Soft Tissue Therapy for Shin Splints (MTSS)

Shin Splints can be a precursor for more serious tibial stress fractures if left untreated

MTSS is an extremely common condition related to over exertion and is therefore often found in athletes and combat soldiers. Also commonly referred to as "Shin Splints", the main symptom is usually exercise-induced pain over the area of the anterior tibia, and can be a precursor for more serious tibial stress fractures if left untreated.

In the video below, Stuart Hinds provides an overview of the key muscles typically involved in cases of Medial tibial stress syndrome (MTSS).

MEDIAL TIBIAL STRESS SYNDROME (SHIN SPLINTS)

Shin splints are a common complaint of runners and other athletes who have just taken up running. Shin splints is a term used to cover all pain in the anterior shin area but there are several possible causes.

Medial tibial pain syndrome, the most common cause of shin pain, refers to pain felt over the shin bone from irritation of the tendons that cover the shin and their attachment to the bones. Changes in duration, frequency or intensity of running can lead to this condition.

When the muscle and tendon becomes inflamed and irritated through overuse or improper form, it will cause pain in the front of the shin. Repetitive pounding on the lower leg, such as with running, can also lead to pain in the shin.

Shin Splints Treatment

Cause of injury

Repetitive stress on the tibialis anterior muscle leading to inflammation at its bony attachment to the tibia. Repetitive impact forces on the tibia, as with running and jumping.

Signs and symptoms

Dull, aching pain over the inside of the tibia. Pain is worse with activity. Tenderness over the inner side of the tibia with possible slight swelling.

Complications if left unattended

If left unattended, shin splints can cause extreme pain and cause cessation of running activities. The inflammation can lead to other injuries including compartment syndrome.

Immediate treatment

RICER. Anti-inflammatory medication. Then heat and massage to promote blood flow and healing.

Rehabilitation and prevention

It is important to use low-impact activities, such as swimming or cycling, to maintain conditioning levels while recovering. Stretching tibialis anterior will aid recovery. To prevent this condition from developing try alternating high-impact activity days with lower-impact days. It is also important to strengthen the muscles of the lower leg to help absorb the shock of impact activities.

Long-term prognosis

Medial tibial pain syndrome can be effectively treated with no long-term effects. Only in rare cases does the condition fail to respond to rest and rehabilitation, leading to chronic inflammation and pain. Surgery may be required in those rare cases.

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This trigger point therapy blog is intended to be used for information purposes only and is not intended to be used for medical diagnosis or treatment or to substitute for a medical diagnosis and/or treatment rendered or prescribed by a physician or competent healthcare professional. This information is designed as educational material, but should not be taken as a recommendation for treatment of any particular person or patient. Always consult your physician if you think you need treatment or if you feel unwell.