Clinical features

Clinical features include:-

• pain over the medial tibia, at first after running
• later, during running
• when severe even climbing stairs can be painful
  
  
• associations:
  • often pain worse in the morning
  • improper footwear
  • exercising on a hard surface, uneven terrain
  • pes planus
    
    
• clinical examination:
  • pitting oedema may be present over the affected area
  • pain on palpation during both rest and exertion