top of page

Medial Tibial Stress Syndrome - (Shin Splints)

Updated: Jun 9, 2023

A commonly reported problem by many patients we see is “shin splints”, or medial tibial stress syndrome (MTSS). This is usually described as a general pain on the inside of the lower shin which is typically felt at the beginning of activity and improves after warming up.

What are the MTTS Symptoms & Causes?

But what is MTSS really, and what is the cause? There has been a reasonable debate regarding these questions, however, it is commonly thought to be a combination of increased stress on our shin bone (the tibia) and excessive traction of the muscles which attach onto this bone over time. Numerous factors have been reported in MTSS including training load, training surface, footwear, muscle length and muscle fatigue. Female athletes and those with lower bone mineral density are also more likely to develop MTSS.

We typically find that the symptoms of MTSS can be treated with a number of options. Some short-term options include reducing activity intensity or load (or changing the type of activity), releasing the muscles on the inside of the shin, and using taping techniques to support the inside of our foot to reduce the impact of running. Ice can also be an effective reliever of symptoms after activity.

Please find this video example of the self-release technique for shin splints:

We find longer term however, increasing the strength and endurance of the involved muscles is a more sustainable option coupled with managing training loads!

Speak to one of our physiotherapists North Adelaide about your shin pain and they can help develop a suitable plan for you.

Luke Chetcuti

Sports Physiotherapist, North Adelaide

Brukner & Khan (2017), Brukner & Khan’s Clinical Sport Medicine (5th Edition), Volume 1, Injuries

59 views0 comments



The information contained within this website is not intended to be a substitute for professional medical advice, diagnosis or treatment in any manner. Body Fit makes every effort to ensure the quality of information available on this website, however, before relying on the information on the website the user should carefully evaluate its accuracy, currency, completeness and relevance for their purposes and should obtain appropriate professional advice relevant to their particular personal circumstances. Body Fit advise that you should always seek the advice of your physiotherapist, doctor or other qualified health provider with respect to any questions regarding any medical condition. The website may contain hyperlinks to external websites, which are not maintained by, or related to, Body Fit. Hyperlinks to such sites are provided as a service to readers, and while care is taken in selecting external websites, it is the responsibility of the reader to make their decisions about the accuracy and reliability of the information contained in the external website. Hyperlinks to any external websites do no imply endorsement by Body Fit. Body Fit does not accept any liability for any injury, loss or damage incurred by the use or reliance on the information provided in this website.

bottom of page