Tibial stress syndrome is often biomechanical in origin and is commonly found in athletes participating in running and jumping sports. 

Tibial stress refers to the abnormal loading of the shin bone in weight bearing activities leading to inflammation and straining of the tibia.  It commonly affects the lower third of the inside of the shin bone in athletes taking part in weight bearing sports.  If allowed to develop the inappropriate loading on the tibia may eventually lead to development of stress reaction or stress fracture in the tibia. 

Treatment of the condition should be determined following a thorough biomechanical assessment and is likely to include a period of rest from sport.  Deep tissue therapy of the tibialis posterior, soleus and gastrocnemius muscle groups may also be necessary to treat the underlying causes of the abnormal loading. 

Custom made orthotics may be required in order to change the mechanics of the foot.  This can be determined following full biomechanical assessment.  A graded return to sport as the patient recovers is essential to the successful return to activity.