Medial Tibial Stress Syndrome (Shin Splints)



Shin splints, also known as medial tibial stress syndrome (MTSS), is the pain that occurs on the anterior part of the tibia due to repetitive activity-related trauma to the tissues surrounding the tibia bone. Biomechanical irregularities such as overpronation of the foot may also cause shin splints. The pain from shin splints can be generalized across the lower two-thirds of the tibia; in contrast, pain from a stress fracture is localized to the injury. Diagnosis can be made from a detailed history and physical, and in instances where history and physical is inconclusive, an x-ray can be obtained to rule out stress fracture. The most common treatment for shin splits is rest and ice, with a gradual return to activities when the pain subsides.


Shin splints Medial tibial stress syndrome Stress-related anterior lower leg pain Overpronation of foot Rest and ice 


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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.NYU Langone Medical Center, Rusk RehabilitationNew YorkUSA
  2. 2.NYU School of Medicine, Department of Physical Medicine and RehabilitationNew YorkUSA

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