Medial tibial stress syndrome

Question 2

Common causes of MTSS

Answer 2

• Over pronation of supination
• Change of training surfaces techniques or footwear
• Intensive training on hard surfaces
• Impact to the medial boarder
• Poor biomechanics
• Fatigue in posterior lower leg muscles causing an over load on the tibia

Question 3

Signs and symptoms of MTSS

Answer 3

• Tenderness and lumps on palpation
• Diffuse pain along the boarder on activity but no pain at rest
• Pain decreases as the athlete warms up
• Pain increases after exercise or is worst in the morning

Question 4

Treatment of MTSS

Answer 4

• Address trigger points in calf complex
• METs to the calf complex to increase doors flexion
• Taping techniques

Question 5

Post care advice

Answer 5

• Strengthening exercises
• Proper warm up before exercise
• Rest and ice
• Maintain cardiovascular fitness

Question 6

Special tests

Answer 6

• Thompson test
• Knee-to-wall test