Shin Splints
Medial Tibial Stress Syndrome (MTSS), commonly known as shin splints, is a prevalent condition among runners, athletes and active individuals.
What is Medial Tibial Stress Syndrome?
MTSS is characterised by pain along the inner part of the lower leg, particularly where the muscles attach to the tibia (shin bone). This pain can occur during activity and may persist even at rest if the condition worsens. It’s often seen in runners, dancers, and military recruits due to repetitive stress on the shin area.
Causes of MTSS
Several factors contribute to the development of MTSS:
1. Overuse: Engaging in high-impact activities without adequate rest can lead to excessive strain on the lower leg muscles and bones.
2. Biomechanical Issues: Flat feet, high arches, or improper footwear can alter gait mechanics, increasing stress on the tibia.
3. Training Errors: Sudden increases in intensity or duration of workouts can overwhelm the body's ability to adapt.
4. Muscle Imbalances: Weakness or tightness in surrounding muscles, particularly the tibialis anterior and posterior, can play a significant role.
The Role of Tibialis Anterior and Posterior Muscles
Tibialis Anterior
The tibialis anterior is located at the front of the lower leg and is crucial for dorsiflexion, which involves lifting the foot upwards. This muscle helps absorb shock during activities such as running and jumping. When this muscle is weak or tight, it can lead to improper mechanics and increased stress on the shin bone.
Tibialis Posterior
The tibialis posterior, found deeper in the lower leg, plays a vital role in stabilizing the arch of the foot and assisting in plantarflexion (pointing the foot down). If this muscle is weak, it can contribute to flat feet or overpronation, further exacerbating shin splint symptoms.
How MTSS Develops
The interplay between these muscles is critical for maintaining proper lower limb biomechanics. When the tibialis anterior or posterior is overworked or dysfunctional, it can create excessive tension on the shin bone. This repeated strain leads to micro-tears in the muscle and fascia, resulting in inflammation and pain characteristic of MTSS.
How Osteopathy Can Help
Osteopathy takes a holistic approach to treat MTSS, focusing on restoring balance and function to the body. Here’s how osteopathic treatment can be beneficial:
1. Decreasing Muscle Tension
Osteopathic techniques can effectively relieve tension in the tibialis anterior and posterior muscles, reducing pulling on the shin bone. Soft tissue manipulation and stretching can promote relaxation and improve blood flow to the affected area.
2. Improving Lower Limb Biomechanics
Osteopaths assess and address any biomechanical issues that may contribute to MTSS. Through tailored adjustments and exercises, they can enhance alignment and function, promoting a more efficient gait and reducing stress on the shins.
3. Tailored Rehabilitation Programs
Osteopathy offers individualised rehabilitation programs that focus on strengthening weak muscles and improving flexibility in tight areas. These programs are designed to address the specific needs of each patient, ensuring a comprehensive approach to recovery.
4. Education and Preventive Strategies
Osteopaths also provide education on proper footwear, training techniques, and recovery strategies to help prevent recurrence of MTSS. This proactive approach empowers individuals to take charge of their health.
Medial Tibial Stress Syndrome can be a frustrating and painful condition for many active individuals. Understanding its causes and the role of the tibialis anterior and posterior muscles is essential for effective treatment. Osteopathy offers a holistic approach to managing and preventing MTSS, focusing on restoring balance and improving lower limb function.
If you're experiencing signs and symptoms of shin splints, contact us today on 0405 640 786 and we can discuss a tailored treatment plan to help you get back to the exercise you enjoy.