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Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Treatment in the acute stage is:

  • rice (rest, ice, compression, elevation)

Once symptoms subside the cause should be localised and the exercise program of the patient should be modified

  • proper conditioning, physical therapy for stretching and strengthening of the calf musculature
  • extracorporeal shockwave therapy may be helpful

A podiatrist can fit orthotics to prevent hyperpronation, if this is the causative factor.


  • Moen MH, Tol JL, Weir A, Steunebrink M, De Winter TC. Medial tibial stress syndrome: a critical review. Sports Med. 2009;39:523-546.

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