Winters et al developed the medial tibial stress score (MTSS) to measure the severity of the condition. It can be used to monitor the outcome of an intervention. The authors are from University Centre Utrecht.
Patient selection: medial tibial stress (exercise-induced pain along the posteromedial tibia, with pain provoked by palpation over distance >= 5 cm)
If both medial shins are affected, then the worse one is scored.
Parameters:
(1) ability to engage in sport related to pain in shin
(2) pain in shin during sport activity
(3) pain in shin while walking
(4) pain in shin at rest (laying down, sitting)
Parameters
Findings
Points
ability to engage in sport
no change
0
less of usual
1
change sport
2
cannot do any
3
shin pain during sport
none
0
some
1
a lot
2
cannot do any sport
3
shin pain when walking
none
0
some
1
a lot
2
cannot walk
2
shin pain at rest
none
0
sensitive
1
painful
2
very painful
2
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 10
• The higher the score initially the more severe the medial tibial stress.
• With effective therapy the score should drop to 0.
To read more or access our algorithms and calculators, please log in or register.
