MTSS

Medial Tibial Stress Syndrome (MTSS), commonly known as shin splints, is a condition characterized by pain along the inner edge of the shinbone (tibia). MTSS is a common issue among athletes, particularly those involved in high-impact sports such as running, basketball, and soccer. The condition is considered an overuse injury, resulting from repetitive stress and strain on the shinbone and the tissues attaching the shinbone to the muscles surrounding it.

Causes

The exact cause of MTSS is not fully understood, but it is believed to be related to a combination of factors including:

• Overuse or sudden increase in physical activity
• Improper training techniques or inadequate footwear
• Biomechanical irregularities, such as flat feet or overpronation
• Muscle imbalance, particularly weak or tight calf muscles

Symptoms

Symptoms of MTSS include:

• Tenderness, soreness, or pain along the inner part of the lower leg
• Swelling in the affected area
• Pain that begins with exercise and often lessens with rest
• In severe cases, pain may continue after exercise or even at rest

Diagnosis

Diagnosis of MTSS is primarily based on the patient's medical history and a physical examination. Imaging tests, such as X-rays or MRI, may be used to rule out other conditions, such as stress fractures.

Treatment

Treatment for MTSS typically involves:

• Rest and avoidance of activities that cause pain
• Ice application to reduce pain and swelling
• Over-the-counter pain relievers
• Stretching and strengthening exercises for the lower leg muscles
• Use of proper footwear and orthotics to correct biomechanical issues

Prevention

Preventive measures for MTSS include:

• Gradually increasing the intensity and duration of physical activity
• Wearing appropriate footwear
• Incorporating strength training and flexibility exercises into regular training routines
• Ensuring proper form and technique in sports and physical activities

See Also

• Stress fracture
• Overuse injury
• Running injuries