Typically an overuse injury, with exercise-induced pain over the posteromedial border of the middle to distal 2/3 of the tibia
Exact pathophysiology is unknown, thought due to tractio...
Often insidious and progressive
Temporally related to sudden increase in intensity/duration of activity, or change in playing/running surface from a softer surface to a harder surface ...
Nonsteroidal anti-inflammatory drugs (NSAIDs) and ice most beneficial in acute stages
Complete rest if possible
Otherwise, graded running program, gradual increase in inc...
Changes in training techniques:
Increase rest days.
Add in cross-training days with non–weight-bearing activity such as swimming and biking.
Slow increase in training intensity/duration, wit...
Korakakis V, Whiteley R, Tzavara A, et al. The effectiveness of extracorporeal shockwave therapy in common lower limb conditions: a systematic review including quantification of pat...
Activity should be avoided until pain and tenderness resolve, followed by a slow, structured return to prior level of activity.
There is no good evidence that special taping or an ACE b...
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