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 Sep 01
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.