Medial Tibial Stress Syndrome (Shin Splints)

What Is Medial Tibial Stress Syndrome (MTSS)?

Medial tibial stress syndrome, commonly known as shin splints, is an overuse injury involving irritation of the tissues along the inside of the shinbone. It typically affects runners and individuals participating in high-impact or repetitive sports. Symptoms often begin with dull pain during activity and may progress to persistent tenderness along the lower leg.

Common Causes and Contributing Factors

Understanding the root causes of shin splints is key to effective treatment. Factors that may contribute to MTSS include:

• Biomechanical dysfunction such as overpronation or flat feet
• Sudden increases in training intensity or duration
• Unsupportive or worn footwear
• Prior lower limb injuries affecting gait or loading patterns

Comprehensive Assessment and Gait Analysis

At South London Foot Clinic, we perform a detailed biomechanical evaluation and gait analysis to identify the causes of shin splints. This includes:

• Gait and running analysis using high-speed video
• Postural and alignment assessments
• Joint range of motion and muscle function testing

This assessment informs your personalised treatment plan.

Evidence-Based Treatment Options

Our management approach for medial tibial stress syndrome is based on the latest clinical evidence and includes:

• Activity modification and load management
• Strengthening and flexibility exercises
• Custom foot orthoses (if clinically indicated)
• Manual therapy and soft tissue techniques
• Education on footwear and training practices

Shockwave Therapy for Shin Splints

Shockwave therapy (extracorporeal shockwave therapy – ESWT) is a non-invasive treatment used to promote healing in persistent cases of MTSS. It helps:

• Stimulate tissue regeneration
• Improve local blood flow
• Reduce chronic pain and inflammation

This modality is typically used when conservative treatment alone has not been sufficient. Treatment is delivered over several short sessions and does not require downtime.

Persistent Symptoms? Further Investigation May Be Needed

In cases where symptoms persist or worsen, we may recommend further investigation (e.g., imaging to rule out stress fractures) or referral to allied health professionals for collaborative care.

Book a Leg Pain Assessment Today

If you’re experiencing shin pain or suspect you may have medial tibial stress syndrome, early diagnosis and appropriate management can help you return to activity safely and quickly, our expert podiatry team in South London is here to support you. Using advanced gait analysis, orthotic therapy, and shockwave therapy, we focus on diagnosing the cause and guiding your recovery.

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