints include calf raises, toe taps, and ankle circles, which strengthen the lower leg muscles and improve flexibility. Additionally, incorporating proper warm-ups and cool-downs can further reduce the risk of developing shin splints.
What is medial tibial stress syndrome in runners?
Medial tibial stress syndrome in runners is a common overuse injury characterised by pain along the inner edge of the shinbone, often resulting from repetitive stress on the lower leg during running activities.
What are the common causes of shin splints in runners?
The common causes of shin splints in runners include overuse, improper footwear, running on hard surfaces, and biomechanical issues such as flat feet or high arches. These factors can lead to stress on the shinbone and surrounding tissues.
What causes medial tibial stress syndrome in athletes?
The causes of medial tibial stress syndrome in athletes include repetitive stress on the shinbone from high-impact activities, improper footwear, training errors, and biomechanical issues such as flat feet or overpronation.
What footwear is best for shin splints?
The best footwear for shin splints provides adequate cushioning and support. Look for running shoes with shock absorption, a firm heel counter, and a comfortable fit to help alleviate pressure on your shins during physical activity.
How can stretching help shin splint recovery?
Stretching can significantly aid shin splint recovery by improving flexibility in the calf and shin muscles, reducing tension, and promoting blood flow to the affected area. This helps alleviate pain and supports the healing process.
What role does running technique play in shin splints?
The role of running technique in shin splints is significant. Poor form can increase stress on the shinbone and surrounding tissues, leading to pain and injury. Proper biomechanics, including foot strike and posture, can help prevent MTSS.
Are there specific exercises for shin splint prevention?
Specific exercises for shin splint prevention include calf raises, toe taps, and ankle circles, which strengthen the lower leg muscles and improve flexibility. Incorporating these into your routine can help reduce the risk of developing Medial Tibial Stress Syndrome.
How does weight impact shin splint severity?
Weight can significantly impact shin splint severity. Increased body weight places additional stress on the lower legs, which can exacerbate the condition and lead to more intense pain and longer recovery times.
What are effective treatments for shin splints?
Effective treatments for shin splints include rest, ice application, over-the-counter pain relievers, stretching and strengthening exercises, and proper footwear. Consulting a sports medicine professional is essential for tailored management and recovery strategies.
Can shin splints affect performance in athletes?
Shin splints can significantly affect performance in athletes. The pain and discomfort associated with Medial Tibial Stress Syndrome can lead to reduced training intensity and duration, ultimately hindering athletic performance and recovery.
Medial Tibial Stress Syndrome (MTSS), commonly known as shin splints, is a prevalent condition among athletes and active individuals. It occurs due to inflammation at the site where muscles and tendons attach to the tibia, often resulting from overuse or inadequate training adjustments. Recognizing the symptoms early can lead to effective management and prevention strategies.
Common symptoms of MTSS include pain along the inner edge of the shinbone, which typically worsens during physical activity. Understanding the underlying causes, such as sudden increases in exercise intensity or poor biomechanics, is essential for developing a comprehensive treatment plan that addresses both the symptoms and root causes of the condition.
Causes and Risk Factors of Shin Splints
Several factors contribute to the development of shin splints, primarily related to training practices and biomechanics. Overtraining, improper footwear, and inadequate warm-up or cool-down routines can increase the risk of developing MTSS. Additionally, individuals with flat feet or high arches may be more susceptible due to the strain placed on their muscles and tendons.
Environmental factors, such as running on hard surfaces or uneven terrain, can exacerbate the condition. Understanding these risk factors is crucial for athletes and active individuals to modify their training regimens and prevent the onset of shin splints.
Symptoms of Medial Tibial Stress Syndrome
The symptoms of Medial Tibial Stress Syndrome typically manifest as a dull ache along the inner part of the lower leg, particularly during physical activities like running or jumping. Initially, the pain may subside during the activity but often returns post-exercise, indicating inflammation and irritation of the periosteum.
In more severe cases, the pain can persist even during rest, signaling a need for immediate attention. Recognizing these symptoms early can lead to timely intervention and prevent further complications, such as stress fractures, that can arise from untreated MTSS.
Management and Treatment Options
Effective management of medial tibial stress syndrome involves a multifaceted approach tailored to the individual’s specific needs. Initial treatment often includes rest and activity modification to reduce strain on the affected area. Incorporating soft tissue treatments, such as massage and stretching, can alleviate tension and promote healing.
In addition to conservative treatments, addressing biomechanical issues through custom orthotics or footwear modifications can significantly improve outcomes. A comprehensive treatment plan developed in consultation with a sports medicine professional is essential for ensuring a safe return to activity and preventing recurrence.
