The topic of medial tibial stress syndrome is something that comes up often on sites in the PodVertise network and many other podiatry sites. A lot of the discussion of medial tibial stres syndrome is around exactly what it is with many theories and many bits of research going into the mix – is it a soft tissue traction at the bone or is is a bone stress reaction? There is some theory and evidence pointing to both pathological processes of medial tibial stress syndrome. The latest theory that is getting some mileage is that medial tibial stress syndrome is possibly due to increased bending moments in the tibia. If that is the case, then foot orthotics need to have design parameters that reduce that bending moment. See this discussion on medial tibial stress syndrome on Podiatry Arena for more on this.
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