Case Studies
Medial Tibial Stress Syndrome
Practitioner: Rebecca Gifford, Podiatrist
Practice: PodiatryMed, Christchurch, New Zealand
Patient: Netball player in her 20's
Medial tibial stress syndrome (MTSS), often referred to as "shin splints" is a frequent overuse lower extremity injury, characterised usually by exercise induced pain along the posteromedial aspect of the distal two thirds of the tibia. "Shin splints" is a general term to describe a number of different potential pathologies. There are several predisposing factors for MTSS; having a poor technique, improper warmup routine, increasing training schedules before being ready to do, or high impact sports contribute as does training on hard surfaces or uneven terrain. A previous leg injury may increase risk of issues. Biomechanical factors can contribute in addition to footwear suitability and design for the activity being undertaken.
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