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In this episode of the Physiotutors podcast, Tom Goom, also known as the Running Physio, provides valuable insights into medial tibial stress syndrome (MTSS) and its management. He discusses the pathophysiology of MTSS, Risk factors, and emphasizes the importance of gradual training progression and proper footwear selection to prevent MTSS. Tom also shares his approach to assessing and treating MTSS, focusing on finding a pain-free level of loading, incorporating strength training, and carefully guiding patients through a structured return to running program.

It's a value-packed episode so tune in to master your approach to treating shin splints.

This episode is sponsored by Lindy.ai - your A.I. medical scribe. Try Lindy for free by going to https://lindy.ai/physiotutors and receive 1 week of unlimited patient notes.

00:00 Intro
01:06 What is MTSS?
02:19 Risk Factors
03:34 Typical Patient
04:20 Specific Training Errors
05:40 Influence of Footwear
06:58 Forefoot Running
08:40 Red Flag Diagnoses
12:08 MTSS DIagnosis
13:06 Assessing the Patient
15:45 Muscle Testing
17:18 Sponsored Segment
18:55 Other Strength Parameters
21:05 Running Analysis/Technique
26:15 Treatment
29:29 Strengthening Exercises
31:58 What about Tibialis Anterior?
33:12 How to manage a flare-up?
35:25 Return to running
38:02 Different Mx for Different Sports
40:20 Duration of MTSS
41:35 Adjunct Treatments
43:30 Can MTSS become a Fracture?
44:25 Tom's closing remarks
46:25 Outro
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This is not medical advice! The content is intended to be educational only for health professionals and students. If you are a patient, seek care of a health care professional.