Medial Tibial Stress Syndrome
What is Medial Tibial Stress Syndrome?
Common symptoms of MTSS include a vague diffuse pain in the anterior shin associated with exercise. In its early stage, pain is often worse at the beginning of exercise, and subsides during training. However as the injury progresses, pain may be present with less activity, or even at rest. Training errors appear to be the most common factor associated with MTSS, especially as athletes attempt to do ‘too much too fast’. Running on hard or uneven surfaces is also a risk factor for MTSS, as well as biomechanical abnormalities and muscle imbalance and inflexibility. Muscle weakness leads to altered running mechanics and strain on the tibia.