The prevalence and effect of the sites of pain in female soccer players with medial shin pain

Takumi Okunuki, Hirohisa Magoshi, Toshihiro Maemichi, Zijian Liu, Hirofumi Tanaka, Masatomo Matsumoto, Takuma Hoshiba, Tsukasa Kumai

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND: Female soccer players are often diagnosed with medial shin pain, which includes tibial stress fracture, medial tibial stress syndrome, and chronic exertional compartment syndrome. As the possibility of varied sites of pain affecting sports activities has not been fully researched, an urgent discussion and evidence is required. This study investigates the prevalence and effect of sites of pain on the sports activities of female soccer players with medial shin pain. METHODS: A questionnaire survey was conducted for 196 female soccer players with medial shin pain to assess symptom duration, the effect of practice and performance, and sites of pain. The players were classified into three conditions (tibial stress fracture, medial tibial stress syndrome, or medial shin pain with neurological symptoms) and compared based on sites of pain. RESULTS: We observed that medial tibial stress syndrome had a lower impact on performance compared to that of tibial stress fracture and medial shin pain with neurological symptoms. While participants with tibial stress fracture had to suspend practice sessions more frequently, the difference in symptom duration between the classified groups was not statistically significant. The effect of sites of pain on sports activities was not significantly different in participants with medial tibial stress syndrome. CONCLUSIONS: Medial shin pain should be evaluated carefully to differentiate between medial tibial stress syndrome and medial shin pain with neurological symptoms. Restriction of sports activities may help improve the patient’s condition early, regardless of the presentation.

Original languageEnglish
Pages (from-to)111-120
Number of pages10
JournalJournal of Sports Medicine and Physical Fitness
Volume63
Issue number1
DOIs
Publication statusPublished - 2023 Jan

Keywords

  • Epidemiology
  • Medial tibial stress syndrome
  • Return to sports
  • Surveys and questionnaires

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

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