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 anti-inflammatory 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
Ortho Info—American Academy of Orthopaedic Surgeons http://www.orthoinfo.org
Sports Med—The American Orthopaedic Society for Sports Medicine http://www.sportsmed.org
Canadian Orthopaedic Association http://www.coa-aco.org
Canadian Orthopaedic Foundation http://www.canorth.org
Conquering medial tibial stress syndrome. Podiatry Today website. Available at: http://www.podiatrytoday.com/article/5031. Accessed December 12, 2014.
Cosca DD, Navazio F. Common problems in endurance athletes. Am Fam Physician. 2007;76(2):237-244.
Craig DI. Medial tibial stress syndrome: evidence based- prevention. J Athl Train. 2008;43(3):316–318.
Running and jogging injuries. American Orthopaedic Society for Sports Medicine website. Available at: http://www.sportsmed.org/downloads/tips/AOSSM%5FRunning%20and%20Jogging%20Injuries.pdf. Updated December 12, 2014.
Shin splints. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated November 3, 2012. Accessed December 12, 2014.
Shin splints. The Merck Manual Professional Edition website. Available at: http://www.merckmanuals.com/professional/injuries%5Fpoisoning/sports%5Finjury/shin%5Fsplints.html. Updated October 2014. Accessed December 12, 2014.
- Reviewer: Michael Woods, MD
- Review Date: 12/2014 -
- Update Date: 12/20/2014 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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