Treatments include rest, ice, and gradually returning to activity. Rest and ice help the tibia to recover from sudden, high levels of stress and reduce inflammation and pain levels. It is important to reduce significantly any pain or swelling before returning to activity. Strengthening exercises should be performed after pain has subsided, on calves, quadriceps and gluteals. Cross training (e.g., cycling, swimming, boxing) is recommended in order to maintain aerobic fitness. Individuals should return to activity gradually, beginning with a short and low intensity level. Over multiple weeks, they can slowly work up to normal activity level. It is important to decrease activity level if any pain returns. Individuals should consider running on other surfaces besides asphalt, such as grass, to decrease the amount of force the lower leg must absorb.