Medial tibial stress syndrome is a common problems in athlete. It affects the medial side of the tibia bone (inside of the leg). Initially it is only painful when running or when palpated. Without treatment it will progress. There are many theoires as to what medial tibial stress syndrome actually is and with these theories, comes a different approach to the treatment. Some think it is a soft tissue problem, so use stretching and soft tissue therapies. Some think medial tibial stress syndrome is due to abnormal foot function, so use foot orthotics to correct this. Some think medial tibial stress syndrome is due to bending moments in the tibia so use foot wedging to lower these moments. Some think medial tibial stress syndrome is due to high levels of impact, so use cushioning to treat it. This all means that the approach to treat medial tibial stress syndrome has to be multifactorial.
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