Medial Tibial Stress Syndrome


  • An overuse injury to the legs known as shin splints. Occurs most commonly in runners or aggressive walkers. This injury causes pain in the front of the outer leg below the knee. Pain is often noted at the early portion of the workout, then lessens, only to reappear near the end of the training session. Discomfort is often described as dull at first. However, with continuing trauma, the pain can become so extreme as to cause the athlete to stop workouts altogether.

How did I get this?

  • Sudden increase in distance or intensity of a workout schedule.
  • Tight Achilles tendon or weak ankle muscles are risk factors to develop this condition.

What can I do about it?

  • Rest from activity that causes the pain.
  • Application of ice packs reduces inflammation.
  • Gentle stretching exercises.
  • Properly fitted shoes.
  • A Neoprene calf sleeve help to reduce discomfort after training.
  • Calf support stocking (Shin Splint compression sleeve).
  • Heat applied to the shins may help particularly in the warm up phase prior to starting a workout.

What help can I get for this?

  • Podiatrist for footwear advice and orthotics, stretching/strengthening
  • Possible surgical option if conservative treatment does not work.

When will it get better?

  • In the vast majority of cases, the conservative treatments are sufficient to resolve the symptoms and allow a return to activity. However, there is always a risk of recurrence if your training programme is incorrect.