ANTERIOR TIBIAL PERIOSTITIS

Anterior tibial periostitis

- shin splints
- An overuse injury of the shin area that leads to
persistent dull anterior leg pain
- Involves inflammation of the periosteum
(membrane surrounding bones) along the front
part of the tibia

- overuse
- improper foot mechanics
- increase in physical activity

etiology of Anterior tibial periostitis

overuse of a specific body part

most common causes behind this tissue inflammation.

acute

shorter term with less susceptibility

chronic

longer term with more underlying causes

true anterior tibial periostitis
medial tibial stress syndrome

2 types

mild

pain occurs only when
doing physical activity. Minimal swelling is seen around the area and tenderness upon touching.

Moderate

pain continues after physical activity. Swelling and tenderness can worsen overtime and are seen with slight activity.

Severe

pain is constant and will hinder ADLs. Swelling and tenderness are very obvious and can lead to chronic stage.

Medial Tibial Stress syndrome

A repetitive stress injury characterized by pain along the inner edge of the tibia

Greater navicular drop

causes the foot to pronate more than it should. This places additional stress on the tibia and the surrounding muscle.

Mild MTSS

pain occurs after physical activity, no noticeable swelling, and usually mild and resolves with proper rest.

Moderate MTSS

pain occurs during and after physical activity, mild tenderness can be felt, usually doesn't interfere with ADLs

Severe MTSS

persistent pain occurs before, during, and after, noticeable tenderness and mild swelling

Very Severe MTSS

constant intense pain which affects ADLs, high risk of progression to stress fracture, immediate intervention is needed.

Provocative test

pain on resisted plantar
flexion

One-leg hop test

is a functional test, that
can be used to distinguish between medial tibial
stress syndrome and a stress fracture