Abstract
Medial Tibial Stress Syndrome is among the most prevalent lower limb injuries in sportspersons, due to repetitive strain placed on the tibia and sudden fatigue of muscles.
Although the overall methodological quality and amount of studies aimed at the treatment of Medial Tibial Stress Syndrome is poor, existing literature was used in conjunction with current evidence for Tibial Stress Fractures due to the similar pathophysiology, to summarise and critique possible management.
Medline was used to conduct a search on all search terms associated with Medial Tibial stress Syndrome, including, “Shin Splint (s), Posterior Medial Border Of Tibia,” “Medial Tibial Traction,” Periostitis Of Soleus/FDL,” “Tibial Stress Reaction” and “Tibial…show more content… The energy produced is then diffused into the skin through an ultrasound gel, scattering the waves into the surrounding tissue (Rompe et al., 2010).
The body subsequently instigates an increase in metabolic activity at the site of the medial tibia, prompting the process of healing, in effect reducing any existing pain and tenderness (Wang & others, 2012).
Medline was used to conduct a search for the intervention of Extracorporeal Shockwave Therapy in Medial Tibial Stress Fractures, and found two articles due to the lack of published evidence. Stress fracture was used as a search term, considered upon the occurrence of similar pathophysiological processess to find one article. Mixed evidence was found to support and…show more content… At the completion of the study, the use of LIPUS in contrast to placebo treatment was found to be statistically significant in reducing clinical and overall healing times (see table 2 ) in TSFs. Due to the effectiveness on LIPUS in accelerating normal fracture healing the procedure of MTSS is commended.
Due to the poor level of high level evidence number of reputable studies, LIPUS was graded D, considered as conflicting evidence signifying that further studies must be conducted to assist clinicians in making the best and most valid decision in a clinical setting.
‘Intervention 3’: Pneumatic leg braces
MOA of intervention
Pneumatic leg braces assist the healing of stress fractures and lead to quick recovery. Such is accomplished by the mechanism shifting the force of the weight-bearing load from the tibia to soft tissue, resulting in reduced impact loading with walking, hopping and running. The mechanism of soft tissue compression assists healing, thru the increased intravascular hydrostatic pressure shifting fluid and electrolytes into the interstitial space from capillaries; increasing the piezoelectric effect and osteoblastic bone formation (MacAuley & Best,
