Stephen J. Schueler, M.D.

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Medial Tibial Stress Syndrome Evaluation

The evaluation of medial tibial stress syndrome starts with a history and physical examination.

Physical findings in someone with medial tibial stress syndrome may include:

  • Limping due to leg pain
  • Mild tenderness over the posterior tibialis muscle
  • No tenderness over the tibia or other bones

Testing is not necessary to make the diagnosis of medial tibial stress syndrome. Tests may be used to exclude a tibial stress fracture.

Tests that may be used to evaluate medial tibial stress syndrome include:
  • X-rays of the tibia
  • Nuclear medicine bone scan

Continue to Medial Tibial Stress Syndrome Treatment

Last Updated: Dec 20, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Medial Tibial Stress Syndrome References
  1. Francisco AC, Nightingale RW, Guilak F, Glisson RR, Garrett WE Jr. Comparison of soccer shin guards in preventing tibia fracture. Am J Sports Med. 2000 Mar-Apr;28(2):227-33. [10751000]
  2. Jensen A, Dahl S. Stress fracture of the distal tibia and fibula through heavy lifting. Am J Ind Med. 2005 Feb;47(2):181-3. [15662637]
  3. Thacker SB, Gilchrist J, Stroup DF, Kimsey CD. The prevention of shin splints in sports: a systematic review of literature. Med Sci Sports Exerc. 2002 Jan;34(1):32-40. [11782644]
  4. Wilder RP, Sethi S. Overuse injuries: tendinopathies, stress fractures, compartment syndrome, and shin splints. Clin Sports Med. 2004 Jan;23(1):55-81, vi. [15062584]
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