As we learned in our last blog, medial tibial stress syndrome is a common condition that affects active people. In particular, it’s common among runners and recreational walkers. (For further information, we recommend you check out our last blog entry). This week’s blog is going to continue from last week, reviewing two clinical tests that assist in the diagnosis of medial tibial stress syndrome.
Diagnosing Leg Pain
A recent paper published in the British Journal of Sports Medicine found the shin-palpation test and the shin-edema test to be sensitive in detecting the presence of medial tibial stress syndrome.
- Shin Palpation Test – This test is performed by the practitioner palpating the bottom two-thirds of the tibia. Particular attention is placed on the back/inside corner of the bone where the deep tissues insert to the bone.
- Shin Edema Test – The shin edema test is performed by placing sustained pressure (approximately 5 seconds) to the same area of the tibia. “Pitting” in the tissue is a positive test.
Diagnosing any condition requires a combination of a thorough history and clinical examination. Medial tibial stress syndrome (commonly known as shin splints) is no different. After taking a thorough history and reviewing all the contributing factors, the shin palpation test and the shin edema test may help practitioners diagnose medial tibial stress syndrome.
Experiencing leg pain? We can help. Feel free to call or email our clinic to schedule an examination.
Newman P, Adams R & Waddington G. two simple clinical tests for predicting onset of medial tibial stress syndrome: shin palpation test and shin oedema test. Br J Sports Med 2012; 46: 861-864.
Moen MH, Bongers T, Bakker EW et al. risk factors and prognostic indicators for medial tibial stress syndrome. Scand J Med Sci Sports 2012: 22: 34-39.