What Is My Shin Pain?

Medial Tibial Stress Syndrome (MTSS)

is commonly referred to as shin splints and describes the pain that is often felt by runners and athletes at the front of your tibia (shin bone) with exercise. There are two distinct aetiologies in MTSS that result in this pain:


  • The overuse or excessive pulling on the connective tissue that covers the tibia called the periosteum by the surrounding musculature and tissues
  • Injury to the tibia bone itself through increased stress, repetitive loading and excessive bending (in activities such as running) that result in micro-fractures that can progress to fractures

Pain typically presents after and during exercise. MTSS can be effectively managed but needs to be differentiated from other conditions with similar symptoms such as compartment syndrome, a tibial stress fracture and tendon pathology.