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  1. #1
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    Re: Medial Tibial Stress Syndrome (Interior Shin Splints) no cure?

    It sounds that you have tried a number of regimes, with ongoing and unresolved symptoms.
    I would suggest you alter your training regime but decreasing to a bear minimum. Given the chronicity of symptoms, try ceasation for 4 weeks. I appreciate your Thailand experience and time constraints, but the longer you look for quick fix answers the longer and more chronic it will become.
    You mentioned you attended a Podiatrist and "bought" custom insoles. Were these taken form a corrected cast? Was a full biomechanical performed? As advise given muscle group strength assessments are required to exclude imbalances, as is a functional limb length measurement.
    Normally for this case I would expect an everted or valgus rearfoot. With nearly all pronatory complaints such as yours, I would see a Gastroc/Soleal Equinus. So, srtretching the calf mucles individually is paramount. If their is a functional difference greater than 0.5 cm, then a 0.5 cm heel raise should be added to the shorter side. Deep tissue massage is uncomfortable, but your physio and his/her fingers deeply working the Pre Tibial would also benefit.
    If the Insoles are NOT Orthotics, then have them reviewed. Again I am not an advocate of Rigid orthotics, but an average male approx 80-85kgs would benefit from a semi flexible 4mm polypropylene orthotic witha soft tissue supplument.
    Food for thought..interested were you go from here. But do dramatically knock off the training until or allowing for healing.


  2. #2
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    Re: Medial Tibial Stress Syndrome (Interior Shin Splints) no cure?

    Well I'm back from Thailand.. I'm still training alot though because I have a fight in two weeks. My shins were not bothering me for a long time, but now they have come back mainly towards the bottom section of my right shin.

    When I got my orthotics the podiatrist only asked me to push my foot into this foam cast sort of thing that left an inprint of my foot. I think it's the increased running and skipping that has lead to the return of the shin splints. It's very tender to the touch on my right shin in about a 2cm long area. The left is a little tender but not too bad.

    I did have a 2 month break before Thailand but they just return every time even with stretching and strengthening exercises. Is it worth going back to a podiatrist? It's beggining to sound like the last guy ripped me off with the orthotics.

    I don't really have the money to see a podiatrist though. Unless I ask my parents, which I'd prefer not to do.



 
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