Medial Tibial Stress Syndrome? How is your return to sport going…


With competitive sports close to returning to Victoria post lockdown, Ursula, one of our Podiatrists’ at Pro Feet Podiatry, Windsor, is predicting an increase in cases of overuse injuries due to:

  • An increase in outside running (especially for those that don’t normally do so)
  • Deconditioning experienced from a break competitive training and sport during COVID restrictions

A particularly common issue is Shin Splints (Medial Tibial Stress Syndrome). Most common in long distance running, with pain isolated to the front and inside of the shins.

What is Medial Tibial Stress Syndrome (MTSS)?

  • The pain is often reported to get progressively worse with time
  • It’s often a response to too much load/intensity and frequency of exercise, creating overuse
  • A variety of structures can be involved including inflammation of the periosteum, dysfunction of the tibialis posterior, tibialis anterior and soleus muscles

Early treatment is crucial in management and in avoiding potential stress fractures.

How can a Podiatrist help?

  • Dry needling: to reduce muscle tension and tightness and trigger points around the lower leg. Relaxing the muscle ultimately allows flexibility and reduces shin splint pain.
  • Shockwave therapy: After identifying the painful area and making sure that the condition treated is MTSS, shockwave can be used to stimulate healing and reduce inflammation. Approx. 3-4 treatment cycles required on average.
  • Manual therapy: To relieve tension of the involved muscles with soft tissue massage along with foot mobilisation to reduce joint restriction in the foot, with the goal to minimise the stress of musculature of the leg.
  • Gait analysis: to identify risk factors and mechanical weaknesses with your lower limb along with foot posture. This information is used for footwear recommendations and to implement appropriate strength programs. Orthotics may be necessary especially if it’s a long-standing condition involving poor mechanics of the lower limb.
  • Return to running programs: work in conjunction to strengthening programs but importantly align with the idea of balancing load and frequency of exercise
  • Strengthening programs: with the aim to condition you to the load/intensity you endeavour to achieve and maintain form.
  • Footwear assessment: to identify a supportive foundation for your feet and provide recommendations based on your foot type and sport of choice.

Make a time to have your return to exercise mechanics and symptoms assessed today by calling our clinic on (03) 9530 2224 or 1300 945 789.

Our Podiatrist Ursula is also happy to answer emails on;

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