Medial Tibial Stress Syndrome

There are a number of overuse injuries that runners can get. One of the more common, making up about a third of all running injuries is medial tibial stress syndrome. It is not totally clear what medial tibial stress syndrome is, in that it is considered a bone stress reaction, a periosteal reaction or a problem with the insertion of the soleus muscle. A number of things are thought to predispose the runner to medial tibial stress syndrome, such as a flat or pronated foot, a tight calf muscle, a higher bending moment in the tibia, inadequate training regimes and poor footwear or worn out footwear. The pain of medial tibial stress syndrome is usually felt down the medial border of the tibia. The treatment of medial tibial stress syndrome usually requires a temporary reduction or, in some cases, a halt to the running and the substitution of some other activity. Stretching of the calf muscles is important and so is the use of foot orthotics to correct any problems. Advice on the running shoes is also needed. Those with medial tibial stress syndrome will also need counselling on their training regime to ensure there are no faults in that.

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