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What are the strongest risk factors for MTSS in active individuals?

Conclusion: Female sex, increased weight, higher navicular drop, previous running injury, and greater hip external rotation with the hip in flexion are risk factors for the development of MTSS.
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What are the risk factors for medial tibial stress syndrome in physically active individuals such as runners and military personnel?

A steady increase in intensity during activity allows the tibia to adapt properly. An increased navicular drop is another risk factor in the development of MTSS. A navicular drop that is greater than 10 mm nearly doubles the likelihood of developing MTSS.
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Which of the following is a risk factor for developing medial tibial stress syndrome?

Training errors, shoe wear, and changes in training intensity, duration, and surface can contribute to the development of medial tibial stress syndrome. Risk factors for developing medial tibial stress syndrome include abnormalities of ankle and foot alignment, lower extremity flexibility, and strength.
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What are risk factors for shin splints?

You're more at risk of shin splints if:
  • You're a runner, especially one beginning a running program.
  • You suddenly increase the duration, frequency or intensity of exercise.
  • You run on uneven terrain, such as hills, or hard surfaces, such as concrete.
  • You're in military training.
  • You have flat feet or high arches.
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What are the demographics of medial tibial stress syndrome?

Epidemiology. The incidence of MTSS ranges between 13.6% to 20% in runners and up to 35% in military recruits. In dancers it is present in 20% of the population and up to 35% of the new recruits of runners and dancers will develop it.
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MTSS / Shin Splints Diagnosis in under 2 Minutes

Who is most likely to get tibial stress fracture?

Increased Risk
  • sudden increase in the length, intensity or frequency of physical activity.
  • extreme training with limited rest periods.
  • those who participate in high intensity training (military recruits, distance runners)
  • previous stress fracture.
  • poor physical conditioning, including poor flexibility and weak calf muscles.
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Which muscle is most commonly associated with medial tibial stress syndrome?

Traditionally the tibialis posterior (TP) muscle has been thought to be the source of this traction; other studies however have implicated the soleus and the flexor digitorum longus (FDL) muscles [4, 9, 12–15].
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What are 4 potential causes of shin splints?

What causes shin splints?
  • a sudden increase in the amount or intensity of exercise.
  • the ankle joint rolling inwards too far as the running foot hits the ground (over-pronation)
  • running on uneven or hard surfaces.
  • using unsupportive shoes.
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What athletes have the highest risk of shin splints?

Groups with a higher risk of shin splints include:
  • Runners, especially those who run on uneven surfaces or suddenly increase their running program.
  • Athletes who play high-impact sports that put stress on their legs.
  • Dancers.
  • People who have flat feet, high arches or very rigid arches.
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Are certain people more prone to shin splints?

Shin splints tend to happen in people who do high-impact activities or ones with frequent stops and starts, such as running, jumping, basketball, football, soccer, and dancing. Some things make it more likely that someone will get shin splints, such as: having flat feet.
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What is the prognosis for medial tibial stress syndrome?

Almost everyone makes a full recovery from MTSS. It can take anywhere from three weeks to four months. The longer the condition has persisted, the longer it usually takes. Measuring the amount of pain can be important throughout the rehabilitation process.
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What is the special test for medial tibial stress syndrome?

MRI is the preferred imaging modality for identifying MTSS as well as a higher grade bone stress injury such as a tibial stress fracture. Nuclear bone scans are a reasonable alternative but are less specific and sensitive than MRI. MRI findings include periosteal edema and bone marrow edema.
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What is the incidence of MTSS?

The incidence of MTSS is reported as being between 4% and 35% in military personnel and athletes. The name given to this condition refers to pain on the posteromedial tibial border during exercise, with pain on palpation of the tibia over a length of at least 5 cm.
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What are two causes of medial tibial stress syndrome?

Medial tibial stress syndrome (MTSS) is an overuse injury or repetitive-stress injury of the shin area. Various stress reactions of the tibia and surrounding musculature occur when the body is unable to heal properly in response to repetitive muscle contractions and tibial strain.
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What is the difference between medial tibial stress syndrome and stress fracture?

The lower leg pain of shin splints is caused by inflammation and micro-tears in muscular attachments and tissue around the shin. A stress fracture is a tiny crack in the bone and usually occurs in the lower leg, hip or foot.
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Is it OK to walk with shin splints?

Rest: Avoid putting weight on the shins, and avoid participating in normal activities until your shins get better.
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What can be mistaken for shin splints?

Sometimes chronic exertional compartment syndrome is mistaken for shin splints, a more common cause of leg pain in young people who do a lot of vigorous weight-bearing activity, such as running. If you think you have shin splints and the pain doesn't get better with self-care, talk to your doctor.
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How to tell the difference between shin splints and stress fracture?

Frequency of Pain

In fact, many athletes only experience sharp shin splint pain while running at top speeds. Stress fracture pain will flare up much more frequently. If you're feeling sharp pains while walking or hopping, it's more likely to be a stress fracture than a shin splint.
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Can you push through shin splints?

Technically, you CAN… but you probably shouldn't. For many runners who try to continue running with shin splints, the best case scenario is that they prolong the injury as they're not giving the injured tissue an opportunity to heal.
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How long should you rest with shin splints?

Expect that you need at least 2 to 4 weeks of rest from your sport or exercise. Avoid repetitive exercise of your lower leg for 1 to 2 weeks. Keep your activity to just the walking that you do during your regular day.
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What vitamin deficiency causes shin pain?

Vitamin D deficiency is associated with tibial bone pain and tenderness. A possible contributive role. Int J Rheum Dis. 2018 Apr;21(4):788-795.
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Does magnesium help shin splints?

Magnesium can help speed shin splint recovery, prevent injuries, and reduce fatigue. Good sources of this nutrient include leafy green vegetables, legumes, nuts, seeds, and whole grains.
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Do shin splints hurt all the time?

These are the most common symptoms of shin splints: Pain felt on the front and outside of the shin. It's first felt when the heel touches the ground during running. In time, pain becomes constant and the shin is painful to the touch.
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How do you fix medial tibial stress syndrome?

To relieve pain, your physical therapist may prescribe:
  1. Rest from the aggravating activity or exercise.
  2. Icing the tender area for 5 to 10 minutes, 1 to 3 times a day.
  3. Exercises to gently stretch the muscles around the shin.
  4. Taping the arch of the foot or the affected leg muscles.
  5. Hands-on massage of the injured tissue.
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