Hi, It occurs commonly due to medial tibial stress, or can also occur due to excessive physical exercise or increased activity that overworks the tendons, muscles & bone tissues. Do not get overweight, avoid overdoing your exercises, wear proper shoes which have soles that can absorb friction & shock. Take calcium tablets as a supplement. For relieve you can apply pain relieving ointments, balms & sprays. Medications like NSAIDs, Naproxen are effective. Visit ER, get X-Ray done to rule out any hair crack or fracture that may require medical attention. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician