Periostitis & Medial Tibial Stress Syndrome

• Periostitis & Medial Tibial Stress Syndrome:

  • Overuse injury
  • Impact related activity (running)
  • Common location of symptoms: distal 2/3 antero-medial tibia
  • Overloading of deep periosteal insertions
  • ? Predisposed by increased pronation (Neal et al, 2014)
  • Pre stress fracture
• Periostitis & Medial Tibial Stress Syndrome - Treatment:

  • Rest
  • Ice
  • NSAIDs
  • Orthotic/ mechanical correction
  • Training modification
  • Non weightbearing if stress fracture
  • Address contributing factors
• Periostitis & Medial Tibial Stress Syndrome - Signs & Symptoms:

  • Pain on weightbearing
  • Tenderness on palpation
  • Thickened medial tibial border to palpate
  • X-ray may show thickened cortex
  • Be wary of pain on the anterior tibia. Possible anterior cortex stress fracture – High Risk