Medial tibial stress syndrome: diagnosis, treatment and outcome assessment (PhD Academy Award)

My PhD consisted of three principal studies: (1) I investigated the reliability of diagnosing medial tibial stress syndrome (MTSS) using history and physical examination. (2) Then, I examined if there is an evidence-based treatment for MTSS in a systematic review. (3) Finally, I developed and validated a new patient-reported outcome measure (PROM) for athletes with MTSS: the MTSS score. MTSS is one of the most common conditions in running athletes. Yet, it was unknown how to best diagnose (1) or treat it (2) and there was no PROM for athletes with MTSS (3). In particular: 1. MTSS: a clinical diagnosis? The pathology of MTSS is equivocal; it’s a clinical pain condition. Therefore, making the diagnosis based on history and physical examination is the most logical approach. However, it was unclear if this can be done …