medial tibial stress syndrome (MTSS)

medial tibial stress syndrome, aka = ____

shin splints

MTSS = ____ inflammation

periosteal

risk factors

• runners/____ recruits

• ____

• increased ____

• smaller ___ angle

• excessive _____/medial foot ____

• increased ankle ____ and hip _____

• sudden increase in ____/____ of training

• training on ____ ground

• overuse/weakness of ____, _____ and _____

• vitamin ___ deficiency

military, female, BMI, Q, pronation, pressure, PF, ER, intensity, duration, uneven, tib ant, EDL, EDB, D

clinical presentation = ___ induced, dull ____

exercise, aching

clinical presentaiton

• pain over area greater than or equal to ____ cm in length

early stage → pain ____ in run, decrease with _____, pain returns at ____ of activity, pain subsides ____ with rest

later stage → pain more ___/____, present with ____ and/or ____

5, early, exertion, end, quickly, severel, presistent, ambulaiton, rest

special tests → none specific

• ____ pain for greater than or equal to ____ cm

• absense of other findings not consistent with MTSS

  • no severe _____, loss of distal, numbness/____

palpable, 5, swelling, tingling

treatment and intervention - education

• _____ training

• ____ return to activity

• management of ____

• ____-____mo full return

decrease, gradual, expectations, 9, 12

treatment and interventions - ther ex

• ____ impact

• stretching and ____

• graded ___ loading

• ____ strengthening

low, strengthening, tib, PF

treatment and interventions

• manual = ____/____ mobs

• neuro re-ed = ____ control

soft tissue, joint, motor