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Shin Splints
(Medial Tibial Stress Syndrome)

Medial tibial stress syndrome (MTSS) refers to a painful leg and shin condition that causes pain on the inside of the shin (the front part of the leg between the knee and ankle).

MTSS is commonly referred to as “shin splints” due to the location of pain over the shin bone; pain can be felt on the inside or the front of the shin bone.

You know, MTSS is one of the most common athletic injuries.

It affects both the muscle on the inside of the shin and the bone to which it attaches, causing the connection between them to become irritated or even develop minor tears due to overwork.

MTSS may affect up to 35% of athletes who run and jump, such as

  • distance runners (ie people who participate in marathons, biathlons)
  • sprinters
  • basketball
  • tennis players
  • gymnasts

Military personnel, dancers, and other active people also can develop MTSS.

Our senior physiotherapists help people who develop MTSS

  • recover pain-free movement
  • learn exercises and tactics to prevent reinjury

What is Shin Splints (Medial Tibial Stress Syndrome)?

Medial tibial stress syndrome (MTSS) develops when there is too much stress is placed (once or repeatedly, as in with repetitive/cumulative strain) on the tibia (main shin bone).

The muscles that attach to the tibia can cause an overload of stress on the bone, and strain themselves at their insertion onto the bone as well.

These muscles include the

  • posterior tibialis muscle
  • soleus muscle
  • flexor digitorum longus muscle

The most common risk factors of MTSS include:

  • Flattening of the arch of the foot (overpronation) while standing and walking/running (ie flat feet)
  • Participation in a sport that requires repetitive jumping and/or running
  • Excessive hip motion (moving the hip through a greater range than is typical)
  • A high body mass index (>20.2 BMI)
  • A previous running injury

How Does Medial tibial stress syndrome Feel like?

If you have developed MTSS, you may feel pain in the middle or bottom third of the inside of the shin. The pain may be sharp when you touch the tender area, or occur as an ache during or after exercise.

Typically, however, the pain is initially provoked with activity and improves with rest.

When MTSS is developing in its early stages, the pain may be present during the beginning of exercise and less noticeable as exercise progresses.

Over time, the condition will progressively worsen and pain may be felt throughout any exercise regimen and continue even long after exercise.

How Is Medial tibial stress syndrome Diagnosed?

Our senior physiotherapists will perform a thorough examination that will include taking a full health history and observing you as you walk and perform the activity that causes your symptoms, such as running or jumping.

We will further perform a series of tests and measures of your musculoskeletal system that assess your

  • strength
  • mobility
  • flexibility and
  • pain response

The most reliable symptom of MTSS is pain felt when pressure is applied to specific locations on the shin.

If the results of the examination suggest MTSS, we will discuss with you the goals of treatment and develop a specialized physiotherapy program for you.

If a more serious condition could be contributing to your pain, you may be referred to an orthopedic doctor for further tests.

how our senior physiotherapists can help

We will determine what risk factors have caused your MTSS and will teach you how to address those causes. A treatment plan will be developed that is specific to you and what your body needs to recover and to prevent reinjury.

To relieve pain, we may prescribe:

To help strengthen weak muscles, we may teach you:

  • Exercises that increase the strength of hip rotation, hip abduction (lifting the leg away from the other leg), and hip extension (lifting the leg behind your body) to decrease stress to the lower leg
  • Exercises that increase your arch and shin muscle strength to decrease the overpronation (flattening out) of the arch of the foot

Your treatment also may include:

  • Calf and foot muscle stretches
  • Single-leg exercises including squats, reaching exercises, or heel raises
  • Modified take-off and landing techniques for jumping athletes
  • Modified leg and foot control during walking and running
  • Suggestions for footwear that provides better support when walking or exercising

We also may prescribe orthotics or shoe inserts that support the arch of the foot if your feet flatten out too much, or if your foot muscles are weak.

Our senior physiotherapists help athletes with medial tibial stress syndrome alter their training schedules to safely return to sport, and offer specific guidance for reducing the possibility of reinjury.

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3 easy ways to book your physio appointments with us

WhatsApp Message

Tap or click the image above to whatsapp message us (or this number: +65 88001830)

Phone / Voice Call

Tap the image above (or tap this number +6588001830 to call us on your mobile)


Email me at nigel@phoenixrehabgroup.com

Phoenix Rehab Physio Services

Phoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.


Patients who sustained injuries to their elbows, forearms, hands, wrists (sprains and fractures) and fingers, usually will benefit / require Hand Therapy to

  1. manage and decrease hand pains
  2. improve range of motion, strength and dexterity
  3. increase the function of their hand following injuries or post-operations

Commonly treated hand pain injuries includes


Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing.

It is a system of safe and effective exercises, which meet specific individual needs, to treat a wide range of injuries and conditions.

You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.


  • Cupping TCM
  • Auricular Therapy TCM
  • Herbal TCM Medicine & Supplementation


Sports and deep tissue release massage helps to increase nutrient-rich blood flow to tired, tight and tense muscles to accelerate recovery and  shorten downtime / recovery period required.

It also prevents muscles from scar tissue micro-tears (and potential ruptures), and increases muscle performance. Having regular deep tissue and sports massage will keep your muscles healthy and fit with body/movement-confidence.

Read the benefits of regular deep tissue release therapy here.


All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).

See our entire team here with introductions and their specializations.

At the first session, our specialist physiotherapists will carry out a thorough assessment, helping them to select the most appropriate treatment to help you recover as well as provide treatment in the same session.

Follow up sessions are inline to provide expert treatment for your pain as well as prescribing specific exercises to reduce your risk of re-injury and giving you a long term solution.

do Tell Your Family, Friends And Colleagues About Us =)

We appreciate you as our valued clients and want you to know that the # 1 way we grow as a clinic / brand is through word of mouth referrals from valued patients like yourself.

We prefer not to rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients. When you have the chance, please tell your family, friends and physicians about the positive results and experience you have had in our physio clinics.

3 easy ways to book your physio appointments with us

WhatsApp Message

Tap or click the image above to whatsapp message us (or this number: +65 88001830)

Phone / Voice Call

Tap the image above (or tap this number +6588001830 to call us on your mobile)


Email me at nigel@phoenixrehabgroup.com