The April 2010 edition of  Podiatry Today magazine has a good update of the latest concepts in Medial Tibial Stress Syndrome by Kevin Kirby. Two interesting key concepts that came through in the review is that there is no agreement on exactly what is the pathological process in the condition – is it a soft tissue traction issue or a bone stress reaction due to tibial bending actions?  The tibial bending moments are a recent consideration in the risk factors for this condition. If medial tibial stress syndrome is due to tibial bending moments, then this has implications for the use and prescription of foot orthotics and running shoes to alter these bending moments. There has been some discussion on this concept for medial tibial stress syndrome.
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