Medial Tibial Stress Syndrome in Runners

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Running or jogging to keep fit or for competition might seem like a reasonably straightforward exercise, but up to half of all runners can get some kind of injury every year. This injury may be relatively minor and they run through it until it gets better or it can be serious enough for them to have to give up running. The commonest reason for these running injuries is that the runner merely over did the distances ran. They ran too much before the body is given time to adapt or get used to the distances being run. Every time that a load is applied to the runner it is essential to give it a rest before applying another load by going for another run. If an excessive amount of load is applied before recuperation from an earlier run, any damage gets exacerbated and this might progress into an injury. Rest is just as essential as the training runs and that is how fitness and strength is increased and is also how injury is averted.
 
As well as the too much too soon issue, biomechanics also plays a role. This is the way that we run and different athletes do it in different ways. Different running techniques will affect different tissues in a different way and load some tissues too much, so that when running that could be enough to cause an overuse injury. For example, injuries like medial tibial stress syndrome (shin splints or MTSS) may occur when the width between the foot placement when running is too narrow. Those with  this condition can benefit from running with a wider base of gait. Another frequent biomechanical problem in runners is tight calf muscles. When running this causes the arch of the foot to collapse or overpronate and can result in a a range of conditions like heel pain to runners knee. These people will benefit the most from a calf muscle stretching program. The treatment of running injuries depends on the cause and really should be geared towards the cause, whether its biomechanics to training load issues.
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