title: Case report: comprehensive management of medial tibial stress syndrome.
abstract: Activity or exercise-induced leg pain is a common complication among competitive and "weekend warrior" athletes. Shin splints is a term that has been used to describe all lower leg pain as a result of activity. There are many different causes of "shin splints," one of which is medial tibial stress syndrome, and the treating clinician must be aware of potentially serious causes of activity related leg pain. Restoring proper biomechanics to the entire kinetic chain and rehabilitation of the injured area should be the primary aim of treatment to optimize shock absorption. The role inflammation plays in medial tibial stress syndrome is controversial, but in this case, seemed to be a causative factor as symptomatology was dramatically decreased with the addition of proteolytic enzymes. Medial tibial stress syndrome can be quite difficult to treat and keeping athletes away from activities that will slow healing or aggravate the condition can be challenging. "Active" rest is the best way in which to allow proper healing while allowing the athlete to maintain their fitness.
authors.forename: Bernard John
authors.initials: BJ
authors.lastname: Krenner
references.citation: J Sports Sci. 2004 Apr;22(4):365-72
references.pmid: 15161110
references.citation: Med Sci Sports Exerc. 1992 Jan;24(1):20-5
references.pmid: 1548991
references.citation: Fortschr Med. 1995 Jul 10;113(19):303-6
references.pmid: 7672747
references.citation: Eur J Pharmacol. 1988 Jun 10;150(3):295-301
references.pmid: 3046953
references.citation: Phys Sportsmed. 2001 Jun;29(6):35-50
references.pmid: 20086577