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* TMTS is more likely to impact a well-trained athlete. There is often an expectation from a well-trained athlete that their specialized fitness should translate to an equivalent performance in a new activity.
* A new sport or a new form of cross training is commonly associated with TMTS. I have a friend who tried an elliptical trainer for the first time and damaged their calf muscles to the point they could not walk properly for a week. This was a particular problem as they had their first half marathon four days after the event and they could not start.
* Seemingly minor changes to running form [[Running Form]] can often produce TMTS injuries. The most common example is seen in runners who move from traditional shoes [[Shoes]] to minimal or barefoot running. These injuries can be quite serious, including stress fractures in the foot. This type of change to running form [[Running Form]] should be treated as if it is a new sport or a new runner, starting from scratch and retraining slowly.
* TMTS is similar to [[Overuse]], but whereas TMTS is due to a sudden change in exercise stress, [[Overuse]] is a longer term (chronic) problem.