EXERCISE INDUCED LEG PAIN (MTSS)

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Two popular theories have been proposed to account for this condition: tibial bending and fascial traction.
The role of fascial traction in medial tibial stress pathomechanics:
In one study, the amount of strain present in the tibial fascia adjacent to its distal medial tibial crest insertion during loading of the leg was investigated as a descriptive laboratory pilot study using three fresh cadaver specimens.
Strain in the distal tibial fascia was measured using strain gauges placed in the fascia at its medial tibial crest insertion.
As tension on the posterior tibial, flexor digitorum longus, and soleus tendons increased, strain in the tibial fascia increased in a consistent linear manner.
This study concluded that fascial tension may play a role in the pathomechanics of medial tibial stress syndrome.

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