Today’s video covers rehab exercises for posterior shin splints, which create pain along the inner part of the lower leg.

Medial Tibial Stress Syndrome (MTSS) or ‘shin splints’ describes a repetitive stress injury of the anteromedial (front and inside) shin region. This issue typically causes pain along the middle-distal tibia that is provoked with exertion.

More recent evidence suggests that this condition is more complex and could be caused by a number of stress injuries, including tendinopathy, periostitis and stress reactions of the tibia.

While the pathophysiology of MTSS may be complicated, the condition typically involves situations where the body is not able to heal due to excessive loading. Following this logic, the vast majority of MTSS cases can be controlled by managing the stress that is being applied to the system. This could include manipulating five major variables:

1. Training frequency, volume or intensity
2. Technique/form
3. Equipment (training surface, shoes)
4. Nutrition
5. Resistance training

Resistance training exercises that improve the musculoskeletal system’s ability to tolerate load can be effective when looking to successfully manage this condition.

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