Munson Health
Medial Tibial Stress Syndrome

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by Kellicker PG

(MTSS; Shin Splints; Medial Distal Tibial Syndrome, MDTS; Medial Tibial Syndrome; Stress-Related Anterior Lower Leg Pain; Spike Soreness)


Risk Factors

These factors increase your chance of MTSS. Tell your doctor if you have any of these risk factors:


American Academy of Orthopaedic Surgeons

The American Orthopaedic Society for Sports Medicine

American Physical Therapists Association



Canadian Medical Association

Canadian Orthopaedic Association

Canadian Orthopaedic Foundation



AOSSM sports tips. AOSSM website. Available at: . Accessed November 13, 2008.

Conquering medial tibial stress syndrome. Podiatry Today website. Available at: . Accessed November 13, 2008.

Cosca DD, Navazio F. Common Problems in Endurance Athletes. American Family Physician —Volume 76, Issue 2 (July 2007).

Craig DI. Medial tibial stress syndrome: evidence based- prevention. Journal of Athletic Training . 2008;43(3):316–318.

Shin splints. EBSCO DynaMed website. Available at: . Updated April 27, 2009. Accessed June 11, 2009.

Shin splints. Mayo Clinic website. Available at: . Accessed November 13, 2008.


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