What gait related risk factors are related to MTSS (Shin Splints)?

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  • Intensity control. It is important in rehab and with asymptomatic (not painful) people that there is intensity control. The risk for development of MTSS is vastly different when adding in intensity (speed) compared to distance. I educate runners that when adding in intensity to reduce there distance by 10-30%, then bring slowly bring it back up once you have adapted to the speed work.

 

  • Pelvic drop: Strength training to posterior chain, cueing wider stance or not letting knees touch during a running assessment is something I think can be a preventive factor.

 

  • Decreased knee flexion: Running in lower drop shoes can increase knee flexion but does increase the load through the achilles.

 

  • Apropulsive gait - early heel lifts and an abductory twist. Orthosis can help with ground modification, higher pitched shoes, heel lifts and an increase in cadence can address this, generally.

 

  • Extra point: You need to ask your patients or athletes if they are fuelling correctly and getting enough sleep. Plenty of research now suggesting their important. I tell my patients I am more concerned about your sleep and nutrition strategies then your foot type. Some great quotes I tell my patients. We have more research for sleep and injury risk then foot type and there are certain growth factors we get from food that we need for our body to adapt to stress, without these we are not able to build capacity. So see a dietitian!!
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