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Hello All,
Just wanted your opinion on whether Medial Tibial Stress Syndrome can occur in sedentary people?
Px: Lady in 50s, works in administration, obese, history of Left hip replacement ( post necrosis of hip), Right knee replacement. Now has Right hip pain, weightbearing stance with Right knee flexed to offload hip, otherwise foot posture within normal limits.
Pain experienced on anterior tibias, particularly at night.
Muscle testing normal, no palpable Trigger points in anterior compartment.

Px not taking anti inflammatories/ prednisone, etc

Any ideas? ( hopefully not something sinister, my first thought)
Cheers,
Kara

 

No idea re this patient of course as not able to assess.

but yes MTSS can occur in the non athlete.

If a change in gait ie the hip or knee issue is enough to change the ground reaction forces acting on the foot, which in turn increase or focus the bending moments acting on the tibia, which then in turn push the tibia out of it's physiological window or zones of optimal tissue stress, then we can have the condition MTSS.

but I or anyone via the interwebz can say you patient has MTSS or anything else

hope that helps