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Medial Tibial Stress Syndrome Shockwave Treatment.

Medial Tibial Stress Syndrome Shockwave Treatment


Medial Tibial Stress Syndrome (MTSS) is a condition most often found in runners, football, and basketball players as well as dancers. It is almost always associated with biomechanical abnormalities of the lower extremity including knee abnormalities, tibial torsion, femoral anteversion, foot arch abnormalities and leg-length discrepancies. Commonly referred to as ‘shin splints’ – it is an injury usually caused by frequent overuse or repetitive-stress injury of the lower leg(s).

While it can be painful, for athletes it can be also be a debilitating condition that means they are temporarily unable to participate in their sport until treatment is undertaken.

That’s why we recommend you visit us if you have any problems with MTSS so that we can ascertain the problem and treat it quickly before it becomes worse. Numerous clients of ours have overcome MTSS problems in record time with focused Shockwave treatment plus Magneto transduction therapy and been able to return to their sporting activities or normal way of life.

What is MTSS?

Inflammation of the tibial edge can occur due to excessive strain. Anterior compartment syndromes arise when a muscle becomes too big for the sheath that surrounds it causing pain. The big muscle on the outside of the shin is called the tibialis anterior and is surrounded by a sheath. This is called the anterior compartment of the lower leg. Compartment syndromes can be acute or chronic. 

Up to 35% of runners develop MTSS, and football players and dancers feel the pain in the legs often following exertion. Initially it feels worse at the start of exercise, gradually subsides during training, and may stop minutes after exercise. However, later, pain may be felt with less activity and may even occur while resting.

Training errors and ‘over training’ such as, ‘too much’ or ‘too fast’ are the most common reasons that cause MTSS. Women appear to be more affected than men and have a greater risk for the progression of this to stress fractures.

Sometimes, just using the ‘wrong’ footwear, including worn-out trainers, can be contributions to the problem. A variety of tibial stress injuries can be involved in MTSS including tendinopathy, periostitis, and dysfunction of the tibialis posterior, tibialis anterior and soleus muscles.

Medial Tibial stress syndrome.

How Shockwave Therapy Can Overcome MTSS

If rest, a changed training regime or simply new trainers or shoes don’t solve the problem, the traditional solution was to have invasive surgery that would have interrupted training and may have initiated further trouble. However, undertaking a course of shockwave therapy can be a faster solution and will allow athletes to continue training or competing or allow dancers to carry on rehearsing or appearing without interruption.

According to the American Journal of Sports Medicine, 15 months following initial treatment 40 of the 47 subjects in a shockwave treatment group had been able to return to their preferred sport at their preinjury level, compared to only 22 of the 47 control subjects. Conclusion: Radial SWT as applied was an effective treatment for MTSS.

What Happens Before Shockwave Treatment?

Before we can begin Medial Tibial Stress Syndrome Shockwave Treatment, we will need to ask you about your history of leg pain (or read the notes of your physician) and examine the area so that we can understand the clinical history behind your condition. This is so that we can ensure that the ailment being treated is actually MTSS or Tibialis Anterior Syndrome and is therefore treatable with shockwave therapy.

During Shockwave Therapy for MTSS or Tibialis Anterior Syndrome we will isolate the area that needs to be treated, then using our focussed shockwave equipment we will start sending gentle impulses to the area. Discomfort will be kept to a minimum and gradually the impulses will become more intense, although little pain will be felt and if it is it will gradually dissipate over a few days.

MTSS shockwave treatment.

How Long Will the Shockwave Therapy Take to Work?

Generally, shockwave for MTSS or Tibialis Anterior Syndrome will resolve after three to four sessions, depending on your condition and how long you may have suffered with it. Early diagnosis can reduce the number of sessions needed.

It is important that you work with your physical therapist to ensure that you have an exercise regime and massage to ensure full recovery.

Many clients feel immediate relief, and after subsequent treatments you should notice a definite improvement leading to a partial or total reduction in the original pain felt.

What Are the Alternatives to Shockwave Therapy for MTSS?

One of the most attractive aspects of shockwave treatment is that it is a non-invasive for problems that are sometimes challenging to treat. This is sometimes described, medically, as being treated extracorporeally, i.e., outside of the body. Furthermore, since it is non-invasive, there is no lengthy recover period, little or no time off from work or away from training or dance rehearsals, or risk of causing further damage and infections.

The same cannot be said with surgery, it is not uncommon for patients who have surgery to miss work for two to six weeks due to immobilization. Plus of course, if they are private patients the cost of surgery can run into several hundreds, if not thousands of pounds.

Regular or Focussed Shockwave Treatment, What is the Difference?

Since about 1990 Extracorporeal Shockwave Therapy (ESWT) has become an alternative for treating MTSS or Tibialis Anterior Syndrome in Europe. The USA were slow to catch up and it didn’t catch on there until about the year 2000. There has been some controversy between manufacturers of ESWT technologies, with each of them doggedly determined to create an exclusive market for themselves. One of the common targets for differentiation was the level of energy used in shockwave technology.

We have been working with different shockwave technologies for a number of years and have now progressed to the latest, focussed, shockwave engineering. This has demonstrated that the older, earlier machinery, we once used was much less effective and inferior to what we have now.


Medial tibial stress syndrome and shockwave therapy – September 2009

EMTT Medial Tibial Stress Syndrome Treatment

We are now regularly using Electromagnetic Transduction Therapy (EMTT) in combination with Shockwave Therapy as we have found that the dual treatment has allowed our patients to recover faster. We are one of the few clinics in the country able to offer both therapies, so if you have suffering we recommend you call us before the condition gets more difficult.

EMTT Medial Tibial Stress Syndrome Treatment.

To book treatment for MTSS please request a specialist clinician to call you back to arrange an initial assessment Tel: 020 8549 6666 or complete the Contact Form below.

Our reception lines are open from 8:30am to 8:00pm weekdays and between 10:00am and 4:00pm at weekends (excluding Christmas, New Year and Bank Holidays).