Understanding Shin Splints (Medial Tibial Stress Syndrome)

Shin splints, also known as Medial Tibial Stress Syndrome (MTSS), are a prevalent overuse injury marked by pain along the inner edge of the shinbone (tibia). This condition frequently impacts athletes and individuals participating in high-impact activities like running, dancing, and jumping. Shin splints primarily result from excessive stress on the lower leg's tissues, often due to repetitive motions, improper footwear, or sudden increases in activity levels. Understanding the causes, symptoms, and treatment options for shin splints is essential for effective recovery and prevention.

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Causes of Medial Tibial Stress Syndrome (MTSS)

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Training Errors

Rapid increases in training intensity, duration, or frequency without proper conditioning are common contributors to shin splints. Athletes should gradually adjust their training plans to avoid overuse injuries.

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Muscle Weakness 

Weakness in the calf complex can lead to medial tibial stress syndrome. Runners should aim for calf raises of 1.5 times their body weight for five repetitions on a single leg to strengthen their calves and support their shins.

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Biomechanical Issues

Poor running technique, such as overstriding or improper gait mechanics, can place excessive load on the tibia, increasing the risk of developing shin splints.

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Improper Footwear

Wearing softer shoes can reduce strain on the calf and Achilles tendon compared to stiffer options. It’s also essential to maintain a shoe rotation to vary the stimulus on the lower leg during runs, which can help prevent MTSS.

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How is MTSS Diagnosed?

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Subjective Examination

A thorough subjective examination will be conducted by a physiotherapist to gather essential information about your condition. This discussion will include details about your pain, running history, footwear choices, and any strength training routines. Understanding these factors is crucial for identifying potential causes of your shin splints.

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Objective Examination

Your physiotherapist will perform an objective examination, which involves palpating the affected area and conducting a range of special tests. These tests help rule in or rule out specific conditions and assess the overall function of the lower leg. This comprehensive approach allows for accurate diagnosis and tailored treatment.

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Running Assessment

Depending on your pain levels, a running assessment may be conducted to evaluate your gait mechanics. This assessment helps identify any biomechanical issues that may contribute to your MTSS. By analyzing your running form, your physiotherapist can recommend targeted interventions to improve your technique and reduce the risk of future injuries.

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Imaging Studies (if necessary)

In some cases, your physiotherapist may recommend imaging studies, such as X-rays or MRI scans, to rule out other potential issues, such as stress fractures. While imaging is not typically required for diagnosing shin splints, it can provide additional insights into your condition if symptoms persist.

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How Our Physiotherapy Clinic in North Sydney Can Help

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At Urban Physiotherapy in North Sydney, we specialise in treating Medial Tibial Stress Syndrome (MTSS) and other lower leg injuries. Our experienced physiotherapists develop tailored treatment plans aimed at reducing pain and improving function. Whether you’re dealing with sports-related shin pain, chronic discomfort, or recovery from an injury, our clinic provides effective treatment options and comprehensive rehabilitation programs. Trust us to help you return to your active lifestyle with targeted therapies designed specifically for your needs.

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Treatment Options for Medial Tibial Stress Syndrome at Urban Physiotherapy

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Understanding Your Condition

​We provide comprehensive education about Medial Tibial Stress Syndrome (MTSS) and effective strategies for recovery. Our physiotherapists will outline a timeline for your injury and detail the necessary steps to achieve optimal healing. In some cases, a temporary period of non-running may be recommended to prevent further progression of your condition.

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Targeted Manual Therapy

​Our skilled physiotherapists utilise targeted manual therapy techniques to address tightness in the calf, ankle, and other muscle groups. This hands-on approach helps relieve tension that may contribute to your shin pain, promoting overall lower leg health.

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Tailored Strength Program

We design a customised strength program that focuses on calf and lower leg exercises. Strengthening these areas is crucial for preparing your body to handle the demands of running upon your return, helping to prevent future injuries.

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Footwear Advice

​Our experts provide personalised advice on footwear options that may best suit your gait pattern. Proper shoes can significantly impact your recovery and performance, ensuring that you have the support you need for a safe return to running.

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