This is caused by muscle tension pulling at the periostium of the tibia (sheath surrounding the bone) which causes inflammation and tenderness over the front and inside of the tibia (shin bone). This is typically an overuse injury.
The medial meniscus is a crescent shaped structure which sits between the tibia (shin bone) and femur (thigh bone). Its role is as a shock absorber and also to make the bones more congruent (fit together). As more weight goes through the inside of the knee, the medial meniscus is more bound down and has attachments to the medial collateral ligament. It is commonly injured through impact to the knee, from a twisting motion or through wear and tear as one ages.
Instability and reduced weight bearing on that side
Pain and swelling within 48 hours
Locking of the knee
Positive orthopaedic test – McMurrays and Apleys (done by your osteopath)