Medial Tibial Stress Syndrome (MTSS)
Medial Tibial Stress Syndrome (MTSS) is an overuse injury of the leg that is reasonably common. The pain is felt along the inside of the tibial or shin bone. The most common assumed causes are poor foot biomechanics and training errors (such as too much training too soon). The role of foot biomechanics and foot orthotics is somewhat controversial as the clinical experience with them is that they are effective, but the rationale to explain how they work is not clear. Recent suggestions on medial tibial stress syndrome is that it is due to increased bending moments in the tibia, which could go some way to explaining how foot orthotics may work in medial tibial stress syndrome.
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