Tibial Stress Fractures


As running become more popular as a form of exercise, the risk for developing musculoskeletal injuries goes up as well. Stress fractures are one of the most serious injuries, it account for 6-20% of injuries in track and field athletes and long distance runners (4) . In runners, stress fracture are most commonly seen in the tibia, which requires an average of 8 weeks of recovery (2).

This post is about tibial stress fractures, what they are, how they occur, and some things your patients can do to help keep them at bay. 


Does Running Cause Knee Arthritis- Review of Articles


We all have had patients that ask us what they can do to prevent arthritis, or state- "I have been running for a few years and the doctor states that now I have arthritis." 

How do you usually answer? Do you agree or disagree with that statement?

Have you had patients who directly as you if running causes arthritis?  Are you comfortable answering that question?

If not this short article is for you and your patients who are seeking that answer.

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Part II: Running Mechanics- Top 4 Faults

In my last post we discussed some running gait pattern “norms”. I put that in quotations because as I mentioned before it is really difficult to normalize running gait.  However, anything that deviates too much from the closest thing to a standard can produce future problems.

So lets look at the top 4 common running mechanical deviations.  The goal is to help our patients understand what we look at when we are looking at their running gait, and what it may possible mean when we see these faults. The faults will lead us to decide on the proper treatment course. 

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Running Mechanics: The Introduction

Photo Credit: New Basin Blues 

Photo Credit: New Basin Blues 

Have you have any patients come in asking about running mechanics and how they could improve their gait? Or talk about running and discuss repetitive injuries, and you're thinking to yourself, it may be their gait.  This articles introduces the closes thing to a "standard" when it comes to running gait. 

Much like walking, everyones running gait pattern is unique and slightly different. Therefore, due to the variations from person to person, it has become difficult to standardize what “normal” running should look like.  The purpose of this post is to introduce basic running mechanics so that we can further analyze gait in the next post.

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Medial Tibial Stress Syndrome: What Is it?

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Medial tibial stress syndrome (MTSS) also commonly knows as “shin splints” and as medial tibial traction periostisis is a very common overuse injury.  With MTSS the athlete presents with pain  along middle or lower half of the posteriormedial border of the tibia during loading activities such as running, walking, and jumping (2,3,4). Shin splints make up 60% of all lower leg injuries in all athletes,  4% to 20% in military personnel,  and 9.5% specifically to runners (5).  Garnock et al, explained that MTSS recovery times can range anywhere from 4 weeks up until 18 weeks with a reoccurrence rate of 20-30x in those individuals who with a history of MTSS compared to those without a history (4).

Unfortunately, for those athletes experiencing this injury ceasing training to is recommended especially if their pain surpasses a level 4 on a 10 point pains scale (5). For many years now, researchers and clinicians have attempted to find a definitive cause to MTSS as well as the best course of treatment but have fallen short.


Continue reading this post to find out what shin splints are, and what  the top risk factors