MTSS is less common in runners who run on softer surfaces, such as dirt trails, and those who use shock-absorbing insoles in their shoes. There is some weaker evidence that higher BMI, greater hip range of motion, and higher calf girth are also risk factors. There is strong evidence that foot/ankle overpronation and female gender are risk factors for developing MTSS. It usually occurs when athletes increase their training volume or intensity. This is the same mechanism of action as stress fractures, and many sports medicine providers consider MTSS and stress fracture to exist along a continuum of bony overload injury. MTSS is caused by a mechanical overload on the tibia.
A more discreet point of tenderness is concerning for a stress fracture or other bony injury. By definition, this area of tenderness should be at least 5 cm long.
There is typically a diffuse area of tenderness along the posteromedial tibia. Symptoms generally come on gradually and are aggravated by weight-bearing activity. Typical symptoms include pain along the middle or distal third of the posteromedial tibia. Hi Rex – I detect two distinct questions: 1 ) What causes shin splints and what can I do to treat them and 2 ) do compression socks work? Both are excellent questions.įirst, shin splints, or medial tibial stress syndrome (MTSS ), is a remarkably common injury among athletes in running and jumping sports. Do they actually work? If so, when should I wear them during or after the runs? I did fine in my 1/2 marathon but was surprised that so few people wear them. I bought some compression socks and I think they worked but maybe just mentally. After that I had really bad shin splints.
It went well for the first week until I did 8x400m runs. No issues until I tried to introduce some interval training. I did most of my training on a treadmill and was running at about a 1.5 degree incline. I was training for my first 1/2 marathon ever and I had been running for about three months prior to actually the start of the training without health problems. Comments : 1 What causes shin splints and what can I do to treat them and do compression socks work?
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