Physiotherapy for Medial Tibial Stress Syndrome
Medial tibial stress syndrome (MTSS), commonly known as shin splints, is a frequent injury among runners. It manifests as pain along the inner part of the shin, resulting from overuse and repetitive stress. Understanding how to treat this condition effectively is essential for a speedy recovery. In this post, we’ll explore quick treatment options, healing times, the role of physiotherapy, and how to handle related injuries like medial tibial stress fractures.
How Do You Treat Medial Tibial Stress Syndrome?
If you're experiencing symptoms of MTSS, prompt treatment is crucial. Here are some effective strategies to manage the condition quickly:
Rest and Activity Modification: Avoid activities that exacerbate the pain, particularly high-impact exercises like running. Opt for low-impact alternatives such as swimming or cycling until the pain subsides.
Cold Therapy: Apply cold packs to the affected area for 15-20 minutes (do not apply ice directly to skin!). This can help reduce inflammation and alleviate pain. Repeat again after 40 minutes if required.
Orthotics and Footwear: Wearing supportive shoes or using orthotic inserts can correct any biomechanical issues contributing to your symptoms. Ensure your footwear provides adequate cushioning and support. Read our blog about preferred running shoes.
Gentle Stretching and Strengthening: Engage in gentle stretching of the calf muscles and strengthening exercises for the lower leg. This can help improve flexibility and stability, reducing the risk of further injury.
Physiotherapy: A physiotherapist can create a personalised rehabilitation program, focusing on exercises that strengthen and stabilise the muscles around the tibia while addressing any contributing factors.
How Long Does It Take for Medial Tibial Stress Syndrome to Heal?
The healing time for medial tibial stress syndrome can vary based on the severity of the condition and adherence to treatment. Generally, most individuals can expect to see improvement within two to four weeks of initiating proper care. Factors influencing recovery include:
Severity of the Injury: Mild cases may heal faster than more severe ones.
Treatment Compliance: Following a physiotherapy program and lifestyle modifications can significantly speed up recovery.
Underlying Issues: Addressing any biomechanical issues or training errors is crucial for a full recovery.
In cases where pain persists beyond four weeks, a consultation with a healthcare professional is advisable for further evaluation.
What Will a Physio Do for Shin Splints?
Physiotherapists play a vital role in treating medial tibial stress syndrome. Here’s how they can help:
Assessment: A physiotherapist will conduct a thorough assessment to identify the underlying causes of your shin splints, including your gait, foot mechanics, and exercise routine.
Tailored Treatment Plan: Based on the assessment, they will develop a personalised treatment plan that may include manual therapy, dry needling, and a structured exercise program.
Exercise Prescription: Physiotherapists will teach you specific stretching and strengthening exercises aimed at improving flexibility in the calves and strengthening the muscles of the lower leg.
Education: They will educate you about proper training techniques, footwear selection, and the importance of cross-training to reduce the risk of recurrence.
Progress Monitoring: Regular follow-ups will allow the physiotherapist to monitor your progress and adjust the treatment plan as necessary.
How Do You Treat a Medial Tibial Stress Fracture?
While medial tibial stress syndrome can often be managed conservatively, more severe cases may lead to a stress fracture. Treatment for a medial tibial stress fracture typically includes:
Rest: Complete rest from activities that cause pain is crucial. This often will require a break from running or other high-impact sports for several weeks.
Medical Evaluation: A healthcare professional will confirm the diagnosis, often through imaging like an X-ray or MRI, to assess the extent of the fracture.
Gradual Return to Activity: Once healing is confirmed, a gradual return to activity is essential. A physiotherapist can guide you through a progressive rehabilitation program that focuses on restoring strength and flexibility.
Long-term Strategies: Addressing any contributing factors, such as improper footwear or training errors, is essential to prevent future injuries.
Conclusion
Medial tibial stress syndrome can be a painful and frustrating condition, but with the right approach, you can manage it effectively. Quick treatment, including rest, cold therapy, and physiotherapy, plays a crucial role in recovery. If you're struggling with shin splints or suspect a stress fracture, consult a physiotherapist for a tailored treatment plan. By taking proactive steps, you can return to your favourite activities pain-free and stronger than ever.
Our articles are not designed to replace medical advice. If you have an injury or health concern, we recommend seeing a qualified health professional.
