Medial Tibial Stress Syndrome (MTSS) is more commonly known as “shin splints”; a common cause of shin pain especially among athletes. MTSS is a stress reaction of the bony and soft tissues of the lower leg that occurs with chronic or repetitive loading, abnormal strain, and bending of the tibia. These abnormal and repetitive loads produce a stress reaction due to the fact that they are applied more quickly or frequently than the tissues are able to tolerate. As a result, a spectrum of injuries including tendonopathy (degeneration and inflammation of the tendons) and periostitis (inflammation of the superficial aspect of the bone) occur and cause aching point tenderness, and sometimes swelling at the shin. MTSS, when chronic, can lead to tibial stress fracture.
Active Release Techniques can be beneficial in repairing adhesed tissues in the anterior leg. Intramuscular stimulation (IMS) or regular acupuncture can help speed the healing process. Orthotics, changes in footwear, and changes to gait can also help prevent the injury from returning. Our physiotherapist and chiropractors have successfully treated many cases of shin splints using these techniques.