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Medial Tibial Stress Syndrome

Medial Tibial Stress Syndrome

Autumn means that youth overuse injuries increase as school sports resume, and lower extremity stress is particularly amplified when athletes move indoors onto hard floors. Medial tibial stress syndrome (MTSS), aka Medial Tibial Traction Periostitis, is a common result of this increased load. The diagnosis of MTSS describes exercise-induced pain along the posteromedial border of the tibia. The condition is commonly referred to as “shin splints” and is a familiar malady in athletes and soldiers where it affects up to 1/3 of those populations. (1-4) MTSS is responsible for approximately 15% of all running injuries. (1)

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Tarsal Tunnel Syndrome and the Dorsiflexion-Eversion Test

Tarsal Tunnel Syndrome and the Dorsiflexion-Eversion Test

Tarsal tunnel syndrome, first described in 1962, is a relatively common compression neuropathy of the posterior tibial nerve as it passes through the tarsal tunnel. Tibial nerve compression results in pain and/or paresthesia radiating into the plantar arch and heel. Tarsal tunnel syndrome may be under-diagnosed as it sometimes mimics plantar fasciitis or heel spurs.

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