Early in the condition, pain is experienced at the beginning of a training session and disappears as the exercising continues. As your injury progresses, the episodes of pain lengthen.
With repeated stress-related injuries, the bone itself can be affected and may eventually develop multiple microfractures — what is referred to as a stress fracture. The pain associated with a stress fracture will be sharp and focused on a very small area of your bone. Stress fractures are more serious and typically require you to restrict your activities to ensure proper healing.
Treatment of MTSS involves rest and often requires you to completely stop training for a period of time. It’s important to follow your doctor’s guidance and begin with lengthened rest time scheduled between training sessions. Your doctor may recommend that you take anti-inflammatory medications or use cold packs and mild compression to relieve the pain. For severe conditions that do not respond to the usual treatment, surgery may be an option. However, a full return to sports is not always achieved following surgery.
You may be more likely to develop MTSS if you:
- Have flatfeet or abnormally rigid arches
- Have “knock-knees” or “bowlegs”
- Are a frequent runner
- Are an aerobic dancer
If you suspect that you have signs or symptoms of MTSS, the pain is prolonged, or if there is no improvement with rest, see your doctor for further evaluation and treatment.