--- title: "Medial tibial stress syndrome: radial soundwave therapy. | Sutter Health" description: "Radial soundwave therapy has a high level of evidence for treatment of MTSS. We also present recent evidence of the value of vitamin D assessment." url: "https://www.sutterhealth.org/research/publications/medial-tibial-stress-syndrome-radial-soundwave-therapy-1055312476" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Medial tibial stress syndrome: radial soundwave therapy. # Treatment of medial tibial stress syndrome with radial soundwave therapy in elite athletes: current evidence, report on two cases, and proposed treatment regimen. Saxena A, Fullem B, & Gerdesmeyer L. _J Foot Ankle Surg. 2017 Sep - Oct;56(5):985-989. doi: 10.1053/j.jfas.2017.06.013. Review._ 2017-09-01 ## Abstract Two case reports of high-level athletes with medial tibial stress syndrome (MTSS), 1 an Olympian with an actual stress fracture, are presented. Successful treatment included radial soundwave therapy, pneumatic leg braces, relative rest using an antigravity treadmill, and temporary foot orthoses. Radial soundwave therapy has a high level of evidence for treatment of MTSS. We also present recent evidence of the value of vitamin D assessment. Both patients had a successful outcome with minimal downtime. Finally, a suggested treatment regimen for MTSS is presented. [PubMed abstract](https://www.ncbi.nlm.nih.gov/pubmed/28842109) ## Research topics - [Disease Management](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Disease+Management%5C%22%22) - [Musculoskeletal Disorders](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Musculoskeletal+Disorders%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Comparison between extracorporeal shockwave therapy, placebo ESWT and endoscopic plantar fasciotomy for the treatment of chronic plantar heel pain in the athlete.](https://www.sutterhealth.org/research/publications/heel-pain-shockwave-tx-endosc-fasciotomy-1055312338) Saxena A, Fournier M, Gerdesmeyer L, Gollwitzer H. Muscles Ligaments Tendons J. 2(4):312-6. Print 2012 Oct. 2013 Jan 21 - Publication ### [Fixation of osteoporotic distal fibula fractures: A biomechanical comparison of locking versus conventional plates.](https://www.sutterhealth.org/research/publications/fixation-osteoporotic-distal-fibula-fx-1055312983) Kim T, Ayturk UM, Haskell A, Miclau T, Puttlitz CM. J Foot Ankle Surg. 46(1):2-6. 2007 Jan 01 - Publication ### [Clinically relevant effectiveness of focused extracorporeal shock wave therapy in the treatment of chronic plantar fasciitis: a randomized, controlled multicenter study.](https://www.sutterhealth.org/research/publications/extracorporeal-shock-wave-tx-plantar-fasciitis-1055312428) Gollwitzer H, Saxena A, DiDomenico LA, Galli L, Bouché RT, Caminear DS, Fullem B, Vester JC, Horn C, Banke IJ, Burgkart R, Gerdesmeyer L. J Bone Joint Surg Am. 97(9):701-8. doi: 10.2106/JBJS.M.01331. 2015 May 06 - Publication ### [External auditory exostoses: evaluation and treatment.](https://www.sutterhealth.org/research/publications/external-auditory-exostoses-evaluation-treatment-1055312964) Hetzler DG. Otolaryngol Head Neck Surg. 139(3):482; author reply 482. doi: 10.1016/j.otohns.2008.05.629. 2008 Sep 01 - Publication ### [Use of an anti-gravity treadmill in the rehabilitation of the operated achilles tendon: a pilot study.](https://www.sutterhealth.org/research/publications/anti-gravity-treadmill-achilles-tendon-rehab-1055312414) Saxena A, Granot A. J Foot Ankle Surg. 50(5):558-61. doi: 10.1053/j.jfas.2011.04.045. Epub 2011 Jun 23. Send to: 2011 Sep 01 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/medial-tibial-stress-syndrome-radial-soundwave-therapy-1055312476#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Medial tibial stress syndrome: radial soundwave therapy."}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/medial-tibial-stress-syndrome-radial-soundwave-therapy-1055312476#medicalscholarlyarticle","name":"Treatment of medial tibial stress syndrome with radial soundwave therapy in elite athletes: current evidence, report on two cases, and proposed treatment regimen.","headline":"Medial tibial stress syndrome: radial soundwave therapy.","abstract":"Two case reports of high-level athletes with medial tibial stress syndrome (MTSS), 1 an Olympian with an actual stress fracture, are presented. 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