Podcast|April 6, 2024

From Irritation to Recovery: A Complete Guide to MTSS

Mtss tom goom header



00:00 Intro

01:06 What is MTSS?

02:19 Risk Factors

03:34 Typical Patient

04:20 Specific Training Errors

05:40 Influence of Footwear

06:58 Forefoot Running

08:40 Red Flag Diagnoses

12:08 MTSS DIagnosis

13:06 Assessing the Patient

15:45 Muscle Testing

17:18 Sponsored Segment

18:55 Other Strength Parameters

21:05 Running Analysis/Technique

26:15 Treatment

29:29 Strengthening Exercises

31:58 What about Tibialis Anterior?

33:12 How to manage a flare-up?

35:25 Return to running

38:02 Different Mx for Different Sports

40:20 Duration of MTSS

41:35 Adjunct Treatments

43:30 Can MTSS become a Fracture?

44:25 Tom’s closing remarks

46:25 Outro


Tom goom profile

Tom Goom

Tom Goom, also known as the Running Physio, is a physiotherapist from the UK specialized in lower rehab and of course Running – he started his popular website running-physio.com 12 years ago and is very active on social media where you might have seen some of his infographics or blogs. He has written for different high-profile running magazines and published in the Journal of Orthopedic and Sports Physical Therapy about proximal hamstring tendinopathy.


In this episode of the Physiotutors podcast, Tom Goom, also known as the Running Physio, provides valuable insights into medial tibial stress syndrome (MTSS) and its management. He discusses the pathophysiology of MTSS, Risk factors, and emphasizes the importance of gradual training progression and proper footwear selection to prevent MTSS. Tom also shares his approach to assessing and treating MTSS, focusing on finding a pain-free level of loading, incorporating strength training, and carefully guiding patients through a structured return to running program.

It’s a value-packed episode so tune in to master your approach to treating shin splints.

This episode is sponsored by Lindy.ai – your A.I. medical scribe. Try Lindy for free by going to lindy.ai/physiotutors and receive 1 week of unlimited patient notes.


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