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Medial tibial stress syndrome is one of the most common overuse injuries that runners get. It used to be called shin splints as it resembled a condition that occurs in race horses. The pain of this occurs along the inside of the tibia or leg bone. It usually starts of as an ache that is only painful when probed. Later if it progresses it does interfere with the runners ability to train. The actual damage is a strain at the insertion of the muscle into the bone and also a stress reaction of the bone.

The most common cause of medial tibial stress syndrome is some issue with the training routine such as doing too much training too soon and not building up the training mileage slowly. Poor foot biomechanics, such as a pronated foot also contributes to the problem. Tight calf muscles are also a risk factor. Running shoes that are no appropriate to the runner are also a issue, especially if they are not replaced when they are worn out.

Treatment for medial tibial stress syndrome usually starts with some sort of modification to the training activity such as substituting cycling for the running. New shoes are generally advised and foot orthotics or support may be needed to improve the foot biomechanics. Calf muscles stretching is also essential. Once symptoms start to subside, then a gradual return to the full running program needs to be carefully implemented.

Medical advice should be sort by all those with medial tibial stress syndrome.