Ep 381: Tibial Bone Stress Masterclass Part 1 (Shin Pain, Shin Splints or Stress Fracture?)

Ep 381: Tibial Bone Stress Masterclass Part 1 (Shin Pain, Shin Splints or Stress Fracture?)

July 17, 2026 · 36 min · Episode 381

About this episode

This episode discusses the differences between shin splints and tibial bone stress injuries, providing insights for runners and clinicians.

In episode 381 of The Physical Performance Show, host Brad Beer — sports and exercise physiotherapist — sits down with Pogo physiotherapist Tim Studley for the first instalment of a two-part mini-series on shin pain and tibial bone stress injuries, following on from their earlier three-part bone stress injury series. This episode is essential listening for runners, coaches, and clinicians alike, unpacking how to tell the difference between medial tibial stress syndrome (MTSS/shin splints) and a true tibial bone stress injury — two conditions that can feel identical but require completely different management. Brad and Tim walk through the physiology of bone loading, the palpation tests that separate a "safe to keep running" diagnosis from one requiring an MRI, and the loading tests used to stress-test the tibia safely in clinic. Show Sponsor: Pillar Performance continues to lead the way in sports nutrition through micro-nutrition innovation, now expanding into the Performance Health range. One of their newest releases, Collagen Repair, was developed with Gelita Laboratories (Germany) using a clinically trialled collagen peptide (Tendofort) to support tendon and ligament health in…

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