

It is one of the most common overuse issues in runners and the community, affecting almost 35% of the athletic population. Medial tibial stress syndrome (MTSS) is the discomfort and pain in the leg region due to repetitive pressure.

Rest, ice, and pain medications are the most common treatments. Preventative measures include shock-absorbing insoles, repetitive stress avoidance, and effective treatment of repetitive stress disorder and anatomical abnormalities. To rule out alternate origins of the same symptoms, imaging modalities such as computed tomography, radiography, bone scintigraphy, and magnetic resonance imaging might be used. Particularly, pain and swelling in the posterior and medial aspects of the tibia, as well as other causative symptoms, may be discovered during the examination. Pain is exacerbated by activity and eased by relaxation. A common complaint is a bilateral pain in the distal leg, primarily on the anterior and medial sides. Gender, navicular bone loss, higher body mass index, activities of high intensity, and increased range in external hip rotation in males are all risk factors. Microdamage caused by recurrent stressors has been proposed as the fundamental mechanism in other investigations. The precise cause is yet to be identified. As a result, runners devote little time to practice and avoid exercises completely. Athletes, particularly runners, are more vulnerable. Leg pain caused by recurrent stressors is known as shin pain, also known as the medial tibial stress syndrome (MTSS).
