Aims & objectives:

1. The aim of the study is to find out the influence of fascial manipulation on running kinematics among athletes with medial tibial stress syndrome (MTSS).
2. The objectives of our study are

i. To use fascial manipulation as a mode of treatment in MTSS. ii. To compare running kinematics before and after treatment intervention. iii. To compare pain perception before and after treatment intervention.

The justification for study:

1. MTSS is associated with altered lower extremity kinematics.
2. There is an association between tibial fascia tightness and forces acting along the tibial crest due to alterations in the transfer of energy from foot proximally in the closed kinematic chain.
3. Fascial manipulation is found to be effective in improving the pliability of connective tissues in the management of musculoskeletal conditions.
4. Therefore there is a need to determine the influence of fascial manipulation on MTSS.

Inclusion Criteria:

• Aged between 18-40 years, both sexes Athletes with shin pain or diagnosed with MTSS Symptoms lasting for 2-3 weeks in the last 1 month

Exclusion Criteria:

• Trauma to lower extremity in the past 3 months Neurological, Cognitive, Psychological factors affecting the test Acute injuries- laceration, sprains, strains, recent fractures Lumbopelvic-hip complex and knee pathologies(intra-articular lesions, osteoarthritis, rheumatic arthritis, osteomyelitis)