Jul 23, 2021

Physiosports Case Study Series ✨

We return with the case study of Ms Regine. She was diagnosed with Medial Tibial Stress Syndrome (MTSS), or shin splints. 🦴

Whilst research is abundant in identifying the risk factors for MTSS, there is still a gap in literature regarding management of shin splints. There is no 1 treatment proven to be effective for athletes with MTSS.

The constant pounding of running and jumping can cause inflammation in the connective tissues attaching the shin bone to the muscles. Hence, the initial goal would be to manage inflammation and reduce pain. Modalities can thus be employed accordingly.

For example, soft tissue massage will work on these connective tissue spots where adhesions have formed. Interferential current, shockwave therapy, and ice packs can also be used for pain relief and reducing inflammation.⚡

Most importantly, a ⭐graded loading exposure programme⭐, including strengthening exercises, stability work and more sport specific exercises need to be implemented. Referring to the previous video on Ms Regine, there are a few muscle imbalances or weaknesses that need to be addressed. Strengthening and targeting these muscle groups will help to improve her movement mechanics and efficiency during running and ballet. 🏃

At the same time, maintaining her cardiovascular endurance while not aggravating her condition is also vital. This can be achieved with switching to lower impact cardio exercises first. When her symptoms improve, base training will be the first step to return to running. This comprises working up to 20 mins jog for at least 3x/week. Hopping and jumping exercises will also be used to start loading her shins and as functional training to return to ballet.🩰

If you or anyone you know is interested to start your rehab journey with us, do drop us a DM or call us at 82182905🤳 / 62620970📞 to arrange an appointment!

📝1. Winters, M. (2018). Medial tibial stress syndrome: diagnosis, treatment and outcome assessment (PhD Academy Award). British journal of sports medicine.
📝2. ML, T., & G, G. (2016). Shin Splints: Efficacy of Radial Extracorporeal Shock Wave Therapy in Ballet Dancers. A Series Of Cases. IOSR Journal of Dental and Medical Sciences, 15(09), 22–24.
📝3. Fogarty, S. (2015). Massage treatment and medial tibial stress syndrome; A commentary to provoke thought about the way massage therapy is used in the treatment of MTSS. Journal of bodywork and movement therapies, 19(3), 447-452.

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