Medial tibial stress syndrome MTSS and antipronation taping

Stop Shin Splints Forever

Stop Shin Splints By Gary Buchenic

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D. Morrissey


This technique is used for symptomatic relief during rehabilitation or sporting activity, alone or in combination with other antipronation measures such as low dye taping, antipronation insoles and muscle retraining.


The aim is to reduce the symptoms and pronation.


5-cm Mefix/Hypafix, 4-cm zinc oxide tape, elastic adhesive bandage.


Standing or sitting with the foot on a slightly raised surface, the ankle in plantarflexion and the leg muscles relaxed.


1. The Mefix is applied without tension to the anteromedial lower shin, then spirals laterally and upwardly around the posterior leg to finish on the anterior aspect just below the knee joint.

2. Two or three strips of zinc oxide are then applied over the Mefix, overlapping each other by one-third the width of the tape. These are used to pull the long flexors of the foot (flexor hallucis longus, flexor digitorum longus and tibialis posterior in particular) towards the medial tibial border. Applied with minimal tension, the tape effectively tightens on weight-bearing (Fig. 6.47).

3. Anchor and locking strips are then applied at the proximal and distal ends of the spiral using elastic adhesive bandage (Fig. 6.48).


Check that gait is uninhibited.


Allergic reaction, open skin wounds, excessive hair.


The tape may be left on for up to 12 h providing the skin is not red or itchy.


Shave the legs at least 24 h prior to taping.

Tape Technique


Patellar tendinosis 102 Unload the fat pad 104 Knee support - Crystal Palace wrap 106

Sprain of the lateral collateral ligament 108

Anterior cruciate taping 110 Continuous figure-of-eight wrap for the knee 112 Vastus lateralis inhibitory technique 114

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